Industry Insights
Medicare and HMOs: A Discussion | 01/29/2006 | ||
State: CA | Segment: | 0 | |||
The following discussion recently appeared in our California Professional Forums. The editors felt this discussion was instructive and informative regarding the role of Medicare and managed care. The post has be...Read More | |||
Medicare Set Asides & Prescription Drugs | 01/14/2006 | ||
State: CA | Segment: | 0 | |||
On December 30th, 2005, the Centers for Medicare & Medicaid Services (CMS) released their internal policy addressing Medicare Part D benefits and its impact on Workers' Compensation Medicar...Read More | |||
More Leno on SJDB Vouchers | 12/31/2005 | ||
State: CA | Segment: | 0 | |||
Proposed SJDB Voucher Penalties Insurers, employers, and third party administrators who fail to provide a Notice of Potential Rights, the SJDB voucher, or payment for supported voucher training may find the oversight expensive if the proposed DWC penalty regulations are implemented. The...Read More | |||
Miceli Unpublished - Now Where are We? | 10/22/2005 | ||
State: CA | Segment: | 0 | |||
by Jake JacobsmeyerThe California Supreme Court issued its order denying the petition for hearing filed by the California Insurance Guarantee Association (CIGA) in the so called Remedy Temp cases, thereby rendering the Court of Appeal decision final in this matter. However, the ...Read More | |||
Medicare Set Aside Myths | 07/29/2005 | ||
State: CA | Segment: | 0 | |||
CMS has issued a new FAQ dated July 11, 2005 which provides its best clarification of several key issues relating to Medicare set-aside allocations in workers' compensation cases. First, Question #1 specifically confirms that...Read More | |||
Medicare Set Asides and Attorney Liability | 07/16/2005 | ||
State: CA | Segment: | 0 | |||
The following is an adaptation of postings made in the WorkCompCentral Professional Forums regarding the liability of attorneys representing injured workers and who fail to make provisions for reimbursement of Medicare via a Medicare Set Aside trust (MSA). T...Read More | |||
Medicare Set Aside Delays: Know What is Required | 06/18/2005 | ||
State: CA | Segment: | 0 | |||
Here is some compelling information released by the Centers for Medicare & Medicaid Services regarding the approval of Workers' Compensation Medicare Set-Aside (WCMSA) Agreements that reflects the potential for significant financial ramifications to insurers. In January of 2005, the C...Read More | |||
MPNs - We're Not in Kansas Any More | 06/04/2005 | ||
State: CA | Segment: | 0 | |||
The following is a summary of a series of questions and answers that recently comprised a discussion on the WorkCompCentral Professional Forums entitled Please share your exp. with MPNS. The Forum postings have b...Read More | |||
MILK: Using the Law to Help You Fight Fraud | 12/19/2004 | ||
State: CA | Segment: | 0 | |||
By Brent Heurter A myth among employers that must be eliminated, destroyed and dismantled is that employers can do nothing about Insurance Fraud. California's insurance code, like many state fraud provisions, provides one of the best opportunities for the government and the private sector...Read More | |||
MPN Regulations - An Alternative Perspective | 10/09/2004 | ||
State: CA | Segment: | 0 | |||
The following is a rebuttal view point to the article by York McGavin, which appeared in this space during the last article rotation period, on the issue of the presently proposed Medical Provider Network regulations. Since the article by McGavin, and this rebuttal, the regulations have again been a...Read More | |||