Author: Joseph Gregorio

Between the Numbers: CMS Releases (Some) Data on WCMSA Submissions and Approvals From the Last Three Years

12.7.2022 Blog
CMS released some data for their WCMSA approvals over the last three years. The data suggests that CMS increased the proposed WCMSA amounts by 14% on average, and shows that the number of WCMSAs submitted to CMS each year are trending down. Despite the limited data provided, there are other potential implications for WCMSA submitters.

SCOTUS Set to Decide What Constitutes a Conditional Payment in the Context of a Health Plan’s Alleged Discrimination of ESRD Patients

6.15.2022 Blog
The United States Supreme Court (SCOTUS) is set to decide a case concerning what qualifies as a conditional payment, and the ability of health care providers to utilize the Private Cause of Action (PCA) in the context of a health plan’s alleged discrimination of Medicare-eligible patients.

Illinois COVID-19 Presumption of Compensability “Expires”

8.18.2021 Blog
On May 21, 2020, amendments to the Illinois Occupational Diseases Act created a rebuttable presumption in favor of compensability for COVID-19 first responders and front-line workers  who contract COVID-19; the expansive definition of “front-line workers” is based on occupations identified in the Governor’s Executive Order 2020-10 and includes employees of grocery stores, banks, postal workers, public transportation, hardware stores, etc. provided that their occupation required them to encounter members of the general public or to work in locations of more than 15 employees.