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Medicare Improvements for Patients and Providers Act of 2008

Event | 09.04.08, 12:00 AM UTC - 12:00 AM UTC

On July 15th, the House and Senate overrode President Bush's veto of the Medicare Improvements for Patients and Providers Act of 2008 ("MIPPA"). In his veto message, the President warned that MIPPA "would harm beneficiaries by taking private health plan options away from them" and would "undermine the Medicare prescription drug program." The Congressional Budget Office estimates payment reductions to MA plans of $13.6 billion over the 2008 - 2013 period and $48.7 billion over the 2008 – 2018 period.

In this concise and focused presentation, C&M Panelists who work closely with Medicare Advantage and Prescription Drug plans will discuss:

  • The key changes and what they mean for MA and PD plans
  • The status of CMS guidance on key implementation issues
  • What MA and PD plans should do now


Insights

Event | 02.20.25

Has the Buss Stopped? Recoupment Today

Has the Buss Stopped? Recoupment Today: In 1997, the California Supreme Court decided Buss v. Superior Court. In Buss, the court concluded that a liability insurer that defended a mixed action could seek reimbursement from the insured for the defense costs associated with the claims that were not even potentially covered. Since then, numerous courts have held that insurers are entitled to recoup their defense costs associated with uncovered claims or causes of action. On the other hand, a significant number of courts have rejected insurers’ right to recoupment, at least in the absence of a policy provision granting the insurer that right. Some commentators have even suggested that the current judicial trend might be away from permitting insurers to recoup their defense costs. Is that correct? Has the Buss stopped? This panel of coverage experts will analyze insurers’ claimed right to recoupment today, and offer their perspectives on what the law on recoupment should perhaps be and might be in the future.