Workers’ Compensation
CMS announces increase to Maximum Settlement Amount for Fixed Percentage Demand Calculation Option starting October 2, 2023
CMS has announced that effective October 2, 2023, the maximum total settlement amount for the Fixed Percentage Demand Calculation Option.
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
The United States District Court for Connecticut dismisses a Medicare Advantage claim for “double damages” – rules that insurer’s Section 111 reporting not sufficient to establish standing
Interesting new Medicare Advantage recovery case, the United States District Court for Connecticut in MSP Recovery Claims, Series LLC v. Travelers Indemnity Company
ESG claims – TPLF’s next frontier?
This is a continuing study of emerging Third-Party Litigation Funding (TPLF) issues.
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.
Harnessing AI and ML through Discovery Navigator to save time and money on medical records review
Harnessing AI and ML through Discovery Navigator to save time and money on medical records review
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)
COVID-19 and Workers’ Compensation in 2022: The Great Resignation and Closing the Talent Gap
We continue our look at how the COVID-19 pandemic continues to impact workers’ compensation.
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.
COVID-19 and Workers’ Compensation in 2022: Legislative Update and Clearing Presumption of Coverage Hurdles
After two years, COVID-19 continues to impact workers’ compensation claims. In previous entries, we provided a broad look at the industry.
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.