MSP Recovery, Inc. (“MSP Recovery” or “MSPR”) today provided a
business update.
- The company announced continued growth and new assignors,
including healthcare provider networks and entities with more than
1,800 providers and scientists and more than 30 outpatient
sites.
- Initial payments received by MSPR in response to individual
claim demand packages thus far have, on average, been paid at 284%
of the Paid Value of Potentially Recoverable Claims (“PVPRC”). For
reference, MSPR’s prior settlement with Ocean Harbor Insurance
resulted in recoveries at 350% (3.5 times) of the PVPRC with
respect to Parts A and D, and 200% (2 times) of the PVPRC for Part
B. Other settlement agreements have been agreed to with amounts
between 400% and 600% (4 to 6 times) of PVPRC.
- LifeWallet has commenced the launch of the LifeWallet Legal
Referral Service that will enable LifeWallet to generate revenue
from lawyers across the nation and Puerto Rico.
Today, MSPR, a Medicare, Medicaid, commercial, and secondary
payer reimbursement recovery and technology leader, announces
additional portfolio growth as well as insights into recent
recovery multiples from individual claim demands, while expanding
its LifeWallet platform.
MSP Recovery recently announced that it has grown from an
initial 11,000 unique healthcare member lives in its portfolio in
2014, to more than 34 million unique healthcare members as of
August 11, 2022. Today the company announced that it has continued
experiencing growth, receiving additional claims data from 11
existing assignors, as well as entering into agreements with new
assignors. These new recovery agreements include healthcare
provider networks and entities with more than 1,800 providers and
scientists and more than 30 outpatient sites. MSPR also anticipates
receiving additional data from 31 medical providers, hospital
systems, and other healthcare entities that have already entered
into agreements to provide such data.
As part of its agreement with healthcare provider networks, MSPR
will seek to secure claim recoveries from responsible parties on
behalf of healthcare providers, as well as load provider data onto
the LifeWallet platform which allows for the storage, validation,
and transfer of medical and prescription data, provides healthcare
professionals insight into patient information, as well as improved
access to facilitate patient-provider interoperability, providing
patients with immediate access to their medical records.
“The addition of these provider networks to our portfolio of
recoverable claims represents a tremendous opportunity,” said MSP
Recovery Founder and CEO, John H. Ruiz. “Providers across the
country are getting short-changed by insurers that are skirting
their payment obligations to take advantage of reduced Medicare
rates to which they are not entitled. We will not rest until these
liability insurers are held accountable as their conduct damages
our entire healthcare system from Medicare to Medicare Advantage,
and down to the providers who should have been paid the correct
rate,” said Mr. Ruiz.
This Medicare and Medicaid claims data enables MSPR to pursue
larger recovery opportunities. For example, MSPR previously
identified more than $1.5 billion in billed amounts for unique
recoverable cases on behalf of Medicare Advantage Organizations
against property and casualty insurance carriers that confirmed
their primary payment responsibility for the underlying accidents,
by reporting the same to the Centers for Medicare and Medicaid
Services (“CMS”).
As part of its recovery efforts, MSPR has identified primary
payers across the country with primary payment responsibility and
initiated collections via individual claim demand packages. Initial
payments received by MSPR in response to individual claim demand
packages sent directly by MSPR have thus far, on average, been paid
at 284% of the PVPRC. However, the 284% should not be viewed as a
representation that future claims will be paid at 284% of PVPRC or
that the amounts are a representative sample of the recovery rate
as the amounts collected thus far are a very small fraction of the
overall potential recoveries with respect to demand packages sent
out. Moreover, in certain instances the 284% rate (or the amount
paid in any individual circumstance) does not factor that MSPR may
have further avenues of recovery which it has not yet exhausted.
For reference, MSPR’s prior settlement with Ocean Harbor Insurance
resulted in recoveries at 350% (3.5 times) of the PVPRC with
respect to Parts A and D, and 200% (2 times) of the PVPRC for Part
B. Other settlement agreements have been agreed to with amounts
between 400% and 600% (4 to 6 times) of PVPRC.
MSPR also announces the expansion of its LifeWallet platform,
commencing the launch of a nationwide lawyer referral service. In
addition to patients, medical providers and healthcare payers, the
LifeWallet application will also provide resources for attorneys
and their clients. This platform will facilitate the processing of
claims by lawyers that ultimately may also represent beneficiaries
who have suffered physical or mental injuries for which Medicare or
Medicaid has paid.
With litigation on the rise and the number of Multi District
Litigation (“MDL”) cases surpassing 180 (as of September 15, 2022),
the need to access proper legal representation continues to
increase. There are more than 1.3 million attorneys across the
country. The LifeWallet Legal Referral Service will create
invaluable resources for these attorneys while providing assistance
to anyone in need of legal help. This service will fill the
substantial need for a centralized network of lawyers that will
help reduce costs for attorneys who spend millions yearly in
advertising dollars, while increasing access to legal
representation for all Americans.
“As a lawyer and CEO of MSP Recovery, I know what lawyers need
to process cases for their clients. Our systems were created for
lawyers by lawyers with a deep understanding of healthcare data and
the overall healthcare ecosystem,” said Mr. Ruiz.
MSPR has also achieved significant advancements in the
development of its unique ecosystem, expanding capabilities. In
partnership with Tokenology, MSPR has completed development of
cutting-edge blockchain technology, which allows for the creation
of an expansive ledger for all historical and real-time medical
claims transactions in the MSP Recovery and LifeWallet ecosystems
(see May 20, 2022 press release titled “Polygon Partners with
Tokenology and MSP Recovery to Tokenize Healthcare Claims
On-Chain”).
A cornerstone of this technology is the integration of
biometrics directly into the ledger, as a key verification element
of every transaction. This technology is being piloted with key
provider partner Cano Health. This allows MSPR to put the patient
at the center of the flow of medical claims, providing
unprecedented levels of transparency and accuracy. (see August 4,
2022 press release titled “MSP Recovery Announces LifeWallet
Implementation Program at Cano Health Medical Centers”).
“Implementing our technology with partners like Cano Health
provides MSPR with further validation that our systems are unique
and provide the entire ecosystem of patients, providers, and payers
with never-before-seen solutions in the market place,” said MSP
Recovery CEO, John H. Ruiz.
In addition, MSP Recovery’s partnership with Palantir and the
utilization of its Foundry platform has resulted in the creation of
one of the most advanced healthcare analytics tools in existence
(see October 11, 2021 press release titled “MSP Recovery and
Palantir Partner to Transform Connectivity Across the U.S.
Healthcare System”). This tool provides key metrics for providers
and payers through the granular analysis of medical claims data
which reveals information on payer rules, billing cycles, fraud
analysis, and delivers insights into reducing labor hours,
increasing efficiencies, and eliminating waste through the
discovery of improper payments and potential recoveries.
Together, these systems allow MSPR to identify the correct payer
in real time, avoiding improper payments and maximizing collections
per the contractual and statutory requirements of the law. Through
these technologies, MSPR is in a unique position to provide
solutions at scale for the U.S. healthcare system.
About MSP RecoveryFounded in 2014, MSP Recovery
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 against responsible parties. MSP Recovery provides the
healthcare industry with comprehensive compliance solutions, while
innovating technologies to help save lives. For more information,
visit: www.msprecovery.com
Forward Looking StatementThis 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. 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
and actual events may differ materially from those expressed in or
suggested by the forward-looking statements. Any forward-looking
statement made by MSPR in this press release, its reports filed
with the Securities and Exchange Commission (the "SEC") and other
public statements made from time-to-time speak only as of the date
made. New risks and uncertainties come up from time to time, and it
is impossible for MSPR to predict or identify all such events or
how they may affect it. MSPR 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,
MSPR’s ability to continue to obtain recoveries at a rate of 284%
of PVPRC or higher; the rate at which MSPR is able to recover on
claims; MSPR’s ability to capitalize on its assignment agreements
and recover monies that were paid by the assignors; litigation
results; the validity of the assignments of claims to MSPR; the
inability to successfully expand the scope of MSPR’s claims or
obtain new data and claims from MSPR’s existing assignor base or
otherwise; MSPR’s failure to innovate and develop new solutions, or
the failure of those solutions to be adopted by MSPR’s existing and
potential assignors; negative publicity concerning healthcare data
analytics and payment accuracy; the ability of LifeWallet powered
by MSPR to implement its Health Safety Technology and school
security technology, and those other factors included in MSPR’s
Annual reports 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.
For Media:
ICR, Inc.
MSP@icrinc.com
For Investors:
ICR, Inc.
Marc Griffin
Marc.Griffin@icrinc.com
MSP Recovery (NASDAQ:MSPR)
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