3 Easy Ways to Reduce MSA Prescription Costs

With prescription prices increasing every day, it’s harder than ever to contain costs. That’s why we put together three easy ways to reduce Workers’ Compensation Medicare Set-Aside (WCMSA) costs.[1] 1. Split the difference on dosages Splitting higher dosages into multiple lower dosages can really cut costs. Take gabapentin, the generic form of Neurontin. Often prescribed […]

Arkansas passes bill affecting future medical benefit settlements for Medicare beneficiaries

The Arkansas Legislature quickly moved a relatively unknown bill addressing workers’ compensation settlements in the final days of its 2017 legislative session, passing it on March 31. Senate Bill 760, now referred to as Act 1058, initially sought to clarify the Workers’ Compensation Death and Permanent Total Disability Trust Fund. However, Senator David Sanders revised […]

Break the Logjam of Zero MSAs in Development

Zero WCMSA submissions are getting mired in a cycle of CMS development letters and responses, as the CMS Workers’ Compensation Review Contractor (WCRC) becomes increasingly meticulous about formatting requirements for submitted pay histories. Many of the current WCRC reviewer requests are not even listed requirements in either the WCMSA reference guide or the CMS operating […]

March Madness and Workers’ Compensation

March Madness, that phenomenon that grips the national sports psyche, is now in its final stretch. Over the past few weeks, I’ve seen some incredible college basketball games. Even though I was out of the office pool a long time ago, I’ve still enjoyed watching some exciting upsets and great game-winning shots. But there’s more […]

CMS Will Use the New 2012 CDC Life Table for WCMSAs

On March 8, 2017, the Centers for Medicare and Medicaid Services (CMS) announced that beginning April 1, 2017, it will use the new 2012 CDC Life Table to calculate life expectancies in Workers’ Compensation Medicare Set-Asides (WCMSAs). The table correlates a person’s age with anticipated life expectancy, so CMS uses it to determine the appropriate […]

SPARC Act Reintroduced in Congress

On February 16, Congressman Tim Murphy (R-PA) reintroduced H.R. 1122, the Secondary Payer Advancement, Rationalization, and Clarification Act, or SPARC Act. Originally filed last September, the bipartisan bill never moved out of committee. The SPARC Act, covered in an earlier post, seeks to ensure that Medicare Part D (which is available for prescription drug coverage) […]