Medicare

• New Medicare Secondary Payer Amendment Proposed

  By Arthur D. Postal, PropertyCasualty360.com  |  May 16, 2013

  Congress is again being asked to amend the Medicare Secondary Payment Act, just six months after enacting reform legislation dealing with the issue, which took five years to pass congressional muster.

• Appeals Court: Medicare Secondary Payer Act Doesn't Preempt State Law

  By Arthur D. Postal, PropertyCasualty360.com  |  May 15, 2013

  Medicare does not preempt state workers compensation laws that establish rules dealing with the handling of medical claims, the 5th U.S. Circuit Court of Appeals has ruled.

• Indiana Governor Signs Workers Comp Reform

  By Chad Hemenway, PropertyCasualty360.com  |  May 14, 2013

  The law imposes a hospital fee schedule with a maximum reimbursement rate of 200 percent of the Medicare rate for treatments and procedures to workers’ compensation claimants.

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  Reassessing Fraud Risk, Part 1

  By Denise Tessier  |  April 25, 2013

  The first in a two-part series examines the fraud epidemic, from claims risks to employee crime.

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  Florida Fraud: Getting to the Root of the Problem

  By Christopher Tidball  |  April 19, 2013

  Prior attempts to “fix” Florida’s broken system has failed, as many shortsighted solutions do not address the underlying problem of insurance fraud.

• The Perks of Structured Settlements

  By Brian M. Farrell  |  March 29, 2013

  Faster case closure. Greater efficiency. Fewer reserving problems. Better legal protections. Here are several reasons to incorporate structured settlements in claims.

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  Risk Managers Share Insights on Workers’ Comp Success

  By PC360 Staff  |  March 19, 2013

  Top risk managers from major corporations—including Disney, Hostess, SAP, and Beam—discuss their strategies for a winning program—and name their favorite workers' comp carriers.

• Survey: Most Large Employers to Keep Health Insurance Benefit

  By Caroline Hunter, Reuters  |  March 7, 2013

  Most large employers don't expect to send their full-time employees to government health exchanges for insurance during the next five years, but some retirees and part-time workers will end up there, a new survey has found

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  The Perks of Leveraging Structured Settlements In Claims

  By Brian M. Farrell  |  March 5, 2013

  Faster case closure. Greater efficiency. Fewer reserving problems. Better legal protections. Here are several reasons to incorporate structured settlements in claims.

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  X-Rated Romps, an Ex-Cat, and the Perils of Porky: 2012 CAIF Insurance Fraud Hall of Shame

  By Staff Writer  |  January 31, 2013

  Insurance fraud is no laughing matter, but sometimes the lengths crooks go to in scamming the industry can be.

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  Nelson Sticks to NAIC Script on Preservation of State System

  By Elizabeth Festa, PropertyCasualty360.com  |  January 23, 2013

  Ben Nelson echoed the sentiments of the National Association of Insurance Commissioners' leadership in his first public press conference as new CEO of the organization by casting the desired relationship with the federal government as one of a “partnership,” not one allowing incursion, pre-emption or even dual regulation.

• New Hires and Promotions at Risk Partners, Maritime, PMA and Wells Fargo - Around the Industry

  By Staff Writer  |  January 22, 2013

  Cochrane & Co. acquired J. L. Von Arx and Associates, Connecture Inc. acquired DRX, Real Time set a date for second Real Time Day, The National Alliance for Insurance Education & Research expanded course offerings to 8 more states.

• Medicare Secondary Payment Fix Signed into Law

  By Arthur D. Postal, PropertyCasualty360.com  |  January 11, 2013

  Legislation aimed at streamlining repayment of funds to Medicare when the program pays claims later covered by private insurers has finally been enacted into law.

• Congress Reaches Fiscal Cliff Deal That Addresses Estate Tax Issues

  By Arthur D. Postal, PropertyCasualty360.com  |  January 2, 2013

  The House drew the nation back from the fiscal cliff Tuesday night when it approved legislation that, amongst other provisions, makes the current estate-tax policy permanent.

• Medicare Secondary Payment Bill Passes Through Congress

  By Arthur D. Postal, PropertyCasualty360.com  |  December 26, 2012

  Congress has passed legislation sought by the insurance industry and other stakeholders since late 2008 that streamlines enforcement of the Medicare Secondary Payment program.

• House Passes Industry-Supported Medicare Secondary Payment Bill

  By Arthur D. Postal, PropertyCasualty360.com  |  December 20, 2012

  The House Wednesday passed legislation sought by the insurance industry in three Congresses that would streamline enforcement of the Medicare Secondary Payment program.