CMS Hits ‘Reset’ Button With Workers’ Compensation Review Contractor Procedures and Request for Approval of Zero-Dollar Medicare Set-Aside Amounts

In an announcement distributed on November 1, 2016, CMS acknowledged the receipt of many inquiries from the MSP industry regarding procedural changes in the way CMS’s  Workers’ Compensation Review Contractor (WCRC) reviews proposed zero-dollar Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) amounts.  CMS further acknowledged that as a result of these inquiries, it has determined that changes […]...Read more

FDA Mandates New Warnings for Opioid and Benzodiazepines

In a statement released on September 1, 2016 (FDA Black Box Warning), the Food and Drug Administration (FDA) announced that “after an extensive review of the latest scientific evidence, it is requiring class-wide changes to drug labeling, including patient information, to help inform health care providers and patients of the serious risks associated with the […]...Read more

Opioids in the Life of the MSA… Coming Soon

In a statement released on June 7, 2016, the National Alliance of Medicare Set-Aside Professionals (NAMSAP) announced the 2nd in a series of webinars focused on opioid drugs in the Medicare Set Aside.  The details of the release can be found at http://www.businesswire.com/news/home/20160607005395/en.  Background Since the creation of NAMSAP’s Evidence Based Medicine Committee in 2014, opioid use […]...Read more

CMS to ‘Consider’ Expanding Its Review Process to Include Liability MSAs

In a News Alert released Thursday, June 9, 2016, the Centers for Medicare and Medicaid Services (CMS) announced is considering expanding its voluntary Medicare Set-Aside Arrangements (MSA) amount review process to include the review of proposed liability insurance (including self-insurance) and no-fault insurance MSA amounts. CMS plans to work closely with the stakeholder community to identify […]...Read more

Growing Press Surrounds Tower MSA’s Groundbreaking MSP Automation Suite

An article today posted by Yahoo! Finance discusses the new MSP Automation Suite by Tower MSA. The article cited the groundbreaking and sophisticated technology developed by Tower MSA that drives the MSP process. Describing the MSP Automation Suite: “The sophisticated technology drives all the processes Tower has perfected to proactively manage Section 111 Mandatory Insurer […]...Read more

Closed Formularies Hold Promise for Workers’ Compensation Pharmacy Management

With the signing of A.B. 1124 by Governor Jerry Brown October, California has now joined a handful of states that have adopted closed pharmaceutical formularies in their workers’ compensation systems. While many details have yet to be worked out, the decision comes as good news for injured workers and payers alike. Closed formularies essentially use […]...Read more

Changes Afoot For Medicare’s Conditional Payment Reimbursement Process

Medicare will soon seek reimbursement of conditional payments related to a workers’ compensation claim while the claim is still open, possibly more than once. That is among the changes stemming from a revised process to seek reimbursement of conditional payments made in a claim. Beginning Oct. 5, Medicare is shifting responsibility for its recovery of […]...Read more