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Lack of Legal Guidance Causes Confusion

MSA Confusion Reigns in Third-Party Liability Cases The confusion caused by gaps in CMS regulations regarding Medicare Set-Asides (MSAs) continues to grow. An aging population ensures that more people will become potential Medicare claimants if they are injured for any reason. While CMS has provided clear guidelines around the development of MSAs when injuries occur [...]

By |2019-04-01T13:14:54+00:00April 1st, 2019|LMSA, MSA|

Hidden in Plain Sight: America’s ‘Benzo’ Problem

Hidden behind America's disturbing opioid addiction and premature death rates is a related and equally troubling reality: the contribution to the crisis played by benzodiazepines in those numbers. When used appropriately, 'benzos' are perfectly good medications for the maladies they were designed to address. When used inappropriately and in conjunction with opioids, however, the drugs [...]

By |2019-03-04T09:39:53+00:00March 4th, 2019|Employers, Government, Opioids|

Can Cannabis Overthrow Opioids?

America's opioid epidemic continues to run rampant through communities across the country. As a primary medicine for pain relief, opioid medications have been the first medication choice for thousands of doctors and patients for over 20 years. However, too many of those Oxycontin™, Vicodin™, and Percocet™prescriptions have triggered addictions, which in turn drive subsequent heroin [...]

By |2019-02-04T11:17:31+00:00February 4th, 2019|Cannabis, Government, Opioids|

Are Non-Reporting Penalties on the Horizon? 

The Medicare Secondary Payer (MSP) law requires that "Responsible Reporting Entities" (RREs) notify the Centers for Medicare and Medicaid Services (CMS) when a Medicare beneficiary (or soon-to-be beneficiary) is injured. Failure by an RRE to notify CMS of such an injured person may result in significant “civil monetary penalties” (CMPs), according to federal law. CMS [...]

By |2019-01-02T12:54:32+00:00January 2nd, 2019|CMS, Employers, Government, MSA|

The Opioid Crisis: What Employers Can Do

Recently released Opioid Epidemic statistics from 2017 reveal that the country continues to convulse in the throes of this public health crisis. New laws aimed at addressing the issue are coming out of both state and federal sources, and even the tech industry is focusing more attention on using digital devices to prevent or reduce [...]

By |2018-12-03T11:20:31+00:00December 3rd, 2018|Employers, Opioid Series, Opioids|

Governments and Opioids

Across the country, governments of all types are looking at how the opioid crisis is affecting their regions and communities. Both the federal Administration and Congress have issued new rules at the national level that reflect their cognizance of the concern and its causes. States, too, are addressing how their systems manage the crisis, including [...]

By |2018-10-31T12:10:27+00:00October 31st, 2018|CMS, Government, Opioid Series, Opioids|

Opioids and America’s Workers’ Compensation System

As more entities study the impact of America's opioid crisis, reports are emerging that reveal a tragic tale unfolding for not just the addicts, but also the communities in which they live. The cost of the epidemic is born across several segments of society, and, because those segments also impact non-opioid affected people, essentially, everyone [...]

By |2018-10-03T14:55:35+00:00October 3rd, 2018|Opioid Series, Opioids|

America’s Opioid Epidemic: How it Impacts Work Comp

CompEx MSA is proud to provide this primer series on America's opioid epidemic to help its colleagues and fellow community members be more aware of the problem and mindful of what they can do to avoid contributing to it in the future.   Part One: What it is and how it got started The 'opioid [...]

By |2018-08-29T11:37:24+00:00August 29th, 2018|Opioid Series, Opioids|

Two Bills Favor MSA Appeals Restructure

If Congress passes one or both of two bills presently sitting in congressional committees, then parties to a workers’ compensation (WC) case may finally have a solution to a problem that has plagued that system since its inception. Each of the two proposed bills originates in the separate chambers, and both appear to share a [...]

By |2018-08-29T11:23:57+00:00August 29th, 2018|MSA, Review Process|

Evolving CMS Controls on Opioid Prescriptions

Despite notable guidance available in other arenas, more than two thirds (69.4%) of California's submitted WCMSA proposals include extended funding for opioid medications. The statistic is startling considering that Medicare itself does not recommend using opioids for long-term use or chronic pain. The National Alliance of Medicare Set-Aside Professionals (NAMSAP) and the National Council of [...]

By |2018-08-01T10:32:46+00:00August 1st, 2018|CMS, MSA, Opioids|