Verisk Blog— Insurance Solutions

Verisk's insurance solutions team is a leading source of information about property/casualty insurance risk. For a broad spectrum of commercial and personal lines of insurance, we provide policy language, tools for fighting fraud, predictive modeling of risk, and much more.

We've created this blog to inform, update, and provide interesting information for our customers and the market overall. A variety of Verisk associates write the blog posts, and we welcome our customers' comments and feedback.

Medicare Advantage Plans Update: Illinois Court Indicates MAPs Have “Double Damages” Rights

Whether Medicare Advantage Plans (MAPs) have private cause of action (PCA) rights to sue claims payers (and others) for “double damages” under the Medicare Secondary Payer (MSP) statute remains a...

CMS Schedules NGHP CRC Transition Webinar for January 18, 2018

The Centers for Medicare and Medicaid Services (CMS) will be holding a webinar on Thursday, January 18, 2018 at 1:00 PM ET to provide information and details related to the transition of the...

ISO ClaimSearch Will Partially Mask PII to SIU-level Users in Claims Inquiry

While data risk mitigation issues continue to emerge in our industry, ISO ClaimSearch is always working to maintain the privacy and security of claims data. So to safeguard personally identifiable...

January Update: Harsh Winter Sweeps Across the U.S.

As cold temperatures persisted across much of the U.S. through last weekend, the East Coast recovers from a strong winter storm. Arctic Temperatures across Central and Eastern US Since Christmas Da...

CMS Extends CRC Transition to February 8, 2018

In October 2017, the Centers for Medicare and Medicaid Services (CMS) awarded the Commercial Repayment Center (CRC) contract to Performant Financial Corporation (Performant). The CRC is the...

CMS Releases New Section 111 NGHP User Guide (Version 5.3)

The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 non-group health plan (NGHP) User Guide ( Version 5.3, December 15, 2017 ). This new User Guide replaces...

CMS and Opioid Medications - Will CMS Address Opioids in 2018?

Ever since Center for Medicare & Medicaid Services (CMS) started to individually price medications in early 2009, prescription medications, especially opioid medications, have become major cost...

GAO Denies WCRC Bid Protests

In July 2017, CMS awarded the Workers’ Compensation Review Contract (WCRC) bid to Capitol Bridge, LLC. The WCRC is tasked with reviewing and approving WCMSA submissions. In response to CMS’ award,...

CMS Maintains its $750 Low Dollar Threshold for 2018

The Centers for Medicare and Medicaid Services (CMS) has released a new Alert entitled “2018 Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance and Workers’ Compensation...

Court Declines to Rule On Whether LMSA is Necessary - Cites No Legal Authority for MSAs in Liability Cases

Whether liability Medicare set-asides (LMSAs) are legally “required” continues to be a vexing question for parties settling liability claims. In Silva v. Burwell , 2017 WL 5891753 (D. New Mexico,...