Tell Congress: Fix the Medicare Secondary Payer System

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As someone who has experienced the inadequacy of the current Medicare Secondary Payer (MSP) system first-hand, I am writing to urge you to co-sponsor the Provide Accurate Information Directly (PAID) Act (H.R. 5881) which aims to ensure that the MSP and Medicaid Third Party Liability (TPL) statutes work effectively for beneficiaries, taxpayers, and other stakeholders in medical settlements. The current MSP and TPL systems place unnecessary strain on everyone involved in the process as a result of the lack of clarity surrounding which entity is ultimately responsible for the payment of beneficiaries’ medical bills. The PAID Act helps correct this confused dynamic by incorporating common sense principles such as guaranteed access to care, fairness, certainty, and fiscal responsibility.

The MSP and TPL statutes are intended to ensure that Medicare and Medicaid do not waste taxpayer dollars by reimbursing healthcare expenses for which another party is legally responsible. Instead, MSP and TPL have spiraled into a chaotic regulatory scheme that creates paralyzing uncertainty for parties in medical liability settlements, often resulting in the denial of coverage for beneficiaries and heightening costs for taxpayers and businesses. For the nearly 120 million Medicare and Medicaid beneficiaries across the country, this is simply unnecessary and unacceptable.

The PAID Act straightens out these issues in a commonsense way. The bill simply requires the Centers for Medicare and Medicaid Services (CMS) to share relevant information promptly with the settling party, accelerating the settlement process. By putting this requirement in statute, all stakeholders will benefit from the enhanced clarity and transparency of MSP and TPL claims, while the federal government will enjoy lower costs through the improved coordination between the various parties. In short, a small legislative change will create a more judicious, established, and speedy process – with tangible benefits for everyone involved.

Advocates for MSP and TPL reform have worked for years to correct this unsatisfactory status quo – and it is time for Congress to act. To ensure that these beneficiaries receive timely access to the care they need, we urge you to co-sponsor the PAID Act.

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Tell Congress: Fix the Medicare Secondary Payer System

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