The Vital Role of Healthcare Subrogation
Healthcare subrogation is a legal process designed to ensure that the expenses related to third-party liability are reimbursed to the payer. Moreover, administrators of these plans have affirmative legal and contractual obligations to ensure that these expenses are recovered from the responsible third party. Unfortunately, healthcare payers and plans typically lack the necessary tools to identify and pursue recovery opportunities in cases of high expense complex claims, such as dangerous pharmaceuticals, defective medical devices and toxic exposures.
Going Beyond Current Subrogation Programs
Although many payers already have subrogation programs, most are focused on recovering medical expenses related to automobile accidents, duplicative payments and slip-and-fall matters. Very few health plans have subrogation programs that include a focus on high-expense specialized claims. Expenses related to defective medical devices, dangerous pharmaceuticals and toxic exposures are among the most costly and unidentified claims.
The Schwarz Mongeluzzi Solution
While many insurers rely on a “wait and see” approach to subrogation, Schwarz Mongeluzzi law continues to implement a pro-active approach. The firm has a proven track record of enforcing liens on behalf of healthcare payers, and is prepared to aggressively pursue recovery directly from the party responsible for causing the harm, to maximize their clients’ recoveries.