"MARC applauds Congressmen Murphy and Kind for introducing the SPARC Act," said Margie O'Connor-Fitzpatrick, Vice-Chair of MARC and Senior Technical Administrator of MetLife Auto and Home. "Both Representative Murphy and Representative Kind have been true leaders in protecting Medicare beneficiaries and in leading the effort to improve the MSP program in a way that benefits all stakeholders. Following their leadership in 2012 when they sponsored the SMART Act and guided it through to enactment, we are delighted that these two Members of Congress are leading the effort again. We strongly encourage other lawmakers to follow their lead and to co-sponsor the SPARC Act," said Ms. O'Connor-Fitzpatrick.
The SPARC Act -- H.R. 6120 -- creates a more efficient and effective system for all involved by:
- Permitting Part D Drug Plans to secure a clear recovery right from settling parties to recover past payments for prescription drugs covered by a later settlement, saving PDPs and the government significant funds by allowing greater recoveries faster;
- Increasing fairness to beneficiaries by reducing recoveries for procurement costs, consistent with other federal laws, and aligning incentives so that Plans only pursue those claims where a recovery will exceed the cost of collection;
- Restoring sense to the program by allowing plans to waive secondary payer provisions if costs of recovery exceed the amount to be recovered;
- Requires Centers for Medicare and Medicaid Service (CMS) within 15 days of receipt to pass settlement information to Plans to timely coordinate benefits, and requires drug plans to instruct pharmacies to bill entities that have accepted an ongoing responsibility to pay for medical benefits, thus avoiding plans paying for drugs when others are responsible; and
- Leveraging the SMART Act expedited repayment procedures, involves Plans in the expedited repayment process, bringing finality to all involved in settling claims with beneficiaries.
"Enactment of the SPARC Act will produce a triple win. Medicare beneficiaries will be able to settle claims; companies will be able to resolve disputes faster and more efficiently; and the Part D Drug Plans and the Medicare Trust Fund will be repaid quicker and more efficiently," said McKenna.
The Medicare Advocacy Recovery Coalition (MARC) advocates for the improvement of the Medicare Secondary Payer (MSP) program for beneficiaries and affected companies. The Coalition collaborates and develops strategic alliances with Congressional leaders and government agencies to focus on implementation of MSP reporting and on the broader issue of MSP reform. MARC's membership represents virtually every sector of the MSP regulated community including attorneys, brokers, insureds, insurers, insurance and trade associations, self-insureds and third-party administrators. For more information on MARC, please visit www.marccoalition.com.
MARC Washington DC Office
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Washington, DC 20006
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SOURCE Medicare Advocacy Recovery Coalition