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Industry Insights

 

Anders: Tower's MSP Compliance Countdown 12/23/2019
By: Dan Anders
State: NA | Segment: Top | 0
As we come to the end of 2019, put on your party hats, toot your horns and clink your champagne glasses as we introduce Tower’s MSP Compliance Countdown. ...Read More
 
 

Anders: CMS Releases Version 3.0 of WCMSA Reference Guide 11/12/2019
By: Dan Anders
State: NA | Segment: Top | 0
The Centers for Medicare and Medicaid Services recently released Version 3.0 of its WCMSA Reference Guide, what we informally call the “MSA bible.” The reference guide provides most CMS policy and procedures relating to its review of workers’ compensation Medicare set-aside...Read More
 
 

Anders: U.S. Appellate Court Holds Guaranty Fund Not a Primary Plan Under MSP Act 10/23/2019
By: Dan Anders
State: CA | Segment: Top | 0
In an Oct.10 decision from the U.S. Court of Appeals for the 9th Circuit, the California Insurance Guarantee Association (CIGA) was found not to be a primary plan under the Medicare Seco...Read More
 
 

Akkarachittor: How Machine Learning and AI Can Help Reduce Risk 10/15/2019
By: Pramod Akkarachittor
State: NA | Segment: Top | 0
Risk management is integral to insurance, but it’s traditionally been an inexact science. Thanks to recent technological advances, however, risk management is about to get a long overdue upgrade. ...Read More
 
 

Anders: Why 'Whoops, I Forgot to Terminate ORM' Can Cause Big Problems 09/30/2019
By: Dan Anders
State: NA | Segment: Top | 0
The famed University of Alabama football coach Paul “Bear” Bryant said, “When you make a mistake, there are only three things you should ever do about it: Admit it, learn from it and don’t repeat it.”  ...Read More
 
 

Addington: Rest in Peace, Scheduled Members 09/23/2019
By: Brian Addington
State: TN | Segment: Top | 0
I went out for lunch the other day and heard an ’80s song that I had not heard in years, "Head to Toe," by Lisa Lisa and Cult Jam. That song really got in my head, and I came back to the office thinking about it. Eventually, it led me to think about injuries from head to toe. ...Read More
 
 

Anders: What Generic Lyrica Means for MSAs 08/05/2019
By: Daniel M. Anders
State: NA | Segment: Top | 0
On July 19,  the Food and Drug Administration approved multiple applications for the first generics of Lyrica (pregabalin). This follows the expiration of Pfizer’s patent on Lyrica at the end of June. The generic is expected to be available at pharmacies in the coming weeks. ...Read More
 
 

Anders: What Does Generic Lyrica Mean for MSAs? 08/01/2019
By: Dan Anders
State: NA | Segment: Top | 0
On July 19, the Food and Drug Administration approved multiple applications for the first generics of Lyrica (pregabalin). This follows the expiration of Pfizer’s patent on Lyrica at the end of June. The generic is expected to be available at pharmacies in the coming weeks. ...Read More
 
 

Aoudi: Does Great Video Evidence Need to Be Disclosed Prior to Depos? 06/24/2019
By: Dana F. Aoudi
State: CA | Segment: Top | 1
Although applicants' attorneys may be entitled to discover sub rosa video that could poke holes in an applicant’s story, defendants need not provide the films prior to the deposition, according to a 1989 panel decision. ...Read More
 
 

Anders: MSA Amended Reviews Promote Case Closures 06/04/2019
By: Dan Anders
State: NA | Segment: Top | 0
Two years ago, the Centers for Medicare and Medicaid Services rolled out a policy that enabled submission of a new Medicare set-aside even if an MSA had previously been approved for the same date of injury. ...Read More
 
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