Rafael Gonzalez

As President of Settlement Solutions, Rafael Gonzalez is responsible for all aspects of Medicare and Medicaid compliance issues, including Mandatory Insurer Reporting, Conditional Payment Resolution, Medicare Set Asides, MSA Post Settlement Administration, Third Party Lien Reimbursement and Special Needs Trusts Administration.

Rafael has over 35 years of experience in the auto, liability, no-fault and workers’ compensation insurance industries. He has written extensively on liability, workers’ compensation, social security and Medicare/Medicaid issues and has taught these subject matters at several law schools and medical schools in Florida. He continues to lecture throughout the country on these topics.

Rafael has been actively engaged in legislative matters concerning workers’ compensation, social security and Medicare/Medicaid at both the state and federal levels. He has attended hearings, testified before legislative committees and executive commissions, and served as a consultant to legislative and congressional staff. He received the Presidential National Service Award from President George W. Bush for his work on improving the Medicare Secondary Payer system and again by President Barack Obama for his work and support of the Affordable Care Act.

Rafael earned his Bachelor of Science from The University of Florida and his Jurisprudence Doctorate from Florida State University. He contributes regularly to a series on workers’ compensation, social security and disability and Medicare Set-Asides. You can follow him on LinkedIn here.

Recent insights

  • $100 Bill in MSP Savings Not Enough; Plans for Auto, Liab, Work Comp Regs.” Blog post, December 2018
  • "If You Thought Medicare Private Cause of Action Were A Fad, Think Again." Blog post, November 2018
  • "22.6 million Medicare beneficiaries to enroll in Medicare Advantage in 2019." Blog post, October 2018
  • "The 2018 Medicare Trustees Report." Blog post, August 13, 2018
  • "The 2018 Social Security Trustees Report." Blog post, August 9, 2018 



Gonzalez, Rafael_200x200
Rafael Gonzalez
President of Settlement Solutions
Rafael.Gonzalez@​optum.com

175 Kelsey Lane
Tampa, FL 33619

Topics

  • Comorbidities
  • Chronic pain
  • Fraud, waste and abuse
  • Opioid analgesic utilization/management
  • PDMPs
  • UDT&Ms