Articles, case studies, whitepapers, presentations and research regarding healthcare insurance subrogation

Subrogation recoveries for Medicare Advantage plans

This topic has been evolving for more than 10 years as litigation and case law have disputed over the issue of whether the private cause of action for double damages under the Medicare Secondary Payer (“MSP”) Act provides Medicare Advantage (“MA”) Plans with the right to bring suit against primary payers.

Post-conference wrap-up: 2015 NASP Conference

(Michele Stuart of JAG Investigations’) presentation was alarming and fascinating as she showed us how vulnerable our social media activity makes us to criminal activity and walked us through steps we can take to protect ourselves.

Subrogation ebook 2014

Best practices for maximum results With the right strategies in place, increased subrogation recoveries are within any health plan’s reach. A health plan’s successful recovery of injury-related claims depends upon a fine-tuned and optimized subrogation process. Additionally, it’s important that plans continue to manage all areas of recovery, including emerging opportunities like Mass Tort, which,

Maximizing your mass tort recoveries

Joint replacement surgery is fairly common in the United States, with more than 285,000 hip replacement surgeries every year[1]. However, if that new hip turns out to be defective—causing further pain or weakening of the joints—this routine hospital procedure could become subject to the complexities of mass tort litigation. What is mass tort? Mass tort

Next-generation subrogation solutions: measuring your subrogation program

As the old saying goes, “You can’t improve what you don’t measure.” Imagine you are a student taking a test and never knowing your grade. It’s nearly impossible to strategize a plan for improvement if you are unaware of your current performance. This same principle applies to subrogation cases. Analytics are essential to evaluating the

Next-generation subrogation solutions: optimizing your subrogation solutions

Once you have identified which subrogation cases have recovery potential and which do not, it’s time to make sure you are optimizing program performance in three key areas: Platform – leveraging technology and automation to improve results Process – evaluating recovery workflows to ensure efficiency is maximized by leveraging available technology People – recruiting and

Next-generation subrogation solutions: Identifying opportunities

No one wants to leave money on the table. But that’s often what happens when health plans don’t recover payments for claims that are someone else’s financial responsibility. A health plan’s successful recovery of injury-related claims depends upon a fine-tuned and optimized subrogation process. In our three-part series, “Next-generation subrogation solutions,” we offer effective strategies

Discovery Health Partners hosts webinar on next-gen subrogation

Second in series of webinars to address health payer payment integrity topics ITASCA, IL (May 27, 2014) –Discovery Health Partners announces a webinar on June 4 that addresses best practices for maximizing subrogation recoveries as part of an overall cost containment solution for health payers. Entitled “Next Generation Subrogation Solutions,” the webinar will be led