Hear what our attorneys are saying

24
Apr 2019

Answers by Amy

By Amy Bilton     

  A few months ago, we submitted an MSA in a case where Lyrica was being prescribed “off-label” for a diagnosis of lumbar radiculopathy.  CMS included it in the MSA.  The inclusion of Lyrica inflated the MSA astronomically, and nearly prevented the case from settling.  I received this question:  “How can the rules just change
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24
Apr 2019

Medicare Electronic Payments

By MSA Team     

  By: Timothy Mercer and Christi Allison Until recently, Beneficiaries were able to make payments electronically via Mymedicare.gov for conditional payment cases at the Benefits Coordination and Recovery Center (BCRC), but primary payers could only pay by check through the mail. On April 1, 2019, the Medicare Secondary Payer Recovery Portal (MSPRP) was updated with
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24
Apr 2019

Projecting for MSAs in the Midst of Differing Opinions in California Cases, a Nurse Allocator’s Perspective

By Andrea Hritz     

  Projecting for Workers’ Compensation Medicare Set‐Asides (MSA) in order to prevent a cost shift burden to Medicare has been an evolutionary process since it began. In the past, attorneys and Nurse Allocators largely depended on the injured worker’s treatment records and payment histories to reasonably project for injured worker’s future medical needs pertinent to
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24
Apr 2019

“Medicare for All” for the MSP Mindset

By Julie A. Garrison     

  As the new Congress settles in and the presidential campaigns heat up, there is renewed talk of “Medicare for All.” The possibility of universal health care insurance raises questions over how CMS/Medicare would manage workers’ compensation claims and the coordination of benefits when everyone is covered by a government-run, single-payer system. No doubt there
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24
Apr 2019

Economic Consequences of the Opioid Epidemic

By Geraldine Balow     

  In March of 2018, the Centers for Disease Control and Prevention reported there were 63,632 drug overdose deaths in 2016; 42,249 (66.4%) involved an opioid. The CDC also reported America’s overdose epidemic was spreading geographically and increasing across demographic groups. Overdose deaths increased in all categories of drugs examined for men and women, people
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