Medicare Set-Aside (MSA)

Countdown to “Full and Final” Settlements: Arizona S.B. 1332

The recent passage of Arizona Senate Bill (S.B.) 1332 provides Arizona claims payers with unprecedented opportunity, finally, to close out their workers’ compensation claims. Under this new law, parties will now be able to reach “full and final” settlement of certain workers’ compensation claims beginning October 31, 2017.

What’s Next for the WCRC? New Contract Awarded to Capitol Bridge, LLC

Since the Workers’ Compensation Review Contractor (WCRC) contract renewal process began in December 2016, the industry has been awaiting news: whether Provider Resources, Inc. (PRI) would be renewe...

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...

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...

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...

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 Medicar...

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 Dean...

Should You Purchase MSA Liability Insurance?

It’s estimated that the number of Medicare beneficiaries will reach 80 million by 2030. When it comes to Medicare Secondary Payer (MSP) compliance, enforcement will likely increase as the number of...

A Guide to the Office of Workers’ Compensation Programs (OWCP) Fee Schedule

Medicare Set-Asides (MSAs) are generally priced using the state fee schedule for the jurisdiction of the claim. However, it’s critical to distinguish an important group of cases covered by federal...

California’s Independent Medical Review: Pursuing Necessary and Appropriate Care

California uses Independent Medical Reviews (IMRs) to resolve disputes regarding medical treatment for injured employees. This process was enacted by way of a landmark workers' compensation reform,...