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SCOTUS Set to Decide What Constitutes a Conditional Payment in the Context of a Health Plan’s Alleged Discrimination of ESRD Patients

6.15.2022 Blog
The United States Supreme Court (SCOTUS) is set to decide a case concerning what qualifies as a conditional payment, and the ability of health care providers to utilize the Private Cause of Action (PCA) in the context of a health plan’s alleged discrimination of Medicare-eligible patients.

Ten Years Later – Medicare and Liability Medicare Set Asides

3.22.2022 Blog
On March 2, 2022, the Centers for Medicare and Medicaid Services (“CMS”) submitted a proposed rule on Medicare Secondary Payer and Future Medicals (CMS-6047) to the White House Office of Information and Regulatory Affairs (OIRA), which if adopted could have a game-changing impact on liability, and perhaps other types of cases throughout the country.

Answers by Amy

2.3.2021 Blog
Why would I do a Medicare Set-Aside when an individual has an alternative form of health insurance, whether that be through group health insurance after the age of 65 while working for the respondent-employer or through a spouse?