Congress passed the Medicare Secondary Payer Act (MSPA) over thirty years ago, codifying that Medicare be the secondary payer in all liability cases, no-fault and group health plans. Just four years ago, Congress subsequently passed the Medicare, Medicaid and SCHIP Extension Act (MMSEA) to protect the interests of Medicare.

As risk and claims managers are aware, Section 111 of the MMSEA Act mandates affected organizations, called Responsible Reporting Entities (RREs), to submit quarterly reports detailing defined payments from applicable plans to Medicare beneficiaries. Examples of RREs include entities that self-insure (via an SIR, uninsured or underinsured) and that make private payments and bill write-offs. Failure to comply with these requirements can lead to fines of $1,000/day or even civil liability for faulty compliance efforts or reporting.

The new reporting requirements began January 1, 2012 and the clock is ticking. Healthcare organizations that self-insure or utilize an SIR for their medical malpractice liability and/or general liability coverages should plan to participate in this seminar. What you will lean:

• Who is Medicare eligible
• Who is a Responsible Reporting Entity (RRE)
• Reporting requirement timelines and what to report

Presenters

John Scott, President, MGU Specialty Risk Services
Mr. Scott has over 35 years of commercial insurance experience and has specialized skills in the areas of new product development, management of complex insurance programs and insurance company formation, management and operations. For the past 15 years, he has focused on the needs of the healthcare industry and is currently developing new insurance and consulting products to meet the needs of organizations required to comply with newly enacted laws and regulations.

Joshua Stein, Chief Underwriting Officer, IronHealth
Prior to joining Ironshore, he was a founder and Chief Underwriting Officer of OneBeacon Professional Partners. Josh also worked as the Vice President, Reinsurance for Chubb Specialty Insurance, and before that the lead underwriters’ counsel and Director of Reinsurance for Executive Risk Management Associates and a senior corporate associate at a law firm. Josh received his J.D. with honors from the University of Connecticut’s School of Law, and also holds a BA in History from Yale University.