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The MSA & Liability Cases: Who’s Going to Pay for That?

Decades of continuing silence on the role of Medicare Set Aside (MSA) accounts in liability cases may prove disastrous in the face of the injuries and damages caused by the COVID-19 pandemic. America's aging population is growing, and more people reach Medicare-eligibility every day. Any injuries they suffer due to the virus and its debilitating [...]

By |2020-09-02T10:55:07-04:00September 2nd, 2020|CMS, LMSA, MSA|

Coverage in the Age of COVID-19

The COVID-19 pandemic has dramatically changed life around the world, halting whole global industries while shutting down cities, regions, and countries. The necessity of shuttering a company due to the coronavirus has caused immense financial and personal distress in virtually all industrial sectors. Millions of workers no longer have jobs as their employers closed up their business [...]

By |2020-08-03T17:39:14-04:00August 3rd, 2020|Uncategorized|

CMS is Hard at Work in Summer 2020

Incoming Changes to WCMSA Activities Even in the face of the health and civic challenges the country is enduring, the Centers for Medicare and Medicaid Services (CMS) maintains its pursuit its institutional goal of keeping its constituents current with evolving standards. Recently, the CMS issued two new directives, one for MSA calculations and one for [...]

By |2020-07-06T13:04:13-04:00July 6th, 2020|CMS, CMS WCRC, CRC, Government, MSA|

COVID-19 and the Evolving Landscape of WC Litigation

For America’s employers, the COVID situation is creating havoc. Those who have shuttered their businesses for the duration of the crisis may not be able to open again once it subsides. Those who are open, however, especially those that offer essential services like grocery stores, are finding themselves facing workers’ compensation (WC) concerns that are [...]

By |2020-06-01T14:26:36-04:00June 1st, 2020|CMS, Employers, MSA|

The Effect of COVID-19 on WC and MSAs

Even before the COVID-19 virus situation was declared a global pandemic by the World Health Organization (WHO), world events indicated that a future recession was possible. Now that we are living amidst the full force of the COVID-19 effect, it seems like a recession is inevitable. Further, the high numbers of newly unemployed workers and [...]

By |2020-05-07T13:11:08-04:00May 7th, 2020|CMS, Employers, MSA|

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 |2020-03-02T10:07:16-05:00March 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 |2020-02-07T10:43:13-05:00February 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 |2019-12-06T13:19:13-05:00December 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|