Workers' Compensation Medicare Set-Aside (WCMSA)

1/30/2026 - 7 min read

CMS’s S.111 daily CMPs rate for NGHP reporting increased to $1,512

The maximum daily CMP amount regarding NGHP Section 111 reporting has been increased by the Department of Health and Human Services.

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1/20/2026 - 17 min read

CMS holds its third NGHP Section 111 Penalties Webinar

On 1/15, CMS held its NGHP Section 111 CMPs webinar. During this event, CMS discussed several different CMPs-related items pertaining to NGHP RREs.

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1/16/2026 - 3 min read

Verisk Industry Thought Leaders Elected to MARC and MSPN Posts!

Join us in congratulating Sid Wong, J.D., and Kate Riordan, J.D., regarding their respective roles in the insurance industry.

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1/12/2026 - 5 min read

How Three New CMS Policies Impact Workers’ Comp Claims

Republished from Claims Journal, this article explains three new CMS WCMSA policies and how they impact workers’ comp claims handling and settlements.

1/6/2026 - 7 min read

CMS releases Section 111 NGHP User Guide (Version 8.3)

CMS released an updated Section 111 NGHP User Guide regarding Section 111 reporting related to NGHPs (liability, no-fault and workers’ compensation).

12/18/2025 - 8 min read

Section 111 Penalty Audits Begin in January 2026 – RREs May Start to Receive CMPs Notices this Coming January

CMS begins Section 111 audits in January 2026, and RREs may start receiving CMP notices. Learn what to expect and how to prepare for upcoming compliance risks.

12/9/2025 - 1 min read

CMS Will Hold a NGHP Section 111 Penalties Webinar – January 15, 2026, at 1:00 p.m. ET

Join CMS’s NGHP Section 111 Penalties webinar on Jan. 15, 2026, for updates on CMP audits, compliance reminders, and Q&A.

12/4/2025 - 7 min read

CMS Announces New WCMSA Part D Data Share and Part D Coordination of Benefits Option Starting February 2026

CMS will begin sharing WCMSA prescription data with Part D plans in 2026, introducing new prior authorization and coordination of benefits options.

12/3/2025 - 4 min read

CMS Releases WCMSA Statistics for Fiscal Years 2021-2025

CMS released WCMSA statistics for FY 2021–2025, revealing shifts in review volume, settlement trends, and new reporting challenges. See key insights.

11/13/2025 - 8 min read

The Longest Federal Government Shutdown in History Ends

The longest federal shutdown in history ends. Learn what’s next for funding, Medicare, and compliance activities.

9/22/2025 - 3 min read

Automation is Essential with the New WCMSA S111 Reporting Requirements

Why automation is essential under the new WCMSA S111 reporting requirements — and how Verisk is leading the way.

9/16/2025 - 1 min read

Starting September 20, 2025, CMS Will Use the 2023 CDC Life Table for WCMSAs

CMS has announced that it will use the “Table 1: Life Table for the total population: United States, 2023” to calculate life expectancy in WCMSAs.

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9/11/2025 - 1 min read

CMS to hold TPOC/WCMSA Reporting Webinar – October 1st at 2:00 p.m. ET

CMS has announced that it is holding a Workers’ Compensation Medicare Set-Aside Reporting Webinar. It is scheduled for October 1st at 2:00 p.m. (ET).

8/26/2025 - 2 min read

Verisk Casualty Solutions Attends 79th Annual WCI Conference

Verisk showcased WCMSA compliance solutions, AI medical record review, and Medicare insights at the 79th WCI Workers’ Compensation Conference.

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7/28/2025 - 1 min read

CMS Releases New WCMSA Reference Guide (Version 4.4) – Updates CDC Life Table for WCMSAs

CMS has released a new WCMSA Reference Guide noting that it has now updated the CDC Life Table as part of Section 10.3 of the WCMSA Reference Guide.