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 […]

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 […]

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 […]

New development hints at future MSA expansion to liability: CMS updates Common Working File for LMSAs and NFMSAs

The Centers for Medicare and Medicaid Services (CMS) has issued a Change Request (CR-9893) to update its Common Working File (CWF) regarding Liability Medicare Set-Aside (LMSA) and No-Fault Medicare Set-Aside (NFMSA) Arrangements. CR-9893 is the latest in a string of recent releases signaling CMS’ possible expansion of MSAs to liability and other non-group health plans […]

Seven Steps to closed: Maximizing Claims Settlement Projects

There is a thin—and potentially costly—line between settling a claim and keeping it open. If that critical window is missed, claims can quickly nose-dive down a dark and expensive road. Implementing a well-coordinated claims settlement project can help insurers close multiple sets of claims much faster. Here are seven steps to help claims payers build […]

Shawn Deane will lead industry initiatives as president of NAMSAP

The National Alliance for Medicare Set-Aside Professionals (NAMSAP) provides a forum for professionals in the Medicare Set-Aside (MSA) industry. That’s why we’re pleased to announce that Shawn Deane has been elected president of NAMSAP for 2017. As president, Shawn will work closely with industry leaders to anticipate trends and respond to issues such as the […]