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Tag Archives: Secondary Payer

U.S. House Bill Requires CMS to Disclose Beneficiaries’ Enrollment Status in Private Medicare Parts C & D and Medicaid

June 13, 2018

Nationwide reimbursement litigation by private Medicare Advantage Plans (MAPs) providing health coverage to some Medicare enrollees has grown significantly over the past few years. Any number of entities are sued for failing to reimburse MAPs for injury-related treatment costs when a beneficiary is paid to resolve a claim. These include alleged tortfeasors, their insurers, tort […]

Private Health Insurance Companies Can Seek Double Damages Remedy Under Medicare Secondary Payer Act

December 5, 2017

The U. S. Court of Appeals for the Third Circuit found private health insurers could seek double damages in federal court under the Medicare Secondary Payer Act. In re Avandia Marketing, Sales Practices and Products Liability Litigation, 685 F.3d 353 (3d Cir. 2012) is believed to be the first appellate case to reach this holding. […]