Workers' Compensation Medicare Set-Aside (WCMSA)
The Minnesota Supreme Court rules that a TPLF agreement’s 60% “repurchase rate” is not subject to MN’s usury statute; remands case back to the district court to determine if this rate is “unconscionable” (and, thus unenforceable) under common-law
One of the issues regarding TPLF concerns whether the interest rates charged by litigation funders can be considered excessive, or legally unenforceable.
Verisk Casualty Solutions attends 77th Annual WCI Conference in Orlando, Florida!
Last week Verisk Casualty Solutions proudly attended the 77th Annual Workers' Compensation Educational Conference and 34th Safety & Health Conference in Orlando, FL!
Revisiting indemnified EBMSAs – questions, issues, and risks in a post-Section 4.3 world
Section 4.3, CMS outlined its policy and the potential risks associated with settling a workers’ compensation claim with an EBMSA or Non-Submit MSA.
CMS releases NGHP User Guide (Version 7.3) – updates include changes to the ORM trigger and CMS’s Unsolicited Response File process
The (CMS) has released an updated Section 111 NGHP User Guide (Version 7.3, August 7, 2023) regarding Section 111 reporting related to non-group health plans
CMS releases the WCMSA Reference Guide Version 3.9
CMS has made various updates to different aspects of its WCMSA process, including removing the time limit on Amended Reviews.
CMS releases request for proposal for the Workers’ Compensation Review Contractor (WCRC) contract
On January 4, 2023, the Centers for Medicare and Medicaid Services (CMS) issued an RFP for its Workers’ Compensation Review Contractor (WCRC) contract.
CMS releases updated Workers’ Compensation Medicare Set-Aside Reference Guide (Version 3.8) – changes impact CMS’s WCMSA re-review process
The Centers for Medicare and Medicaid Services (CMS) has released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.8)
CMS releases data and statistics regarding CRC recoveries and WCMSAs
The Centers for Medicare and Medicaid Services (CMS) has released two new reports providing data regarding CRC recoveries and WCMSAs.
Claims commitment: Empowering insurers on the innovation journey
The insurance industry has experienced tremendous change in the past few years.
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
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.
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.
CMS holds WCMSA webinar CMS discusses non-submit/EBMSAs, allocation pricing, denials, and other important WCMSA topics
On February 17, 2022 the Centers for Medicare and Medicaid Services (CMS) held a webinar session to address workers’ compensation Medicare set-aside (WCMSA) issues.
New Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.5) takes aim at non-submit and EBMSAs
Centers for Medicare and Medicaid Services (CMS) has released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.5, January 10, 2022).