Addressing Medicare recovery claims is a critical part of Medicare secondary payer (MSP) compliance. Failure to properly resolve these claims exposes insurers to significant liability – including Treasury actions and double damages. All non-group health insurers – WC, liability, no-fault, and others -- are in Medicare’s bull’s eye and it is critical you a have solid game plan in place. This session will help you get a handle on Medicare recovery claims, identify key CMS trends, and outline steps you can take to improve your practices.
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Strafford
The significance of the new Restatement on the insurance industry is in dispute. Historically, Restatements published by the ALI have had an enormous influence on binding legal decisions. The U.S. Supreme Court cited ALI publications 71 times during the 2013 to 2015 terms of Court, and state and federal courts have cited ALI publications over 200,000 times. Several courts cited the Restatement of the Law of Liability Insurance even before the ALI formally voted to adopt it. Since adoption, the number of citations to, and courts' reliance on, the Restatement has accelerated.
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Passive investing has grown in relative size and importance over the years, and this trend seems likely to continue if not accelerate. It is now more important than ever for corporate issuers to understand the methodologies of index inclusion and dynamics of ETF trading.
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Mathematica
The Patient Protection and Affordable Care Act (ACA) of 2010 changed several aspects of the law concerning access to health insurance that were particularly salient for people with disabilities. These changes included removing limits on preexisting conditions, extending parent’s health insurance coverage of young adults until the age of 26, expanding Medicaid to more adults with low incomes, and making it easier to obtain affordable coverage outside the traditional employer-sponsored benefit system.
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