Navigating Medicare Secondary Payer Compliance

The Medicare Secondary Payer Act has been in place for more than two decades. During that time, much has been written regarding the requirements to comply with Medicare. Third-party administrators and self-insureds are particularly vulnerable to changes in Medicare regulations—most recently, and in particular, the State Children Health Insurance Program Extension Act. This article traces the evolution of Medicare secondary payer compliance, and provides recommendations on how to manage and potentially reduce Medicare loss costs.

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