Workers' Compensation Medicare Set-Aside (WCMSA)
Shawn Deane will lead industry initiatives as president of NAMSAP
Shawn Deane, vice president of Medicare / Medicaid compliance and policy, has been elected president of the National Alliance for Medicare Set-Aside Professionals.
Clues to CMS future gleaned from WCRC solicitation notice
CMS moved forward with requests for proposals regarding the WCRC contract by releasing a full solicitation notice before the holidays.
A holiday present from CMS
Foreshadowing a major change to Medicare Set-Asides (MSAs), the Centers for Medicare & Medicaid Services (CMS) announced on Wednesday, December 21.
Zero allocations: CMS backs down from drastic changes
From the moment CMS proposed changes to the process, we outlined why we strongly believe that the workers' compensation industry should not stand idly.
CMS news alert: Zero allocations are far from over
The Centers for Medicare and Medicaid Services (CMS) made news this week by purportedly “correcting” their position on zero allocations.
Should you purchase MSA liability insurance?
Medicare Set-Asides (MSAs) are primarily a coordination of benefits tool. The failure to obtain & adequately fund an MSA can result in a denial of payment.
New WCRC contract bid could indicate expansion of MSAs beyond workers' compensation
On September 6, the Centers for Medicare and Medicaid Services (CMS) updated a previously released pre solicitation notice.
Will CMS expand MSA reviews to liability cases and other claims?
On June 9, the Centers for Medicare and Medicaid Services (CMS) announced that it is considering expanding its voluntary Medicare Set-Aside (MSA).
Medication trends to watch
It’s no surprise that prescription medications are often the biggest cost driver in a Medicare Set-Aside (MSA).
Impact of utilization review on Medicare Set-Asides
Although Utilization Reviews (URs) and Independent Medical Reviews (IMRs) have been used in state jurisdictions for years, insurers have only recently focused on how the…
FDA approves generic Abilify: Potential impact on Medicare set-asides
On April 25, 2015, the FDA issued approval for multiple manufacturers to market generic aripiprazole (Abilify).
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…
Medicare set-aside update: Generic Nexium and its impact on MSAs
On January 26, 2015, the FDA approved esomeprazole, the generic form of Nexium. Claims payers and the Medicare Set-Aside (MSA) industry take notice any time a widely…
Preparing for mediation: Medicare checklist for WC claims
It is no secret that Medicare Secondary Payer compliance continues to complicate workers' compensation claims practice. Unfortunately, far too often Medicare issues…
When can I use my WCMSA?
In McCarroll v. Livingston Parish Council, 2014 WL 5439624, -- So.3d – (La. App. 1st Cir., October 27, 2014), the parties believed that the claimant could use his…