The PAID Act Live! What you need to know

Overview
Speaker(s)

The PAID Act is now live – how this changes Medicare compliance and what you need to know!

Presenter: Mark Popolizio

Description and Objectives: Lights, camera, action! On December 11, 2021, the Provide Accurate Information Directly (PAID) Act went live! Signed into law in December 2020, the PAID Act requires the Centers for Medicare and Medicaid Services (CMS) to provide insurers (including self-insurers) with key information regarding a claimant’s Medicare Part C (Medicare Advantage) and Medicare Part D (Prescription Drugs) enrollment status. With Medicare Advantage recovery claims and lawsuits on the rise, the PAID Act provides insurers with critical information to proactively address Medicare Advantage and Part D recovery claims to avoid liability if they so elect.

This session will break down the PAID Act hitting on the following key topics:

What is the PAID Act’s objectives?
What information will CMS be providing insurers?
How can insurers take advantage of the PAID Act data?
Medicare Advantage and Part D recovery rights
Recent court rulings (including two Ohio decisions) allowing Medicare Advantage plans to sue insurers for “double damages”
With the PAID Act now live – what’s next?
Building compliance protocols – issues and considerations

Mark Popolizio

VP of MSP Compliance and Policy for ISO Claims Partners

Verisk

Mark Popolizio is the Vice President of MSP Compliance and Policy for ISO Claims Partners. He is a nationally recognized authority in Medicare Secondary Payer (MSP) compliance.

Mark practiced insurance defense litigation for ten years concentrating in the areas of workers' compensation and general liability. Since 2006, Mark has dedicated his practice exclusively to MSP compliance working with carriers, self-insureds, TPAs, and other claims professionals in addressing MSP compliance issues.

Mark is a regularly featured presenter on MSP issues at national seminars and other industry events - and has authored numerous national articles addressing several topics related to MSP matters, including a chapter in the California Bar CLE publication, Special Needs Trusts: Planning, Drafting, and Administration. Mark is also active with other industry groups, including MARC, DRI, and NAMSAP.

Mark graduated Summa Cum Laude from Quinnipiac University in Hamden, Connecticut with a Bachelor of Science degree in Legal Studies and Sociology. He relocated to South Florida in 1992 to attend law school at Nova Southeastern University School of Law in Ft. Lauderdale, Florida. While at law school, Mark served as a Judicial Clerk to the late Honorable John D. Wessel (15th Judicial Circuit, Palm Beach County, Florida) and was a research assistant for Professor Leslie Larkin Cooney. Mark graduated from Nova in 1995 and is licensed to practice law in Florida and Connecticut.