Medicare Set Aside Regulatory Update: Rulemaking Process Concludes with Rule Being Withdrawn
It was recently announced on Reginfo.gov that as of October 13, 2022, the rulemaking process around future medicals (i.e., Medicare Set... more
Ametros Blog
New Self-Administration Toolkit: Beneficiaries Must Report MSA to Part C & D Plans
On August 1st, 2024, Medicare added language to its Workers' Compensation Medicare Set Aside Self-Administration guide instructing injured workers administering their WCMSA funds that they "must"... more
JK
What Happens to Remaining MSA funds After Death?
Many parties to a settlement turn to professional administration of future medical funds because it helps protect everyone involved in a... more
Gallardo v. Marstiller, A Recent US Supreme Court Decision That Merits the Attention of the Workers’ Comp and Liability Communities
In Gallardo v Marstiller, a case decided by the United States Supreme Court this year, the Court considered the question: Does the federal... more
CMS Issues Clarifications around Position on Non-Submit MSAs in Updated Version of the WCMSA Reference Guide
The Centers for Medicare & Medicaid Services (CMS) released Version 3.6 of the Workers’ Compensation Medicare Set Aside (WCMSA)... more
CMS Issues Position on Non-Submit MSAs in Updated WCMSA Reference Guide
The Centers for Medicare & Medicaid Services released Version 3.5 of the Workers’ Compensation Medicare Set Aside (WCMSA) Reference... more
Is it True Congress has Proposed Spending Millions to Monitor State Workers’ Comp Systems?
In recent months, there have been several articles either directly addressing or alluding to the fact a United States House Committee on... more
Medicare Set Aside Regulatory Update
The date for issuance of a proposed rule relating to Medicare Secondary Payer (MSP) obligations around post-settlement medical expenses has... more
The Superior Court of Pennsylvania Offers a Lesson in Allocating Settlement Proceeds
In early August, the Pennsylvania Superior Court issued a decision that is instructive on the allocation of settlement proceeds. The... more
Workers’ Compensation is a Data Driven Industry, Except When It Comes to Settlements
In workers’ compensation, data is at the forefront of many professionals’ work. Lawyers focus on their individual practices... more
A Preventative Measure to Protect an MSA Account During Divorce Proceedings
This summer, The Vermont Supreme Judicial Court issued a decision in the matter of Geraw v Geraw No. 2020-263, June 11, 2021, that is... more
Medicare is a Secondary Payer: Lessons Learned from Medicare Set-Aside Accounts in Workers’ Compensation and How They Might Apply to Liability Settlements
It is the summer of 2001 and the workers’ compensation world is reasonably quiet. In most jurisdictions, the 1980s and 1990s were hotbeds... more
The PAID Act: Opportunities & Challenges Ahead for Claims Payers
Background on PAID Act & Overview of Sec. 111 Query Process The Medicare Secondary Payer (MSP) statute was amended in December of... more
