By: Sara Magee MSPA, CMSP, Director of Medicare Reporting  The Medicare Secondary Payer (“MSP”) statute plays a critical role in protecting the Medicare Trust Fund by ensuring that Medicare does not pay for medical expenses when another […]

By Jeff Stinson  In the last several years, the Centers for Medicare & Medicaid Services has instituted a number of changes in its processes and procedures. These changes have affected both the submission and review of Medicare Set-Asides (MSAs) but most notably the reporting […]

As we look ahead in 2026, one thing is clear: Medicare Secondary Payer (MSP) compliance is no longer a “back office” issue; it is a “front-line” risk management priority. Regulatory pressure continues to mount, the Centers for Medicare and Medicaid Services (CMS) has sharpened its enforcement tools, […]

Although we haven’t seen as many updates as we did at the beginning of 2025 regarding Workers’ Compensation Medicare Set Asides (MSAs), there have been some noteworthy updates over the past two weeks.   Medicare to […]

The Medicare Secondary Payer (MSP) Act is federal law that intersects with workers’ compensation (and other non-group health insurance types) and is statutorily and regulatorily based. However, many of the mechanisms that effectuate and enforce […]

The day is drawing near. Beginning on April 4, 2025, workers’ compensation insurance carriers and self-insured entities must report certain data related to settlements with Medicare beneficiaries that include a Medicare Set Aside (MSA).   Sec. […]

January isn’t over and we’ve already seen our second policy change from the Centers for Medicare & Medicaid Services (CMS) in 2025 affecting Medicare Set Asides (MSAs). The first came by way of an alteration […]

Shawn Deane  General Counsel & Vice President of Claims Solutions | J29 Solutions    Shawn.Deane@j29inc.com     On November 25, 2024, the Centers for Medicare & Medicaid Services (CMS) released a report titled, “Workers’ Compensation Medicare Set-Aside (WCMSA) […]