Workers’ Compensation
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).
COVID-19 and Workers’ Compensation Revisited: Navigating the pandemic to understand what’s next
Last year we discussed ways the pandemic could impact workers’ compensation claims. Now, nearly a year later, we reflect on some of the answers to those questions.
The COMP Act is reintroduced in the U.S. Senate
On 3/10/21, Senators Ben Cardin (D-MD) and Rob Portman (R-OH) introduced the Coordination of Medicare Payments and Workers’ Compensation Act (COMP Act) (S. 653) into…
Starting March 27, 2021, CMS will use the 2018 CDC Life Table for WCMSAs
Starting 3/27/21, CMS has announced that it will use the new 2018 CDC Life Table to calculate adjusted life expectancies in Workers’ Compensation Medicare Set-Asides…
CMS releases new WCMSA Reference Guide (Version 3.2)
On 10/5/20, CMS released its latest version of the WCMSA Reference Guide, Version 3.2. This guides replaces version 3.1, released on 5/11/20.
Seven steps to closed: Maximizing claims settlement projects
There's a thin and potentially costly line between settling a claim and keeping it open. Using a claims settlement project can help close claims faster.
COVID-19 and workers’ comp: Managing rising claim volume and costs
With thousands of essential employees reporting to work—including health care workers—there could be an influx of workers’ comp claims related to the virus.
COVID-19 – State by state legislative and regulatory resources
Many insurers are concerned with how COVID-19 related legislative and regulatory changes could impact exposure and liability going forward.
COVID-19 – ISO Claims Partners keeping you updated
As the industry (and nation) continue to deal with the challenges of the current health crisis,we want to provide you with some resources which you may find helpful.
Settling claims in unsettling times
In a time of social distancing and uncertainty, many are left wondering how our current working and social paradigm will impact workers’ compensation claims handling –…
Social Security Administration suspends processing of third-party requests to determine SSDI status
As of 3/17/20, all the Social Security Administration field offices have been closed to the public in response to the growing COVID-19 pandemic according to its website.…
Starting April 25, 2020, CMS will use the 2017 CDC life table for WCMSAs
In an alert dated 3/17/20, CMS announced beginning 4/25/20, it will use the new 2017 CDC life table to calculate adjusted life expectancies in Workers’ Compensation…
Litigation insights offer the key to rising claim costs
Legal analytics make it possible for insurers to derive actionable insights from legal data to improve claims handling and litigation outcomes.
Successful workers’ comp analytics starts with the right plan
Workers’ comp analytics can improve claims process by identifying high-severity claims early, promoting consistency in claim handling, and improving return-to-work…
As claim severity climbs, analytic insights hold key to containment
Insurers today are struggling with what seems like an intractable problem: the impact of rising claim severity on their bottom line. This upswing shows no sign of…