Rafael Gonzalez, Esq., President, Flagship Services Group
On July 31, 2017, CMS published Version 2.6 of the Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide. The latest version of the Guide includes the following changes:
As I blogged about in and CMS has been hinting about liability and no-fault set asides for a while. In February of 2017, they dropped another clue that they are getting ready for liability and no-fault Medicare set-asides.
2015 was another banner year for property and casualty insurers, writing close to $600 billion worth of insurance. Is this growth and success the reason for the Centers for Medicare and Medicaid Services' (CMS) recent announcement on June 8, 2016, in which CMS indicated it is considering expanding its voluntary Medicare Set Aside (MSA) review process to include the review of proposed liability insurance (including self-insurance) and no-fault insurance MSA amounts? Or are there other reasons for such an attempt by CMS at this time?
We recognize your confusion. Claims adjusters, lawyers, and claimants themselves have a hard time understanding whether or not they need (or should get) a Medicare Set-aside Arrangement (MSA). We often hear that understanding MSAs can be a challenge because of varying opinions on compliance and admittedly, vague Medicare laws on the subject.
Many companies write, evaluate, and offer services for Workers’ Compensation Medicare Set-Aside Arrangements (WCMSAs). Do these companies take into consideration your unique claim circumstances, your company’s risk tolerance and your overall claims management strategy?
Let’s start with a brief overview of the typical WCMSA process and the key details to consider as you choose a Medicare compliance partner.
Common Medicare Set-Aside (MSA) myths or mistakes persistently come up despite the best efforts of attorneys, consultants, financial professionals, and a Medicare compliance service provider, like Flagship Services Group, to squash them.
P&C insurance companies that routinely process worker’s compensation and liability claims, and even the individual claims examiners and claims managers who are responsible for overseeing the claim and settlement process, are losing money, time, and becoming increasingly frustrated with a process that should be fairly straightforward.