MARC Member Organizations

American Insurance Association (AIA)
Allstate Insurance*
AON
Best Buy, Inc.
Costco*
Crowe Paradis Services Corporation*
Defense Research Institute (DRI)
Employers Direct Insurance Company
F.A. Richards & Associates
GAB Robins North America/MedInsights*
Gallagher Bassett Services Inc.*
Gap, Inc.
Gould and Lamb, LLC*
Hartford Financial Services Group
HEB Solutions, Inc.
Hobby Lobby
Ingenix
Lien Settlement Solutions
Lowe's Companies, Inc.
Marriott International, Inc.
MARSH
NAMSAP*
North American Risk Services, Inc.
NuQuest/Bridge Pointe
PMSI Settlement Solutions
Publix Super Markets, Inc.*
Puget Sound Energy
Quintairos, Prieto, Wood & Boyer, P.A.
Royal MSA Consultants
Safeway*
Sedgwick Claims Management*
Specialty Risk Services
Target*
Texas Roadhouse
USLAW NETWORK, LLC
Wakefern Food Corporation
Wal-Mart*
Wegmans Food Markets, Inc.
West Bend Mutual Insurance Company
Wicker, Smith, O'Hara, McCoy & Ford, P.A.

*Steering Committee Members

Other members have chosen to remain anonymous. The group is comprised of Fortune 500s, Fortune 100s, Self-Insureds, Third Party Administrators, Insurance Brokers, Carriers, and Trade Associations.

MARC Donor Organizations

Silver Level:
Albertson's LLC
Association of Government Risk Pools
California Association of Joint Powers Authority
Kelly Hockel & Klein, PC
Reilly Janiczek & McDevitt
Rissman, Barrett, Hurt, Donohue & McLain, P.A.
Alvarez, Sambol, Winthrop & Madison

Bronze Level:
American Association of Independent Claims
Professionals (AAICP)
Baylor Evnen
Big Lots, Inc.
Bridge Settlement Corporation
Colorado Self Insurers' Association
Electric Insurance Company
Fineman Krekstein & Harris, P.C.
Janice M. Iati Law Firm
Luby's, Inc.
Querrey & Harrow, Ltd.
Starbucks
Tobin Lucks LLP
Uni-Ter

ABOUT MARC

The Medicare Advocacy Recovery Coalition's (MARC) purpose is to:

INITIAL POLICY AGENDA – REPORTING REFORM

MARC's initial policy agenda was focused on advocating for a moratorium on the implementation of the Medicare Secondary Payer Reporting Process. In December 2007, Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA) created new and extremely complicated data reporting requirements for insurers, self-insureds, and workers compensation carriers who settle claims with Medicare beneficiaries. The rules essentially were designed to ensure that Medicare under the Center for Medicare and Medicaid Services (CMS) is aware of cases where it can assert MSP claims. 

Some of the complex rules associated with Section 111 are:
  1. Many data elements that CMS is requesting are not reliably available
    (Ex:  Medicare Beneficiaries social security numbers)
  2. Under the current system, CMS may be collecting unmanageable amounts of data and currently has no solutions on how to address existing class actions. MARC proposed the development of a reporting threshold to assure that only relevant data is collected.
  3. Timeline for companies to prepare their computer systems and infrastructure by July 1, 2009 is limited. Impossible for stakeholders to have the technology and personnel to collect and report the many data elements by CMS's deadline.

MARC worked collaboratively with CMS officials and Congressional leaders to propose a delay on the MSP reporting process for non-group health plans.

RECENT ACCOMPLISHMENTS

As a result of significant MARC advocacy before both CMS and the Congress, in March 2009 CMS announced that it was extending implementation of the MSP reporting process by six months, until January 1, 2010 and that it would impose an interim reporting threshold for liability claims of $5,000, below which claims need not be reported into the new system. Since then, CMS has extended the implementation until April 1, 2010, and clarified that only claims data beginning January 1, 2010 need to captured. Through MARC's advocacy the Coalition has met with considerable success in ensuring that the Section 111 reporting process is implemented in a reasonable and rational manner.