How to Navigate Conditional Payment Resolution
Medicare conditional payments are a persistent challenge for personal injury firms resolving cases for Medicare beneficiaries they represent. If a client is a Medicare beneficiary, you’re automatically dealing with the Medicare Secondary Payer Act (MSPA). The stakes are high. A
Lien, Subrogation, or Reimbursement: The Distinction Every Trial Lawyer Must Understand
Three legal mechanisms attach to personal injury recoveries and confusing them costs your client money and exposes your firm to malpractice risk. Here is how trial lawyers and paralegals should classify, defend, and resolve each one.
When a personal injury
The Pro-Rata Method. How Medicaid Liens Actually Get Reduced.
A practical walk through the pro-rata formula that decides how much of a Medicaid lien you can cut.
Why does a state Medicaid agency so often demand the full amount it paid, even when the injury victim recovered only a
AI Reality Check: What Is Working in Personal Injury Firms Right Now
Every personal injury firm is being pitched AI tools right now. Very few are seeing real returns.
A recent MIT study found 95 percent of companies cannot draw a straight line from their AI spend to any measurable result. Uber’s …
Ahlborn Explained: How the Supreme Court’s Decision Limits State Medicaid Recovery to the Medical Portion of a Settlement.
How the federal anti-lien statute, the Supreme Court’s 2006 ruling, and the pro-rata formula shape what a state Medicaid agency can collect from a third-party settlement.
Why does a state Medicaid agency send a recovery letter demanding the full amount
Marina Bradley: How to Scale a Personal Injury Law Firm Without Breaking It.
Plaintiff firms often hit a ceiling because of operations, not casework. Strong verdicts hide weak systems, until volume forces every weakness to the surface. Marina Bradley, Executive Director at Ostroff Godshall Injury and Accident Lawyers, sat down with …
What Formal Opinion 2015-190 means for Medicare Secondary Payer compliance, conflict of interest exposure, and where your team should focus its time
In April 2026, the Oregon State Bar Board of Governors approved a revised version of Formal Opinion 2015-190. The opinion takes a clear position on a settlement practice you have seen plenty of times. A defense lawyer asks you to …
The Section 111 Penalty Era Has Started. It Is a Plaintiff Problem, Not an Insurer Problem.
Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 requires liability insurers, no-fault insurers, workers’ compensation carriers, and self-insured entities to report settlements, judgments, and awards involving Medicare beneficiaries to CMS. The reporting captures the beneficiary’s identity, …
Inside Michael McCready’s playbook for trial lawyer operations, AI adoption, and law firm scaling.
Most personal injury firm leaders confuse two questions. Are we winning cases? Are we running a healthy business? They are not the same question. And the firms pulling ahead are the ones who stopped pretending otherwise.
In a recent episode …
Medicare Final Demand Isn’t the End of the Line
When a Medicare Final Demand arrives in the mail or your inbox, the clock starts ticking. Under the Medicare Secondary Payer recovery process, payment must be made within 60 days of the Final Demand letter to avoid interest on the
