The Official Medicare Set Aside Blog And Information Resource

CMS Town Hall Hints at Future Update and Answers Industry Questions

CMS, CRC, Mandatory Insurer Reporting, Medicare Set-Aside Blog on April 6, 2021
Posted by Shannon Flynn

by Frank Fairchok, Vice President of Medicare Reporting Services As previewed in our blog on February 26, the Centers for Medicare & Medicaid Services (CMS) hosted a town hall meeting that included staff from both the Benefits Coordination & Recovery Center (BCRC) and Commercial Repayment Center (CRC) last Thursday, April 1, 2021.  While the session […] Continue

Frank Fairchok Joins MEDVAL as Vice President of Medicare Reporting Services

Medicare Set-Aside Blog, MSP News on March 26, 2021
Posted by Shannon Flynn

This week, MEDVAL welcomed Frank Fairchok to our team as Vice President of Medicare Reporting Services. In this role, he will provide technical oversight of all aspects of MEDVAL’s Medicare reporting service offerings. “We are extremely excited to add Frank’s strong background and unparalleled experience to our team,” said Jon Gunter, President of MEDVAL. “He […] Continue

How Recent Rx Price Increases Will Impact WCMSAs

Medicare Set-Aside Blog, MSAs, Rx/Pharmacy on March 16, 2021
Posted by Leah King, PharmD, JD, Independent Pharmacy Consultant

So far, 2021 has differed from previous years in many respects, but one thing has held true – drug prices went up. In late December and early January, drug manufacturers increased the price of more than 700 drugs. On average, prices rose by 4.5%.[1] Both of these numbers are consistent with price increases over the […] Continue

MSA Pearls: Comorbidities, Looking Closely to Get the Big Picture

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, WCRC on March 8, 2021
Posted by Noel D. Sturtz, Client Program Manager

We are all aware that there are a number of steps in the WCMSA submission process. According to the latest WCMSA Reference Guide (Version 3.2; Section 9.4.3), these steps include the WCRC team reviewing “all the submitted records…taking into consideration the claimant’s specific condition [and] other comorbidities…”  Potential Impact of Comorbidities on MSAs Comorbidities are […] Continue

CMS to Begin Using 2018 Life Table

CMS, Medicare Set-Aside Blog, MSAs, WCRC on March 4, 2021
Posted by Shannon Flynn

Starting March 27, 2021, the Centers for Medicare and Medicaid Services (CMS) will begin using the Center for Disease Control’s (CDC) “Table 1: Life Table for the total population: United States, 2018” for Workers’ Compensation Medicare Set Aside (WCMSA) life expectancy calculations. For any WCMSA proposal received by CMS through the voluntary review program, or […] Continue