Capitol Bridge, LLC, the newest Workers’ Compensation Review Contractor (WCRC) for the Centers for Medicare and Medicaid Services (CMS), officially took over on March 19, 2018. Since that time, the Medicare Set-Aside (MSA) industry has noticed aggressive changes in the Workers’ Compensation Medicare Set-Aside (WCMSA) review process, resulting in an increase in WCMSA allocations. At … Read moreTrends affecting Workers’ Compensation Medicare Set-Aside Allocations
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
On February 27, 2015, CMS published in the Federal Register the SMART Act Appeal Final Rule which can be located at 80 Fed. Reg. 10611. The rule can be found here and will go into effect on April 28, 2015. CMS had previously issued the Proposed Rule on this very topic on December 27, 2013. Materially, the … Read moreSummary of Final Rule: Conditional Payment Appeals Process for Applicable Plans
Now that the 2014 mid-term elections are over and the much anticipated Republican takeover of the US Senate has in fact taken place, will there be a significant impact on the Medicare Secondary Payer (MSP) community? Will claimants/plaintiffs, employers/carriers, corporate defendants/insurers, self-insureds/third party administrators see new legislation introduced in the House or Senate proposing to … Read moreWith Republicans in Control of Congress, Is New MSP Legislation Coming?