A federal appeals court decision analyzing the Medicare Secondary Payer Act could put the nation’s largest automobile insurance companies and other providers on the hook to pay billions of dollars in Medicare reimbursement.

“This is a humongous victory,” said John Ruiz of Miami, attorney for MSP Recovery, which he said owns billions of dollars in claims assigned by health maintenance organizations offering Medicare Advantage Plan benefits. Ruiz said he and his partner, Frank Carlos Quesada, have about 30 Florida lawyers working in house on MSP Recovery cases, and additional attorneys around the country for similar actions seeking to recover from insurance companies.

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