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) […]

2017 Medicare Watch List

As the first quarter of 2017 comes to an end, it’s clear there will be no shortage of Medicare Secondary Payer (MSP) developments to keep an eye on this year. Here’s an outline of a few MSP events to watch in 2017: WCRC bid: Last year, the Centers for Medicare & Medicaid Services (CMS) opened […]

Liability MSAs: What We Know and What to Expect

The dust is still swirling around the Liability Medicare Set-Aside (LMSA) issue, but a few areas clearly show Medicare’s plan and intended next steps. First, Medicare appears to have stopped or paused the official rulemaking process for LMSAs. Second, Medicare is still pursing the LMSA issue through other avenues—namely the expansion of the Workers’ Compensation […]

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 […]