LifeWallet Announces New Comprehensive Settlement with a Group of Affiliated Property & Casualty Insurers and Completion of First Version of LifeWallet’s Clearinghouse System Through its Exclusive Healthcare Partnership with Palantir Technologies
22 Julho 2024 - 5:06PM
MSP Recovery, Inc. d/b/a LifeWallet (NASDAQ: LIFW)
(“LifeWallet” or “the Company”) announces a new
comprehensive settlement with another group
of affiliated P&C insurers doing
business in multiple states. This most recent
settlement is in addition to two previously announced settlements
within the past five months with multiple property and casualty
insurers (“P&C insurers”) that have paved the way for the
discovery and potential recovery of improperly paid claims on the
part of Medicare Payers, that should have been paid by primary
payers.1 These improper payments affect the Medicare Trust Fund. As
described by a federal appellate judge, when Secondary Payers
“recover efficiently from Primary Payers, the Medicare Trust Fund
does achieve cost savings.”2
This latest settlement offers a going-forward
process to collaboratively and timely resolve future claims and
share important historical data that is expected to enhance
LifeWallet’s claims reconciliation capabilities, identifying claims
owned by LifeWallet that it may have a right to recover on,
benefiting Medicare plans and downstream entities across the
mainland U.S. and Puerto Rico.
Details of the settlement include:
-
The P&C Insurers’ agreement to provide ten years of historical
data (identifying all claims processed from January 1, 2014,
through the effective date) and data sharing of future
claims, extending out for one year, assisting LifeWallet in
reconciling its current and future assigned Medicare claims to be
able to collect on owned claims that are owed as a result of
failure to pay or reimburse;
-
The P&C Insurers’ Implementation of LifeWallet’s
coordination of benefits clearinghouse solution;
-
A 10-year agreement to resolve cooperatively, or through binding
mediation, relevant Medicare claims (liens) that LifeWallet owns
today and in the future;
-
The P&C Insurers’ agreement that they are primary payers for
any unreimbursed Medicare lien that LifeWallet identifies from data
sharing, and the P&C Insurers’ agreement to assign all rights
to collect against other third parties that either failed to pay
liens or collected twice from Medicare funds and the P&C
Insurers; and
-
A cash payment from the P&C Insurers to LifeWallet to settle
existing historical claims (amount subject to
confidentiality).
LifeWallet is also currently in negotiations
with multiple other property and casualty insurers to resolve
claims on a similar basis. The settlement announced today
follows two previous comprehensive settlements announced by
LifeWallet on April 18, 2024 and Mar 3, 2024 with 28
affiliated P&C Insurers. These settlement agreements
are the result of LifeWallet’s more than ten-year commitment to
revolutionize the fragmented healthcare reimbursement system with
data-driven solutions, utilizing its extensive legal infrastructure
to enforce Primary Payer1 obligations (from mostly property
and casualty insurers), through years of federal and state
litigation. LifeWallet notes these settlements are not a guarantee
that LifeWallet’s portfolio of assigned claims (owed by other
Primary Payers) can be settled with the same or similar terms. The
settlement value is a combination of monetary and non-monetary
considerations, with the non-monetary considerations involving
LifeWallet obtaining data on all the claims that were processed and
paid by the P&C Insurers, and the P&C Insurers’ assignment
of rights to collect against other responsible parties. This will
enhance LifeWallet’s ability to discover liens and recover payments
owed, more quickly than through litigation. It also enables
LifeWallet to pursue a diversified number of entities that failed
to pay liens or collected twice for the same bills, both from the
insurer and LifeWallet’s assignor clients.
LifeWallet’s Clearinghouse
Solution
In addition, LifeWallet announces the completion
of the first version of the Company’s clearinghouse solution
through its exclusive healthcare partnership with Palantir
Technologies (NYSE: PLTR). This enhances LifeWallet’s Chase to Pay
model, through an ongoing partnership with Palantir, utilizing the
Palantir Foundry platform; AI tools, natural language processing,
and machine learning; resulting in the development of a
sophisticated data analytics system that captures and manages
healthcare data. The LifeWallet/Palantir clearinghouse builds upon
previously announced initiatives: “MSP Recovery and Palantir to
Transform Connectivity Across the U.S. Healthcare System” ,
providing real-time data driven solutions that focus on data from
patients, attorneys, healthcare providers, and healthcare insurers,
as well as property and casualty insurers, all designed to build an
expansive repository of data that can be used to determine medical
conditions as well as payer obligations. The system was
instrumental in the recent class certification in June 2024
against USAA Property and Casualty Company,
exemplifying the breadth and depth of the systemic issues
plaguing the healthcare system.
LifeWallet’s Chief Information Officer,
Christopher Miranda, commented on today’s
announcements saying, “Our comprehensive strategy
incorporating healthcare industry knowledge, advanced data
technology, and legal know-how is helping accelerate potential
recoveries, while creating data-driven solutions to decades-old
problems, resulting in improved outcomes for healthcare payers,
providers and patients.”
Forward Looking Statements
This press release contains forward-looking
statements within the meaning of the federal securities laws.
Forward-looking statements may generally be identified by the use
of words such as “anticipate,” “believe,” “expect,” “intend,”
“plan" and “will” or, in each case, their negative, or other
variations or comparable terminology. These forward-looking
statements include all matters that are not historical facts,
including for example statements regarding potential future
settlements. By their nature, forward-looking statements involve
risks and uncertainties because they relate to events and depend on
circumstances that may or may not occur in the future. As a result,
these statements are not guarantees of future performance or
results and actual events may differ materially from those
expressed in or suggested by the forward-looking statements. Any
forward-looking statement made by the Company herein speaks only as
of the date made. New risks and uncertainties come up from time to
time, and it is impossible for the Company to predict or identify
all such events or how they may affect it. the Company has no
obligation, and does not intend, to update any forward-looking
statements after the date hereof, except as required by federal
securities laws. Factors that could cause these differences
include, but are not limited to, the Company’s ability to
capitalize on its assignment agreements and recover monies that
were paid by the assignors; the inherent uncertainty surrounding
settlement negotiations and/or litigation, including with respect
to both the amount and timing of any such results; the success of
the Company's scheduled settlement mediations; the validity of the
assignments of claims to the Company; negative publicity concerning
healthcare data analytics and payment accuracy; and those other
factors included in the Company’s Annual Report on Form 10-K,
Quarterly Reports on Form 10-Q and other reports filed by it with
the SEC. These statements constitute the Company’s cautionary
statements under the Private Securities Litigation Reform Act of
1995.
About LifeWallet
Founded in 2014 as MSP Recovery, LifeWallet has
become a Medicare, Medicaid, commercial, and secondary payer
reimbursement recovery leader, disrupting the antiquated healthcare
reimbursement system with data-driven solutions to secure
recoveries from responsible parties. LifeWallet provides
comprehensive solutions for multiple industries including
healthcare, legal, education, and sports NIL. For more
information, visit: LIFEWALLET.COM.
___________________________
1 “Primary Plans” or “Primary Payers,” when used in the Medicare
Secondary Payer context, means “any entity that is or was required
or responsible to make payment with respect to an item or service
(or any portion thereof) under a primary plan. These entities
include, but are not limited to, insurers or self-insurers, third
party administrators, and all employers that sponsor or contribute
to group health plans or large group health plans.” 42 C.F.R. §
411.21.2 3 In re Avandia Mktg., Sales Pracs. & Prod. Liab.
Litig., 685 F.3d 353, 365 (3d Cir. 2012)
CONTACTS
MediaICR, Inc.MSP@icrinc.com
InvestorsInvestors@LifeWallet.com
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