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Making the Most of an MSA Amended Review Request

In 2017, when the Center for Medicare and Medicaid Services (CMS) updated its Medicare Set Aside (MSA) Reference Guide, it added a provision that allowed a one-time opportunity to request an ‘amended review' of a conditionally preapproved MSA account. When a case met the required elements of the new rule, claimants and carriers could re-submit [...]

By |2020-04-01T12:00:18-04:00April 1st, 2020|Government, MSA, Review Process|

Protect the Future with an MSA

In the Workers’ Compensation (WC) world, evaluating the appropriateness of a Medicare Set Aside account (MSA) is (or should be) a standard case management practice for any person with a work-related injury who is nearing or over the age of Medicare or Medicaid eligibility. However, because setting up the MSA in a WC case remains [...]

By |2020-03-02T10:07:16-04:00March 2nd, 2020|CMS, Government, MSA|

Establishing the MSA in the WC Case

In today's post, we are completing our series on the how's and why's of the Medicare Set Aside (MSA) account. Last year, we wrote about the evolution of worker protection laws, the role of third-party liability workplace injuries, and why America's Medicare system gets involved in injured worker cases.   Next, we will explore how [...]

By |2020-02-07T10:43:13-04:00February 7th, 2020|CMS, MSA, Settlement|

CMS Updates WCMSA Reference Guide

Everyone updates, including the Centers for Medicare and Medicaid Services (CMS). In October, the CMS released its updated Medicare Set Aside (MSA) reference guide, version 3.0, which replaces version 2.9 released just in January of this year. As participants in the MSA system make changes to reflect the new guidelines, they should be careful to [...]

By |2019-12-06T13:19:13-04:00December 6th, 2019|Government, MSA, Review Process|

Medicare and the Workers’ Comp System

The Medicare and Medicaid systems are fundamental sources for healthcare services for America's seniors and disabled people. The Centers for Medicare and Medicaid Services (CMS) runs the healthcare networks that span the country and provide medical services for millions of people. When Medicare-eligible people suffer injuries at work, CMS can only provide healthcare funding when [...]

By |2019-11-01T12:55:32-04:00November 1st, 2019|CMS, CMS WCRC, MSA|

More Than One Pot – Who Pays for Injured Workers?

Last month's post discussed the history of how and why the 'workers’ compensation' (WC) industry evolved out of medieval 'employment' practices: Employers often demanded that their employees put in long hours under harsh conditions to justify paying them a minimal wage. Workers were subjected to challenging conditions in unsafe factories that exposed them to innumerable [...]

By |2019-10-01T10:20:45-04:00October 1st, 2019|Employers, Government, MSA|

Why Workers’ Comp? Why MSA’s?

The Road to Worker Protections For most injured workers, a complete recovery and the ability to return to work are only possible because of the medical and health care services provided by Workers’ Compensation insurance. However, the concept of healthcare support delivered through an employment setting and applied to on-the-job injuries is a recent one, [...]

By |2019-09-03T10:41:15-04:00September 3rd, 2019|Government, LMSA, MSA|

Mid-Summer Summary and a Quick Look Forward

It's mid-summer, and many of our readers are off on well-deserved vacations. For those who are still in the office (and are as fascinated as we are by all things ‘workers’ comp'), we are taking this opportunity to offer some updates to one of the major subjects we've been following and to provide a heads [...]

By |2019-07-31T21:13:51-04:00July 31st, 2019|CMS, Employers, Government, MSA, Opioid Series, Opioids|

Medical Pricing Impacts Premiums, MSA Values

Workers’ Compensation Insurance plays an integral part in America's economy by allowing employers, either privately or through their workers’ compensation insurers, to cover the medical costs stemming from on-the-job injuries. As a corporate expense, the funds used to pay those premiums and fees are taken off the top of corporate revenues, so keeping them as [...]

By |2019-07-01T13:27:14-04:00July 1st, 2019|Employers, MSA|

Dr. Criminal: Arrests Made for ‘Pushing’ Opioids

The true cost to the nation's employers of America's opioid crisis is almost inestimable. From lost wages to lost productivity to the thousands of unnecessary deaths caused by the over-prescription of opioids and their subsequent addictions, the value of the losses suffered by individuals, families, communities, and businesses is beyond calculation. Gaining control over the [...]

By |2019-06-03T17:30:05-04:00June 3rd, 2019|Employers, Government, MSA, Opioids|