Synergy’s blog brings you the industry’s foremost thought leadership InSights on matters of healthcare lien resolution and Medicare Secondary Payer Compliance. Visit often to discover helpful InSights on important lien resolution compliance issues.
By: Synergy’s Director of Lien Resolution The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established pension and health plans in private industry to provide protection for individuals in these plans. As every plaintiff’s attorney knows, the rights of self-funded ERISA qualified plans are […]
An update on Meaghan | It has been two years since we first told you Meaghan’s story. Her big question was “How am I going to deal with my finances for the rest of my life?” Meaghan’s question is one that plagues many injury victims at settlement. She was facing extraordinary liens, potential loss of public benefits and […]
On March 17, 2014 the trial court in the infamous U.S. Airways v McCutchen entered an order allowing Mr. McCutchen to amend his answer to include affirmative defenses and a counter-claim. The court allowed this unusually late amendment to pleadings as result of U.S. Airways’s failure to produce the Master Plan Document (MPD) until just […]
In a well reasoned opinion, the Florida Supreme Court has overtuned the unfair medical malpractice caps. These caps devalued human life as children and seniors who were not breadwinners, could be the victim of malpractice with no real ability for family members to recover damages. We applaud the Florida Supreme Court’s opinion in the McCall […]
Unfortunately, as part of the budget signed by President Obama on the 26th of December (Merry Xmas), a legislative fix for Ahlborn was made law. Now, Medicaid liens are like Medicare liens in the sense that they are super liens. Medicaid will be able to assert its lien against the entirety of the settlement instead […]
At Synergy, we spend a lot of time in mediations helping attorneys and their seriously injured clients to plan for their post settlement future. We try to create holistic settlement plans that meet our client’s needs while taking the least possible amount of risk. The majority of financial products in the settlement industry are fixed income or fixed interest products.
As has been well publicized, it was revealed last week on healthcare.gov that fewer than 27,000 people signed up for private health insurance last month in the 36 states relying on a problem-filled federal website. States running their own enrollment systems signed up more than 79,000, for a total enrollment of just over 100,000.
Even more concerning then the technological challenges with the system, is whether consumers have the necessary knowledge of health insurance to be making these decisions by January 1, 2014. According to poll results released in August 2013 by the American Institute of CPAs, more than half of Americans are not equipped with the rudimentary knowledge of health insurance concepts and definitions to understand the basics of health insurance plans. Read more ….
Repaying Medicare for conditional payments can result in a reduced net recovery or no recovery at all for an injured Medicare beneficiary.
What is the statute of limitations for Medicare to institute an action for repayment of conditional payments used to be a question with more than one answer. In the past the Centers for Medicare and Medicaid Services (“CMS”) had argued that the six (6) year limitation period contained in the Federal Debt Collection Act for […]