Casualty Solutions

5/20/2025 - 5 min read

New Rx Drug Executive Order and WC Medical Equipment Pricing Trends

Two recent updates in national policy include: President Trump’s Executive Order regarding Rx drug pricing and WC medical equipment pricing trends.

5/15/2025 - 12 min read

CMS’s New $0 WCMSA Policy Starts 7/17/25 – Key Points and How Verisk Can Help

Major changes are coming to $0 Workers’ Compensation Medicare set-asides (WCMSA) practices starting in July 2025.

5/7/2025 - 4 min read

CMS Releases Section 111 NGHP User Guide (Version 8.1)

CMS has released an updated Section 111 NGHP User Guide (Version 8.1, May 5, 2025) regarding Section 111 reporting related to non-group health plans.

4/29/2025 - 3 min read

Federal Insurance Office Elimination Act Introduced in Congress

Representative Troy Downing (R -Montana) introduced H.R. 643, which proposes to eliminate the Department of the Treasury.

4/25/2025 - 2 min read

Colorado Delays Release 3.1 for FROI/SROI Reporting Until 7/30/2026

The DOWC announced it is delaying its implementation of Release 3.1 for FROI/SROI reporting. The transition has been delayed until 7/30/2026.

4/23/2025 - 3 min read

CMS Releases Updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide (Version 6.5)

CMS has released an updated MSPRP User Guide Version 6.5 (April 7, 2025) featuring several updates.

4/22/2025 - 8 min read

CMS Conditional Payments – 5 Things to Know and How Verisk Can Help

Five essential tips into CMS’s recovery process works, considerations to improve your compliance practices, and how Verisk can help.

4/11/2025 - 5 min read

How Ethical AI is Reshaping Claims Handling with Discovery Navigator

Explore how responsible AI can streamline complex claims while building trust with regulators and policyholders.

4/11/2025 - 9 min read

CMS Releases Section 111 NGHP User Guide (Version 8.0) – Breaking Down CMS’s New Updates

CMS has released an updated Section 111 NGHP User Guide (Version 8.0, April 7, 2025) regarding S.111 reporting related to non-group health plans.

4/9/2025 - 4 min read

CMS Releases WCMSA Reference Guide and Self-Administration Tool-Kit

CMS released an updated WCMSA Reference Guide (Version 4.3) and a new WCMSA Self-Administration Tool Kit (Version 1.7).

4/3/2025 - 7 min read

CMS Discusses General MSP Recovery Issues on its “MSP Intro” Webinar

On March 27, 2025, CMS held an “Introduction to MSP for Beneficiary Representatives” webinar.

3/25/2025 - 1 min read

Verisk’s TPOC/WCMSA Resource Center – Helping You Stay Compliant!

With CMS's new requirements in effect, we're thrilled to introduce Verisk's TPOC/WCMSA Resource Center, offering a variety of essential resources.

Happy Person Working Wearing Headphones 1

3/19/2025 - 1 min read

CMS to Hold an MSP Intro Webinar on March 27th at 1:00 p.m. (ET)

CMS will host an Introduction to MSP for Beneficiary Representatives webinar on March 27, 2025, at 1 p.m.

Office Working Concentrating On Laptop Screen Article

3/19/2025 - 5 min read

A New Day for WCMSA Amended Review Requests Start April 7th

Effective April 7, 2025, CMS will permit Amended Review requests any time after a WCMSA case approval.

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3/13/2025 - 18 min read

Section 111 Reporting: CMS’s Road Map to Conditional Payment Recovery

Insurers must understand CMS's use of Section 111 data in the conditional payment recovery process to avoid consequences and liability.