Medicare Conditional Payment Update: Recent court opinions enforce the notion that failure to satisfy traditional Medicare & Medicare Advantage Plan Conditional Payments subjects primary payers to unwinding of settlements and double damages

Earlier this year, we reported on several filings by MSP Recovery LLC which involved class action lawsuits against large insurance carriers/primary payers for double damages pursuant to the Medicare Secondary Payer (MSP) private cause of action. These lawsuits,...

Keeping Up with Conditional Payment Obligations

This article was originally published in the January 2020 issue of CLM Magazine. Keeping Up with Conditional Payment Obligations – Effective Strategies for Medicare Conditional Payment Recovery Cost Containment  Read the article from CLM Magazine or download the...

Issuance of Medicare Part D Conditional Payment Letters Increasing

Several of our clients have been experiencing an increase in conditional payment letters from Medicare Part D prescription drug plans. Historically, Part D plans have been less active in recovery of conditional payments than traditional Medicare or Medicare Advantage...