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November 08, 2017
Mike Merlino
SVP Medicare Compliance
Opioid reserves in Medicare set-asides a nationwide problem

Sedgwick SVP Medicare Compliance, Michael Merlino is featured in an article that focuses on how Medicare set-asides with money earmarked for opioids is drawing national attention. Mr. Merlino explains Medicare set-asides and the green light for futu…

November 08, 2017 by Mike Merlino, SVP Medicare Compliance
Blog
September 18, 2017
Mike Merlino
SVP Medicare Compliance
Centers for Medicare & Medicaid Services (CMS) retains new review contractor

On September 1, CMS hired Capitol Bridge, LLC to be the new review contractor for MSAs. According to CMS employees that we’ve spoken to, the transition is currently underway. The old contractor is staying on for an indeterminate amount of time to h…

September 18, 2017 by Mike Merlino, SVP Medicare Compliance
Blog
March 01, 2017
Mike Merlino
SVP Medicare Compliance
It is happening: LMSAs (and NFMSAs) are almost here

For the past several years, the Centers for Medicare & Medicaid Services (CMS) has been providing the industry with vague hints about liability Medicare set-aside arrangements (LMSAs). The absence of clarity left the liability community unable to…

March 01, 2017 by Mike Merlino, SVP Medicare Compliance
Blog
January 21, 2015
Mike Merlino
SVP Medicare Compliance
Could you cut $185,000 from your MSA?

What if I told you that you could save $185,000 at no cost to you? No, I am not advertising for some late night TV infomercial where the offer is too good to be true. I am talking about the world of Medicare set-asides (MSA). It is well known that pr…

January 21, 2015 by Mike Merlino, SVP Medicare Compliance
Blog
October 30, 2014
Mike Merlino
SVP Medicare Compliance
Change, non-change important to Medicare compliance regulations

If you have been trying to keep up with the latest Medicare compliance changes, you might feel like you are watching the carnival vendor who used to say, “around and around it goes and where it stops nobody knows.” Fortunately, with these answers y…

October 30, 2014 by Mike Merlino, SVP Medicare Compliance
Client bulletin
February 26, 2014
Medicare Bulletin - February 2014

Read the latest from Sedgwick’s Medicare compliance unit, including details on our new Medicare concierge service.

February 26, 2014
Blog
January 24, 2014
Kimberly George
SVP Corporate Development, M&A, and Healthcare
Moody's downgrade of U.S. health insurance sector - examining the causes

Speculation is rife about what will happen with healthcare in 2014. Now one of the first predictors has publicly voiced its opinion. On Wednesday, I read with great interest that Moody's revised its outlook for the U.S. healthcare sector to negativ…

January 24, 2014 by Kimberly George, SVP Corporate Development, M&A, and Healthcare
Blog
October 24, 2013
Barbara Youngberg, Senior Healthcare Risk Management Specialist
Managing the risks of ACOs

In any given week, a health care risk manager can find themselves involved in something new – investigating a patient injury, preparing a statement for a liability claim, educating staff on safety, assisting in designing risk transfer or financing …

October 24, 2013 by Barbara Youngberg, Senior Healthcare Risk Management Specialist
Client bulletin
October 07, 2013
Impact of the government shutdown on Medicare compliance

The ongoing shutdown of the U.S. federal government has had an adverse effect on numerous other agencies and departments.

October 07, 2013
Article
July 10, 2013
Mike Merlino
SVP Medicare Compliance
Smart Act Will Help Employers Avoid Large Noncompliance Fines

Michael explains that a slight wording change to the legislation could create big savings for smaller employers if they accidentally fail to report a Medicare-related claim settlement to the Centers for Medicare and Medicaid Services. He also talks …

July 10, 2013 by Mike Merlino, SVP Medicare Compliance
Client bulletin
February 27, 2013
Medicaid compliance challenges on the horizon

The Medicaid health program is a state/federal partnership that covers nearly 50 million low income Americans. The expansion of Medicaid under the Affordable Care Act (ACA) may result in increased expenditures for both the federal and state governmen…

February 27, 2013
Client bulletin
January 06, 2013
U.S. Senate, House pass the SMART Act: Medicare compliance changes on the horizon

On December 21, 2012, we were very pleased to learn that, by a unanimous vote andjust one week after their counterparts in the U.S. House of Representatives, the U.S. Senate passed the Strengthening Medicare and Repaying Tax Payers (SMART) Act.

January 06, 2013
Client bulletin
August 15, 2012
Medicare Compliance Update-August

August 15, 2012
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