Posts by Jennifer Burke Santoro


Medicare Advantage Plans Win and Lose in Arizona

Posted in Healthcare

With Mandatory Insurer reporting and the Medicare Secondary Payer Act (MSP) at the forefront of everyone’s minds, Medicare Advantage Plans (MAPs) are working to leverage certain MSP provisions to establish the favorable recovery hierarchy enjoyed only by Medicare. MAPs are private...


CMS Proposes Expansion of Re-Review Process for Medicare Set-Asides

On February 11, 2014, the Centers for Medicare and Medicaid Services (CMS) proposed a rule expanding the re-review of Workers’ Compensation Medicare Set-Aside Arrangements (WCMSAs). The notice concerning the proposed rule can be viewed here:


Clarification of the Treatment of Future Medical in Liability and No Fault Cases on the Horizon

Progress is being made by the Centers for Medicare and Medicaid Services (CMS) toward implementing rules for addressing future medical in the context of liability cases.  This week, CMS forwarded for review to the Office of Management and Budget (OMB) CMS’ Notice of Proposed Rule Making...