The Official Medicare Set Aside Blog And Information Resource

Liberty Life Assurance Company of Boston Announces Exit from the Structured Settlement Annuity Market

Structured Settlements on January 19, 2018 | Posted by Michele Zimmerman

Our structured settlement department received word this morning that Liberty Life Assurance Company of Boston is being sold to Lincoln Financial Group. As a result of the sale, Liberty Life will be discontinuing the sale of structured settlement annuities.  This news comes on the back of their exit from the non-qualified structured settlements market.  While […] Continue

The CRC Dark Days are Coming, February 8 – 9, 2018

Conditional Payments, CRC, Medicare Set-Aside Blog, MSP News on January 18, 2018 | Posted by Jessica M. Wingenroth, JD

The highly anticipated Commercial Repayment Center (CRC) contractor transition from CGI Federal to Performant Recovery was discussed in a CMS Town Hall presentation this afternoon. The stated goal: seamless, painless and efficient transition with zero impact on Coordination of Benefits and Recovery activity. Ted Doyle, the project director of the incoming MSP CRC, assured the […] Continue

Meet the New CRC Contractor on 01/18/18

Conditional Payments, CRC, Medicare Set-Aside Blog, MSP News on January 15, 2018 | Posted by Jessica M. Wingenroth, JD

The industry has been invited to a CMS-sponsored webinar to introduce the new Commercial Repayment Center (CRC) contractor, Performant Financial Corporation, who will be taking up residence effective 02/08/18. As part of the transition, an informational webinar will be held for Non-Group Health Plan (NGHP) payers on 01/18/18 at 1:00 pm ET. A link to […] Continue

Take 2: MAO Class Action Fails on Second Amended Complaint

Medicare Advantage, Medicare Set-Aside Blog, MSP Litigation, MSP News on January 4, 2018 | Posted by Jean S. Goldstein, JD

As you may recall, several weeks ago we reported on a new spin in the Medicare Advantage Organizations (MAO) class action realm.  At the root of this latest private cause of action, is a multi-district ligation (MDL) suit involving a blood-thinning drug called Pradaxa.  The MDL settled in May, 2014, and by way of the […] Continue

CMS Releases Updated NGHP User Guide, Version 5.3

CMS, Medicare Set-Aside Blog on December 22, 2017 | Posted by Jean S. Goldstein, JD

CMS updated their Non-Group Health Plan (NGHP) User Guide, and released version 5.3.  The updated guide can be found here. The update to the guide essentially addresses CMS’ long planned transition, as previously reported, from use of Social Security Number (SSN) based Medicare identifiers to use of Medicare Beneficiary Identifiers (MBIs).  CMS provided an exemption […] Continue

WCRC Award Protests Denied

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, MSP News, WCRC on December 18, 2017 | Posted by Jean S. Goldstein, JD

As we previously reported, CMS awarded the Workers’ Compensation Review Contractor (WCRC) contract to Capitol Bridge, LLC, which was subsequently protested by two other companies who participated in the bidding process.  The protests were recently denied, but the decisions are covered by protective orders and must be redacted before being published.  Once available, the decisions […] Continue

CMS to Begin Utilizing 2014 Life Table

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, MSP News on December 13, 2017 | Posted by Jean S. Goldstein, JD

The CMS WCMSA web portal, where Workers’ Compensation Medicare Set Aside submissions are submitted to CMS for review, has alerted users that as of December 11, 2017, CMS will begin using the Table 1: Life Table for the total population: United States, 2014.  This means that for any WCMSA proposal received by CMS, or where […] Continue

Another Court Case, Perpetuating the Confusion Surrounding LMSAs

CMS, Liability, Medicare Set-Aside Blog, MSP Litigation on November 29, 2017 | Posted by Jean S. Goldstein, JD

Yesterday, a decision came out of the District Court for New Mexico, based upon an action to determine whether a Medicare Set-Aside was needed in a matter involving a personal injury suit.  (Silva v. Burwell, No. 16-cv-488 JCH/KK, 2017 U.S. Dist. LEXIS 195032, (D.N.M. Nov. 28, 2017).)  The applicability of the Medicare Secondary Payer act […] Continue

Visit MEDVAL #3316 at the NWCDC in Las Vegas

Medicare Set-Aside Blog, MEDVAL News on November 27, 2017 | Posted by Jean S. Goldstein, JD

MEDVAL will be exhibiting at the annual National Workers’ Compensation and Disability Conference (NWCDC), December 6th – 8th, 2017 in Las Vegas, Nevada. For a full agenda of the event, visit the conference website here. Stop by our booth #3316 to meet our team, and discuss how we can help solve all of your MSP […] Continue

More MSPA Claims 1 Cases Dismissed for Standing

Medicare Advantage, Medicare Set-Aside Blog, MSP Litigation, MSP News on November 27, 2017 | Posted by Jennifer Jordan, JD, MSCC

The U.S. District Court for the Central District of California dismissed the attempted class action against Mercury General on November 2, 2017. As with the other attempted national actions, standing was the fatal flaw in the pleadings as the plaintiffs fail to state who the alleged participating MAOs are. In order to demonstrate standing “[i]n […] Continue