We have written on Medicare Secondary Payer (MSP), the overall concept ensuring that Medicare shifts the obligation for payment of medical expenses on behalf of Medicare beneficiaries to Responsible Reporting Entities (RREs) in claims involving liability insurance (including self-insurance), workers’ compensation, and no-fault. The mandates of MMSEA Section 111 reporting and implementation of Medicare Set [...]

Medicare Set-Aside Arrangements (MSA) and the reporting requirements of Section 111 of the Medicare, Medicaid, & SCHIP Extension Act of 2007 (MMSEA) are important elements of the Medicare Secondary Payer Statute as the Centers for Medicare and Medicaid Services (CMS) endeavors to achieve the long-term financial viability of the Medicare system.  CMS has required MSA for [...]

Legislation has been introduced in the U.S. House of Representatives pertaining to medical malpractice reform. The bill, H.R.5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 (Introduced in House – IH) addresses several areas of proposed change. Perhaps of particular interest to those professionals providing Medicare Set-Aside (MSA) and structured settlement consulting resources, [...]

With the obligation to file MMSEA Section 111 reports on claims involving TPOC’s (Total Payment Obligation to the Claimant; i.e., settlements) now merely months away, we speculate as to the manner in which CMS will substantiate another delay in reporting if (when?) such a delay is announced, and what the implications might be as far [...]