Welcome!

News Feed Item

Medicare Advocacy Recovery Coalition (MARC) Applauds GAO On Recently Released Medicare Secondary Payer Report

 

WASHINGTON, April 11, 2012 /PRNewswire-USNewswire/-- The Medicare Advocacy Recovery Coalition (MARC) applauds the United States Government Accountability Office (GAO) for their recently released report titled "Medicare Secondary Payer - Additional Steps Are Needed to Improve Program Effectiveness for Non-Group Health Plans." This GAO report was requested by Representative Stark (D-CA-9) in August of 2010 and reflects many of the issues and solutions that MARC strongly supports in the current Strengthening Medicare and Repaying Taxpayers Act (SMART Act) – S.1718/H.R. 1063.

The GAO report concludes that the Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) mandatory reporting process continues to face many obstacles and administrative burdens, and that the current process is impeding settlements, and harming both beneficiaries and business alike. GAO also notes that many improvements are needed to make the MSP system more cost-effective and less burdensome, and points out many specific shortcomings in the current system -- conclusions with which MARC agrees and which MARC is trying to remedy through support of the SMART Act before Congress.

Among the many findings in the report, the GAO report concludes that multiple improvements to the MSP system should be made:

  • To ensure cost-effectiveness in the NGHP recovery process, GAO recommends that CMS should review the recovery thresholds periodically to ensure that recovery efforts are "being conducted in the most cost-effective manner possible." GAO also recommends that CMS should not require NGHPs to report MSP cases which the Agency would not pursue for recovery. This recommendation mirrors the SMART Act's threshold legislation.
  • To facilitate settlements GAO acknowledges the difficulties settling parties have in not receiving a final demand from the Agency. Again, the SMART Act would solve this issue.
  • GAO also noted the unfairness of CMS's insistence on taking 100% of settlement funds without any allocation. While not the subject of pending legislation, the MARC coalition has supported recent efforts before the Supreme Court to clarify this question.
  • In discussing the issues and inefficiencies in the current MSP system, GAO notes that CMS has taken some, but not enough, steps to address some of these concerns. Others cannot be changed by the Agency, but must be fixed by the Congress through legislation.

"We are pleased that GAO has focused attention on this issue which is important to beneficiaries and businesses alike," said Roy Franco, co-chair of the MARC Coalition. MARC urges CMS to seriously review the report and adopt all its recommendations," said Dean Pappas, co-chair of the Coalition. "While some changes can only be achieved through legislation like the SMART Act, the Agency should do what it can today to ameliorate the unnecessary burdens on both industry and beneficiaries trying to settle these claims," said Pappas.

The SMART Act, H.R. 1063 and S.1718, is the first comprehensive MSP reform legislation to be introduced into both chambers of Congress. To date the legislation has extensive bi-partisan support, with 98 co-sponsors in the U.S. House of Representatives and 15 co-sponsors in the Senate.

About MARC:
The Medicare Advocacy Recovery Coalition (MARC) advocates for the improvement of the Medicare Secondary Payer (MSP) program for beneficiaries and affected companies. The Coalition collaborates and develops strategic alliances with Congressional leaders and government agencies to focus on implementation of MSP reporting, and on the broader issue of MSP reform. MARC's membership is comprised of entities representing virtually every sector of the MSP regulated community including attorneys, brokers, insureds, insurers, insurance and trade associations, self-insureds and third-party administrators. For more information on MARC and the SMART Act/H.R. 1063, please visit www.marccoalition.com.

 

 

SOURCE Medicare Advocacy Recovery Coalition

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
"Infoblox does DNS, DHCP and IP address management for not only enterprise networks but cloud networks as well. Customers are looking for a single platform that can extend not only in their private enterprise environment but private cloud, public cloud, tracking all the IP space and everything that is going on in that environment," explained Steve Salo, Principal Systems Engineer at Infoblox, in this SYS-CON.tv interview at 21st Cloud Expo, held Oct 31 – Nov 2, 2017, at the Santa Clara Conventio...
"Cloud Academy is an enterprise training platform for the cloud, specifically public clouds. We offer guided learning experiences on AWS, Azure, Google Cloud and all the surrounding methodologies and technologies that you need to know and your teams need to know in order to leverage the full benefits of the cloud," explained Alex Brower, VP of Marketing at Cloud Academy, in this SYS-CON.tv interview at 21st Cloud Expo, held Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clar...
In his session at 21st Cloud Expo, Carl J. Levine, Senior Technical Evangelist for NS1, will objectively discuss how DNS is used to solve Digital Transformation challenges in large SaaS applications, CDNs, AdTech platforms, and other demanding use cases. Carl J. Levine is the Senior Technical Evangelist for NS1. A veteran of the Internet Infrastructure space, he has over a decade of experience with startups, networking protocols and Internet infrastructure, combined with the unique ability to it...
The question before companies today is not whether to become intelligent, it’s a question of how and how fast. The key is to adopt and deploy an intelligent application strategy while simultaneously preparing to scale that intelligence. In her session at 21st Cloud Expo, Sangeeta Chakraborty, Chief Customer Officer at Ayasdi, provided a tactical framework to become a truly intelligent enterprise, including how to identify the right applications for AI, how to build a Center of Excellence to oper...
"IBM is really all in on blockchain. We take a look at sort of the history of blockchain ledger technologies. It started out with bitcoin, Ethereum, and IBM evaluated these particular blockchain technologies and found they were anonymous and permissionless and that many companies were looking for permissioned blockchain," stated René Bostic, Technical VP of the IBM Cloud Unit in North America, in this SYS-CON.tv interview at 21st Cloud Expo, held Oct 31 – Nov 2, 2017, at the Santa Clara Conventi...
Gemini is Yahoo’s native and search advertising platform. To ensure the quality of a complex distributed system that spans multiple products and components and across various desktop websites and mobile app and web experiences – both Yahoo owned and operated and third-party syndication (supply), with complex interaction with more than a billion users and numerous advertisers globally (demand) – it becomes imperative to automate a set of end-to-end tests 24x7 to detect bugs and regression. In th...
In his session at 21st Cloud Expo, James Henry, Co-CEO/CTO of Calgary Scientific Inc., introduced you to the challenges, solutions and benefits of training AI systems to solve visual problems with an emphasis on improving AIs with continuous training in the field. He explored applications in several industries and discussed technologies that allow the deployment of advanced visualization solutions to the cloud.
Widespread fragmentation is stalling the growth of the IIoT and making it difficult for partners to work together. The number of software platforms, apps, hardware and connectivity standards is creating paralysis among businesses that are afraid of being locked into a solution. EdgeX Foundry is unifying the community around a common IoT edge framework and an ecosystem of interoperable components.
Agile has finally jumped the technology shark, expanding outside the software world. Enterprises are now increasingly adopting Agile practices across their organizations in order to successfully navigate the disruptive waters that threaten to drown them. In our quest for establishing change as a core competency in our organizations, this business-centric notion of Agile is an essential component of Agile Digital Transformation. In the years since the publication of the Agile Manifesto, the conn...
"MobiDev is a software development company and we do complex, custom software development for everybody from entrepreneurs to large enterprises," explained Alan Winters, U.S. Head of Business Development at MobiDev, in this SYS-CON.tv interview at 21st Cloud Expo, held Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA.
Large industrial manufacturing organizations are adopting the agile principles of cloud software companies. The industrial manufacturing development process has not scaled over time. Now that design CAD teams are geographically distributed, centralizing their work is key. With large multi-gigabyte projects, outdated tools have stifled industrial team agility, time-to-market milestones, and impacted P&L stakeholders.
"ZeroStack is a startup in Silicon Valley. We're solving a very interesting problem around bringing public cloud convenience with private cloud control for enterprises and mid-size companies," explained Kamesh Pemmaraju, VP of Product Management at ZeroStack, in this SYS-CON.tv interview at 21st Cloud Expo, held Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA.
Enterprises are adopting Kubernetes to accelerate the development and the delivery of cloud-native applications. However, sharing a Kubernetes cluster between members of the same team can be challenging. And, sharing clusters across multiple teams is even harder. Kubernetes offers several constructs to help implement segmentation and isolation. However, these primitives can be complex to understand and apply. As a result, it’s becoming common for enterprises to end up with several clusters. Thi...
"Akvelon is a software development company and we also provide consultancy services to folks who are looking to scale or accelerate their engineering roadmaps," explained Jeremiah Mothersell, Marketing Manager at Akvelon, in this SYS-CON.tv interview at 21st Cloud Expo, held Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA.
"Space Monkey by Vivent Smart Home is a product that is a distributed cloud-based edge storage network. Vivent Smart Home, our parent company, is a smart home provider that places a lot of hard drives across homes in North America," explained JT Olds, Director of Engineering, and Brandon Crowfeather, Product Manager, at Vivint Smart Home, in this SYS-CON.tv interview at @ThingsExpo, held Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA.