The Medicare Secondary Payer Process: Washington, D.C. Takes a Closer Look
Roy Franco
July 26, 2011

During a time of uncertainty on Capitol Hill, one initiative is clear: the administrative problems and ineffective behaviors of the Medicare Secondary Payer (MSP) program are on the minds of our elected leaders. History was made on June 22, 2011, when the Energy and Commerce Subcommittee on Oversight and Investigations held the “Protecting Medicare with Improvements to the Secondary Payer  Regime.”

The purpose of the hearing was to investigate the reported imbalance between the cost of recovery and the amount being recovered, along with other areas representative of an ineffective MSP system. Of note, a recorded webcast and statements for the record can be viewed on the homepage of The subcommittee was strong in their questioning of the Chief Financial Officer for the Center’s for Medicare & Medicaid Services,  Deborah Taylor, which brought to light the lack of information her role had on the contractor’s behaviors.

On Friday, July 22, 2011, the Energy and Commerce Subcommittee on Oversight and Investigations wrote Secretary Sebelius and  Administrator Berwick, stating “The American People deserve an effective and efficient government… We cannot accept collection procedures that come at an unreasonable cost to the taxpayer.” It would appear that the Subcommittee members not only see the value in a MSP recovery threshold, but that the urgency of creating a balance between the stability of the Medicare fund and the cost of the current recovery process.

What started as a few industry representatives discussing the complicated and broken MSP system has evolved into the Medicare Advocacy and Recovery coalition, who is bringing national attention to this significant problem. Founding co-chairs, Roy Franco and Katie A. Fox, are excited to witness the future evolution of the MSP reform process.

For more information, and to show your support of H.R. 1063 The Strengthening Medicare and Repaying Taxpayers Act (SMART Act) visit Franco Signor continues to closely follow the Medicare Secondary Payer Reform, Call on us to assist with navigating your Medicare Secondary Payer issues!