A recent California study of Workers’ Compensation (WC) Medicare Set Aside (MSA) cases shows almost 70% include future funding for opioid use, even as the nation faces an opioid epidemic. The cases often exceed federal and state clinical guidelines which place claimants at a high level of risk for dependence and multi-drug interactions causing adverse effects.
Latest Medicare Set Aside News
Recently, the Centers for Medicare & Medicaid Services (CMS) awarded a new contract for Workers' Compensation Review Contractor (WCRC) administration to Capital Bridge, LLC, a small government contactor with 2 employees, for review of Medicare Set Asides (MSAs). Two other companies submitting bids for the work have protested the award, and CMS has issued a stop work order.
In January of this year, the U.S. District Court for the Central District of California provided relief to the California Insurance Guarantee Association (CIGA) from Medicare demands that CIGA pay full invoices of provider charges, regardless of applicability to the referenced case.