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 …
Beyond Ahlborn. How Wos Protects Injury Victims from Arbitrary State Recovery.
How the 2013 Supreme Court decision in Wos v. E.M.A. constrained the state statutory schemes that tried to work around Ahlborn, and what trial lawyers can do with the framework today.
Why does a 2013 Supreme Court case still control
Nick Norden: Your Ego Is the Thing Slowing Your Firm Down
Most trial lawyers think the hard part is winning. You try the case, you get the verdict, you move on to the next one. Then you start your own firm and learn the truth. Winning cases and running a firm …
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
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 …
Part C: The Hidden Lien That Comes Back Later
You settled the case. Medicare was paid back. The file is closed. Or so you thought.
If your client had a Medicare Advantage Plan, also known as Part C, that “closed” file could come back to haunt you. Part C
How to Avoid Medicare Conditional Payment Mistakes That Delay Settlement
Medicare conditional payments are one of the most common sources of settlement delays, mistakes, and malpractice risk in personal injury litigation. They aren’t optional. They aren’t minor. And the Department of Justice has made it clear: if your firm fails
What Are the Critical Process Steps to Medicare Conditional Payment Resolution?
If your personal injury practice involves Medicare beneficiaries, conditional payment resolution is not optional. It is a legal requirement and a high-risk area if mishandled. Understanding the process and taking the right steps can protect your client, your firm from
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
