Casualty Solutions
Getting a handle on rising claims litigation costs and frequency
Litigation continues to be a major contributor to rising claims costs, and the issue is only getting worse.
Illinois enacts the “Consumer Legal Funding Act” -- new law regulates various aspects of third-party litigation funding practices
In a significant development on the TPLF front, on May 27, 2022, Illinois Governor J.B. Pritzker (D) signed into law the Consumer Legal Funding Act.
Delaware’s State Senate passes concurrent resolution encouraging the Delaware Judiciary to study possible third-party litigation funding (TPLF) disclosure rules
In an interesting development to watch, on June 28, 2022, the Delaware State Senate passed Delaware Senate Concurrent Resolution No. 127.
Claims commitment: Empowering insurers on the innovation journey
The insurance industry has experienced tremendous change in the past few years.
The RAMP Act is introduced in Congress – proposed bill aims to repeal Medicare’s private cause of action (“double damages”) statute
In a major MSP compliance development, the RAMP Act was introduced into the United States House of Representatives on June 14th.
The United States Supreme Court rules that Medicaid may seek recovery from settlement payments representing future medical care
The Court rejected the plaintiff’s argument that Medicaid’s recovery was limited to only that portion of the settlement representing past medical care.
Are indemnified EBMSAs still an effective tool after CMS released Section 4.3?
When the CMS released version 3.5 of the WCMSA reference guide on January 11, 2022, it redefined the potential risk and settlement considerations.
Starting June 4, 2022, CMS Will Use the 2019 CDC Life Table for WCMSAs
Starting June 4, 2022, CMS Will Use the 2019 CDC Life Table for WCMSAs
Why injury analytics aren’t just for soft-tissue claims
Rising injury claim severity is presenting insurers with significant challenges. Not only are these claims more costly, but they’re often more complex.
COVID-19 and Workers’ Compensation in 2022: Legislative Update and Clearing Presumption of Coverage Hurdles
After two years, COVID-19 continues to impact workers’ compensation claims. In previous entries, we provided a broad look at the industry.
Reducing WCMSAs and Getting Claims Settled: Cost mitigation strategies for success
It is no secret that high WCMSAs amounts can complicate claim settlement, insurers often have more power than they realize.
CMS discusses the MSPRP’s “go paperless” function at recent webinar
CMS held a webinar to discuss the Medicare Secondary Payer Recovery Portal’s (MSPRP’s) “Go Paperless” function.
Updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.6) released – CMS makes further clarifications to its WCMSA EBMSA/non-submit policy and other updates
CMS makes what it terms as “clarifications” regarding the application of its EBMSAs and non-submit MSA policy as stated in Section 4.3 of the Reference Guide.
How insurers can improve demand package review results for injury claims
It takes substantial resources to get a complete picture of the medical history and relevant data in a case to properly review demand packages.
CMS to hold webinar to address MSPRP “go paperless” function
The Centers for Medicare and Medicaid Services (CMS) has announced that it will be holding a webinar on April 13, 2022 at 1:00 p.m. EST.