Price Slash on a Commonly Seen MSA Drug — Omeprazole

Well, for those of us who developed an ulcer or have one in the works, either from this past year or the high Part D cost, here is some good news! Omeprazole, in the 40mg prescription strength, has seen a significant slash in the lowest average wholesale price (AWP) – see Table 1. Table 1… Read more »

Baltimore U.S. Attorney Nabs Another Plaintiff’s Firm: Obtains $91,000 Settlement to Resolve Allegations a Firm Failed to Reimburse Medicare

Scales of Justice

As you may recall, we have been down this road before with a different Baltimore law firm and a Pennsylvania practitioner. Standard operating procedure when settling a personal injury claim requires the parties to first determine if a plaintiff is a Medicare beneficiary, and once confirmed it requires compliance with the Medicare Secondary Payer statute by ensuring that… Read more »

CMS Implements $750 Settlement Threshold for WC Conditional Payment Recovery; Maintains $1,000 Threshold in Liability

A September 26, 2016 CMS Alert (Alert) announced the implementation of a $750 conditional payment recovery threshold for no-fault and workers’ compensation settlements.  CMS also announced it is maintaining the $1,000 conditional payment recovery threshold for liability settlements, a threshold which has been in place since January 1, 2014. Implications Workers’ compensation and no-fault plans… Read more »