Mass Tort Healthcare
Lien Resolution Services
Epiq navigates complex matters with the experience and resources to efficiently resolve liens for the biggest settlements.
Epiq understands the intricacies of mass tort litigation and works closely with all involved parties to ensure settlement funds are protected.
Our decades of experience managing liens mass, including those from large-scale personal injury and other tort settlements, enable us to support both claimants and law firms by mitigating risks, streamlining processes, and maximizing overall recoveries. We deliver solutions that address the unique challenges of lien resolution mass scenarios, whether the case involves private health insurance, government healthcare programs, or other coverage issues.
Experience with Healthcare Insurers
- Epiq’s years of experience working with Medicare, Medicaid, military, and other government and private insurers enables us to consistently achieve the most favorable lien resolution values for claimants, maximizing net settlement awards.
- By leveraging our deep expertise, we simplify the lien resolution process and help ensure that critical settlement funds are secured for all claimants, reflecting the complexity of mass tort litigation.
- Our team also partners with leading law firms to navigate complicated healthcare subrogation claims involving Medicare and Medicaid, while staying mindful of each law firm’s objectives and every claimant’s unique needs.
- Through efficient communication with the insurance company representatives, we strive to minimize administrative burdens and achieve rapid resolution.
Epiq Resolves Healthcare Liens Asserted by the Following Entities
- If Medicare has paid for any treatments related to an injury covered by the settlement, federal law gives Medicare the first right to recover some or all the payments.
- Additional healthcare insurers, if any, recover secondary to Medicare.
- Epiq’s lien resolution process identifies Medicare-related obligations accurately, ensuring a smoother resolution mass tort experience for all parties.
- This includes healthcare coverage that is a replacement for Medicare Parts A and B. Private insurance companies often administer Medicare Part C coverage.
- Over the past two plus years, the percentage of Medicare Part C beneficiaries has increased from 33% to over 50%, noting to be enrolled means those beneficiaries were originally on Medicare Parts A/B.
- Recognizing this shift is vital for effective administration lien resolution, as Epiq carefully tracks and negotiates amounts owed to each lien resolution administrator.
- Every state and territory has its own Medicaid agency and each has its own set of regulations.
- Medicaid’s right of recovery is similar (but secondary) to Medicare’s. Further complicating this process is the rise of Medicaid’s Managed Care Organizations (MCOs).
- Epiq’s resolution process takes into account these varying rules, ensuring each mass tort settlement properly satisfies liens without unnecessary delay.
- If a claimant has healthcare insurance through the U.S. Department of Veterans Affairs (VA), the Defense Health Agency (formerly TRICARE), Indian Health Service (IHS), or another government agency (such as Federal Employee Plan sponsors), and if that entity has made healthcare payments on the claimant’s behalf as a result of the litigation-related injury, then the agency may be entitled to recovery.
- Epiq coordinates these sensitive cases with discretion, mindful of the importance of preserving future benefits for each claimant.
- A private healthcare insurer, such as health insurance provided by a claimant’s employer, may be entitled to recovery in a manner like government health insurers, but the private insurer’s right of recovery depends on the plan’s contract language and the laws of the state in which it operates, or in some cases, federal law.
- In the mass tort context, Epiq’s experts were at the forefront of designing and implementing private lien resolution programs where the cases involve a larger number of claimants, matching thousands of claimants with multiple participating health plans through their recovery agents to create core efficiencies.
- By engaging each resolution administrator promptly, we ensure any liens mass tort complexities are streamlined, limiting unexpected claims against personal injury settlement proceeds.