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Description: Benefit from this highly practical session with two experienced practitioners who share their insights on issues that impact the cases on your desk today.
Learn about the newest cases, agency positions and litigation tactics affecting health and disability plan reimbursement claims, including how to protect your clients and your practice in this rapidly developing area.
Agenda
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Post-settlement problems, from reimbursement demands to attorney liability and more.
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A review of statutes and recent cases surround Medicaid liens.
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The latest modifications and cases impacting Medicare Secondary Payer.
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Medicare Secondary Payer private cause of action.
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Medicare set-asides relating to workers compensation and third-party liability.
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Medicare substitute plans: recent cases and litigation outlook.
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Federal medical care recovery: governing statutes.
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Federal employees claims.
Concepts and Statutes:
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Medicare Advantage Plans
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Federal Employees Health Benefits Act (FEHBA) Plans
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Employee Retirement Income Security Act (ERISA) Claims
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Medicare set-asides
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TRICARE
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Veterans Administration Claims
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Armed Forces Act
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Federal Medical Care Recover Act
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Military Recovery Rights
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Strengthening Medicare and Repaying Taxpayers Act of 2012
Franklin P. Solomon, Solomon Law Firm
Solomon has a nationwide practice focused on evaluation, litigation and resolution of healthcare lien/reimbursement claims. He represents personal injury victims and their attorneys in defending against claims by health plans and government benefits programs seeking payment out of tort recoveries. Over the past 20 years he has litigated a number of significant “lien” cases on behalf of health and disability plan beneficiaries, including Arnone v. Aetna Life Ins. Co., 860 F.3d 97 (2d Cir.), cert. denied, 138 S.Ct. 557 (2017) (disability plan “offsets”); Wurtz v. Rawlings Co., LLC,761 F.3d 232 (2d Cir. 2014), cert. denied, 135 S.Ct. 1400 (2015) (state law applied to insured ERISA plans); Taransky v. Sec. of U.S. Dept. of Health & Human Svcs., 760 F.3d 307 (3d Cir. 2014), cert. denied, 135 S.Ct. 1444 (2015) (Medicare reimbursement) and Levine v. United Healthcare, 402 F.3d 156 (3d Cir.), cert. denied, 546 U.S.1054 (2005) (ERISA plan claims).
Brett Newman, Lien Resolution Group
Newman is known nationally by plaintiff attorneys for his expertise on claims avoidance and reduction. Recognizing the ever-growing nature of lien resolution and the ever-increasing associated liability, Brett established The Lien Resolution Group and The Newman Structured Settlement Group to assist both individual claimants of personal injury lawsuits and mass tort claimants in the protection of their proceeds and government benefits.
 | | Practice Areas: | | Insurance Law | | | Online Media Type: | | Audio | | | Production Date: | | 07/26/2018 | | | Level: | | Intermediate | | | Category: | | Standard | | | Duration: | | 1 Hours, 42 Minutes | | | Online Format: | | On Demand | | | Course Type: | | Public |
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CLE Scholarship information
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| | • | Franklin Solomon - Founder, Solomon Law Firm | | • | Brett Newman - Managing Partner, Lien Resolution Group |
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