The RAMP Act allows for a private cause of action for damages when a group health plan fails to provide primary payment or appropriate reimbursement.
The RAMP Act, or Repair Abuses of MSP Payments Act, amends title XVIII of the Social Security Act to allow individuals to seek damages in cases where a group health plan does not provide primary payment or appropriate reimbursement. This change is made by modifying Section 1862(b)(3)(A) to replace "primary plan" with "group health plan." This provision aims to address issues related to Medicare Secondary Payer (MSP) payments, ensuring that affected individuals have legal recourse for damages.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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