|By PR Newswire||
|April 11, 2012 10:00 AM EDT||
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.
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
Data is the fuel that drives the machine learning algorithmic engines and ultimately provides the business value. In his session at Cloud Expo, Ed Featherston, a director and senior enterprise architect at Collaborative Consulting, will discuss the key considerations around quality, volume, timeliness, and pedigree that must be dealt with in order to properly fuel that engine.
Oct. 22, 2016 08:15 AM EDT Reads: 3,748
All clouds are not equal. To succeed in a DevOps context, organizations should plan to develop/deploy apps across a choice of on-premise and public clouds simultaneously depending on the business needs. This is where the concept of the Lean Cloud comes in - resting on the idea that you often need to relocate your app modules over their life cycles for both innovation and operational efficiency in the cloud. In his session at @DevOpsSummit at19th Cloud Expo, Valentin (Val) Bercovici, CTO of So...
Oct. 22, 2016 08:15 AM EDT Reads: 2,069
More and more brands have jumped on the IoT bandwagon. We have an excess of wearables – activity trackers, smartwatches, smart glasses and sneakers, and more that track seemingly endless datapoints. However, most consumers have no idea what “IoT” means. Creating more wearables that track data shouldn't be the aim of brands; delivering meaningful, tangible relevance to their users should be. We're in a period in which the IoT pendulum is still swinging. Initially, it swung toward "smart for smar...
Oct. 22, 2016 08:15 AM EDT Reads: 349
SYS-CON Events announced today that eCube Systems, the leading provider of modern development tools and best practices for Continuous Integration on OpenVMS, will exhibit at SYS-CON's @DevOpsSummit at Cloud Expo New York, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. eCube Systems offers a family of middleware products and development tools that maximize return on technology investment by leveraging existing technical equity to meet evolving business needs. ...
Oct. 22, 2016 08:00 AM EDT Reads: 4,420
Fifty billion connected devices and still no winning protocols standards. HTTP, WebSockets, MQTT, and CoAP seem to be leading in the IoT protocol race at the moment but many more protocols are getting introduced on a regular basis. Each protocol has its pros and cons depending on the nature of the communications. Does there really need to be only one protocol to rule them all? Of course not. In his session at @ThingsExpo, Chris Matthieu, co-founder and CTO of Octoblu, walk you through how Oct...
Oct. 22, 2016 07:45 AM EDT Reads: 3,089
Fact is, enterprises have significant legacy voice infrastructure that’s costly to replace with pure IP solutions. How can we bring this analog infrastructure into our shiny new cloud applications? There are proven methods to bind both legacy voice applications and traditional PSTN audio into cloud-based applications and services at a carrier scale. Some of the most successful implementations leverage WebRTC, WebSockets, SIP and other open source technologies. In his session at @ThingsExpo, Da...
Oct. 22, 2016 07:00 AM EDT Reads: 2,251
So you think you are a DevOps warrior, huh? Put your money (not really, it’s free) where your metrics are and prove it by taking The Ultimate DevOps Geek Quiz Challenge, sponsored by DevOps Summit. Battle through the set of tough questions created by industry thought leaders to earn your bragging rights and win some cool prizes.
Oct. 22, 2016 07:00 AM EDT Reads: 3,512
In past @ThingsExpo presentations, Joseph di Paolantonio has explored how various Internet of Things (IoT) and data management and analytics (DMA) solution spaces will come together as sensor analytics ecosystems. This year, in his session at @ThingsExpo, Joseph di Paolantonio from DataArchon, will be adding the numerous Transportation areas, from autonomous vehicles to “Uber for containers.” While IoT data in any one area of Transportation will have a huge impact in that area, combining sensor...
Oct. 22, 2016 06:45 AM EDT Reads: 360
The Internet of Things (IoT), in all its myriad manifestations, has great potential. Much of that potential comes from the evolving data management and analytic (DMA) technologies and processes that allow us to gain insight from all of the IoT data that can be generated and gathered. This potential may never be met as those data sets are tied to specific industry verticals and single markets, with no clear way to use IoT data and sensor analytics to fulfill the hype being given the IoT today.
Oct. 22, 2016 06:30 AM EDT Reads: 2,195
@ThingsExpo has been named the Top 5 Most Influential M2M Brand by Onalytica in the ‘Machine to Machine: Top 100 Influencers and Brands.' Onalytica analyzed the online debate on M2M by looking at over 85,000 tweets to provide the most influential individuals and brands that drive the discussion. According to Onalytica the "analysis showed a very engaged community with a lot of interactive tweets. The M2M discussion seems to be more fragmented and driven by some of the major brands present in the...
Oct. 22, 2016 06:15 AM EDT Reads: 11,207
If you had a chance to enter on the ground level of the largest e-commerce market in the world – would you? China is the world’s most populated country with the second largest economy and the world’s fastest growing market. It is estimated that by 2018 the Chinese market will be reaching over $30 billion in gaming revenue alone. Admittedly for a foreign company, doing business in China can be challenging. Often changing laws, administrative regulations and the often inscrutable Chinese Interne...
Oct. 22, 2016 06:00 AM EDT Reads: 1,341
SYS-CON Events announced today that SoftNet Solutions will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. SoftNet Solutions specializes in Enterprise Solutions for Hadoop and Big Data. It offers customers the most open, robust, and value-conscious portfolio of solutions, services, and tools for the shortest route to success with Big Data. The unique differentiator is the ability to architect and ...
Oct. 22, 2016 05:45 AM EDT Reads: 458
DevOps is speeding towards the IT world like a freight train and the hype around it is deafening. There is no reason to be afraid of this change as it is the natural reaction to the agile movement that revolutionized development just a few years ago. By definition, DevOps is the natural alignment of IT performance to business profitability. The relevance of this has yet to be quantified but it has been suggested that the route to the CEO’s chair will come from the IT leaders that successfully ma...
Oct. 22, 2016 05:45 AM EDT Reads: 16,257
SYS-CON Events announced today that Pulzze Systems will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Pulzze Systems, Inc. provides infrastructure products for the Internet of Things to enable any connected device and system to carry out matched operations without programming. For more information, visit http://www.pulzzesystems.com.
Oct. 22, 2016 05:00 AM EDT Reads: 2,473
Without lifecycle traceability and visibility across the tool chain, stakeholders from Planning-to-Ops have limited insight and answers to who, what, when, why and how across the DevOps lifecycle. This impacts the ability to deliver high quality software at the needed velocity to drive positive business outcomes. In his general session at @DevOpsSummit at 19th Cloud Expo, Eric Robertson, General Manager at CollabNet, will discuss how customers are able to achieve a level of transparency that e...
Oct. 22, 2016 05:00 AM EDT Reads: 689