The Official Medicare Set Aside Blog And Information Resource

WATCHMAN Device – A Promising Treatment for Atrial Fibrillation

CMS, FDA, Medicare Set-Aside Blog, MSAs on April 22, 2021
Posted by Shannon Flynn

by Charlotte Chovanec, RN, BSN, MHA, Clinical Director & Eric McClain, Lead MSA Analyst While every year new and innovative treatments are introduced to the medical community to enhance the quality of patients’ lives, seldom do we see these treatment options crossover to Worker’s Compensation as quickly. In the area of cardiac treatment, we are […] 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

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

Shark Week and MSP Compliance: What Do They Have In Common?

CMS, Conditional Payments, Medicare Set-Aside Blog, Medicare Set-Asides, MSAs on August 14, 2020
Posted by Jean S. Goldstein, JD, CMSP

Shark Week is always a magical week; providing enthralling and illuminating insight into jaw-dropping actions of magnificent beings.  As with previous years, Shark Week 2020 has not been a disappointment, but how does shark week compare to Medicare Secondary Payer (MSP) compliance?  Our latest white paper addresses the three main goals of MSP compliance, and what consequences result for […] Continue

Update: Proposed Rulemaking to Clarify Existing MSP Obligations

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, MSAs, MSP News on July 1, 2020
Posted by Jean S. Goldstein, JD, CMSP

We continue to monitor guidance from the Centers for Medicare & Medicaid Service (CMS) regarding Medicare Secondary Payer (MSP) compliance as related to workers’ compensation, liability, and no-fault insurance claims.  As we often discuss here on our blog, CMS continues to place emphasis on satisfying MSP obligations.  You may recall that in December 2018, CMS […] Continue