Each year, Medicare is required to report to Congress the computation of Annual Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers’ Compensation Settlement Recovery Medicare Secondary Payer (MSP) Thresholds. The threshold amounts are set so that the average cost of collecting conditional payments is at least equal to the amount credited to the Medicare Trust Fund.
Latest Medicare Set Aside News
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.
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.