FDA approves the first generic naloxone nasal spray to treat opioid overdoses

Cross-posted from Optum Insights blog. On April 19, the U.S. Food and Drug Administration (FDA) approved the first generic for Narcan® Nasal Spray, the life-saving medication used for the emergency treatment of opioid-related overdose. After receiving tentative approval last June, Teva Pharmaceuticals USA Inc. has been granted final approval to market naloxone nasal spray. Teva … Read moreFDA approves the first generic naloxone nasal spray to treat opioid overdoses

Trends affecting Workers’ Compensation Medicare Set-Aside Allocations

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

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

Using California’s Independent Medical Reviews to Challenge the Set Aside Amount

Introduction What happens when Medicare requires that a Workers Compensation Medicare Set Aside include the future costs of medical treatment and prescriptions that may not be covered under a state workers compensation law particular or applicable to the claim? What is CMS’ policy on situations where a state statutory provision, administrative rule, regulatory provision, or … Read moreUsing California’s Independent Medical Reviews to Challenge the Set Aside Amount