Compliance Alert: SCOTUS Decision on End-Stage Renal Disease
Quick Facts In June 2022, the Supreme Court of the United States (SCOTUS) ruled that group health plans may limit coverage for dialysis on a uniform basis for all plan participants without violating Medicare Secondary Payer (MSP) rules. The MSP rules apply to most group health plans. When coverage limitations apply uniformly to all participants requiring such treatments or services, and not just those with ESRD, the limitation does not violate MSP rules. Background In June 2022, SCOTUS released an opinion indicating that group health plans may limit coverage for dialysis on a uniform basis for all plan participants without …
https://www.epicbrokers.com/insights/compliance-alert-scotus-esrd-decision/