Prescription drug updates may positively affect Medicare Set Aside

As part of our best business practices, we continually monitor RED BOOK®Average Wholesale Price (AWP) of the most common medications present in Workers’ Compensation Medicare Set-Aside (WCMSA) arrangements. This practice assists in identifying price changes positively affecting WCMSAs. The month of February brought price drops of the following medications: buprenorphine/naloxone (Suboxone®) commonly prescribed for opioid … Read morePrescription drug updates may positively affect Medicare Set Aside

Prescription Medication Updates That May Affect Your Medicare Set-Aside

We continually monitor pricing of the most common medications seen in Workers’ Compensation Medicare Set-Aides (WCMSAs) in order to identify pricing changes affecting MSAs positively. The month of December brought a price drop for gabapentin 800mg tablets commonly used to treat neuropathic pain. Below is the product confirmed to have a reduced AWP and confirmed … Read morePrescription Medication Updates That May Affect Your Medicare Set-Aside

Bid for WCRC with LMSA Capabilities Delayed by CMS

Earlier this year, the Centers for Medicare and Medicaid Services (CMS) solicited bids in an RFP for a Workers’ Compensation Review Contractor (WCRC) to review workers’ compensation Medicare Set Aside (WCMSA) proposals, which potentially include liability Medicare Set Asides (LMSAs). The bid was to be released on September 22, 2016, but has been delayed. When … Read moreBid for WCRC with LMSA Capabilities Delayed by CMS

HB 2649 and SB 1514: Congress’ Renewed Attempt to Streamline the Workers Compensation and Medicare Set Aside Settlement Process

US House Bill 2649 and US Senate Bill 1514 were filed on June 4, 2015 by US Representative Reichert and US Senator Portman to amend title XVIII of the Social Security Act to provide for the application of Medicare secondary payer rules to certain workers’ compensation settlement agreements and qualified Medicare set-aside provisions. Co-sponsored by … Read moreHB 2649 and SB 1514: Congress’ Renewed Attempt to Streamline the Workers Compensation and Medicare Set Aside Settlement Process

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