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Workers' Compensation Medicare Set-Aside (WCMSA)

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February 17, 2017

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.

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January 23, 2017

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.

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December 22, 2016

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.

November 1, 2016

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.

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October 27, 2016

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.

September 16, 2016

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.

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September 13, 2016

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.

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June 21, 2016

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).

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July 29, 2015

Medication trends to watch

It’s no surprise that prescription medications are often the biggest cost driver in a Medicare Set-Aside (MSA).

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July 29, 2015

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…

Prescription Bottles Crop
June 22, 2015

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).

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May 19, 2015

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…

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March 25, 2015

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…

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February 18, 2015

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…

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November 17, 2014

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…

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