Industry Insights
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Anders: CMS Introduces Pre-CPNs and Open Debt Reports | 01/29/2020 | |
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| By: Dan Anders | |||
| State: NA | Segment: Top | 0 | |||
| On Jan. 14, the Centers for Medicare and Medicaid held a town hall to discuss common Commercial Repayment Center (CRC) NGHP ORM Recovery topics. In attendance on the call were various officials from CMS as well as Performant Recovery, the CRC contractor. ...Read More | |||
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Anders: 400-Week Statutory Cap on Care Limits MSAs | 01/09/2020 | |
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| By: Dan Anders | |||
| State: GA | Segment: Top | 0 | |||
| Obtaining Centers for Medicare and Medicaid recognition of state statutory limitations on medical care in order to limit the Medicare set-aside allocation has always proven difficult, but not impossible. ...Read More | |||
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Anders: Tower's MSP Compliance Countdown | 12/23/2019 | |
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| 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 | |||
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Anders: CMS Releases Version 3.0 of WCMSA Reference Guide | 11/12/2019 | |
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| 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 | |||
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Anders: U.S. Appellate Court Holds Guaranty Fund Not a Primary Plan Under MSP Act | 10/23/2019 | |
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| 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 | |||
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Akkarachittor: How Machine Learning and AI Can Help Reduce Risk | 10/15/2019 | |
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| 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 | |||
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Anders: Why 'Whoops, I Forgot to Terminate ORM' Can Cause Big Problems | 09/30/2019 | |
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| 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 | |||
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Addington: Rest in Peace, Scheduled Members | 09/23/2019 | |
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| 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 | |||
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Anders: What Generic Lyrica Means for MSAs | 08/05/2019 | |
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| 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 | |||
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Anders: What Does Generic Lyrica Mean for MSAs? | 08/01/2019 | |
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| 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 | |||
