In 2017, the U.S. Centers for Medicare and Medicaid Services (CMS) began allowing older Medicare set aside arrangements (MSAs) for workers’ compensation to be reviewed and approved a second time. Prior to the introduction of this process, known as “a…
Effective management of the costs associated with liability and workers’ compensation claims in the U.S. must include assuring compliance with the requirements of Medicare. It’s a tricky system to navigate and a bit of a moving target, but our team o…
Staying in the know about what’s happening with Medicare is critical, as the changes to regulations can have an impact on workers’ compensation for payers. Recently, the Centers for Medicare & Medicaid Services (CMS) released Version 3.0 of the WCMSA…
Sedgwick SVP Medicare Compliance, Michael Merlino is featured in an article that focuses on how Medicare set-asides with money earmarked for opioids is drawing national attention. Mr. Merlino explains Medicare set-asides and the green light for futu…
On September 1, CMS hired Capitol Bridge, LLC to be the new review contractor for MSAs. According to CMS employees that we’ve spoken to, the transition is currently underway. The old contractor is staying on for an indeterminate amount of time to h…
For the past several years, the Centers for Medicare & Medicaid Services (CMS) has been providing the industry with vague hints about liability Medicare set-aside arrangements (LMSAs). The absence of clarity left the liability community unable to…
What if I told you that you could save $185,000 at no cost to you? No, I am not advertising for some late night TV infomercial where the offer is too good to be true. I am talking about the world of Medicare set-asides (MSA). It is well known that pr…
If you have been trying to keep up with the latest Medicare compliance changes, you might feel like you are watching the carnival vendor who used to say, “around and around it goes and where it stops nobody knows.” Fortunately, with these answers y…
Read the latest from Sedgwick’s Medicare compliance unit, including details on our new Medicare concierge service.
Speculation is rife about what will happen with healthcare in 2014. Now one of the first predictors has publicly voiced its opinion. On Wednesday, I read with great interest that Moody's revised its outlook for the U.S. healthcare sector to negativ…
In any given week, a health care risk manager can find themselves involved in something new – investigating a patient injury, preparing a statement for a liability claim, educating staff on safety, assisting in designing risk transfer or financing …
The ongoing shutdown of the U.S. federal government has had an adverse effect on numerous other agencies and departments.
Michael explains that a slight wording change to the legislation could create big savings for smaller employers if they accidentally fail to report a Medicare-related claim settlement to the Centers for Medicare and Medicaid Services. He also talks …
The Medicaid health program is a state/federal partnership that covers nearly 50 million low income Americans. The expansion of Medicaid under the Affordable Care Act (ACA) may result in increased expenditures for both the federal and state governmen…
On December 21, 2012, we were very pleased to learn that, by a unanimous vote andjust one week after their counterparts in the U.S. House of Representatives, the U.S. Senate passed the Strengthening Medicare and Repaying Tax Payers (SMART) Act.