February 2022

Our e-newsletter for Enterprise Risk Management, Claim Settlement and Healthcare Solutions.

We are looking forward to serving you in 2022 as risk management and claim settlement solutions become more important to your business.  We continue to hope all of our clients and friends are doing well during this challenging time.  Please continue to be safe.  We thank you for trusting us with your risk and claim business needs.

Robert J. Blackburn, Managing Principal

• What Criteria Does CMS Consider for a Medicare Set Aside?

  During the past several months, our clients have asked us to revisit the key criteria for The Centers for Medicare and Medicaid Services (CMS) determining if a Lump Sum or Structured Settlement sufficiently takes into account it’s interests for a Medicare Set Aside (MSA).  Read more >>

  More Risk, Claim and Healthcare News …

  New Medicare MSA Guide.  In a recent updated manual, Medicare has strengthened their position about reporting and approving MSAs, specifically stating in Section 4.3, The Use of Non-CMS-Approved Products to Address Future Medical Care, that CMS may refuse to pay for any medical treatment for a workers’ compensation claimant whose settlement was not reviewed by Medicare until the claimant spends the entire amount of the settlement on medical care.   View article...

  FL Supreme Court Allows Hybrid Model for PIP Claims.  Automobile insurance carriers in Florida may limit reimbursement to health providers in keeping with a fee schedule in a personal injury protection policy.  View article...

  Amazon Expands Health Care Service.  Amazon said it will be expanding its in-person health care service locations accessed through its virtual Amazon Care unit to more than 20 additional cities this year. View article…

  The Five Key Health Behaviors That Reduce Chronic Disease.   In a new study from the Centers for Disease Control and Prevention (CDC), recently published in Preventing Chronic Disease: Public Health Research, Practice, and Policy, it was found that there are a number of health-related behaviors that can lower the risk of chronic diseases. View article...

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