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Breaking Down Medicare’s Updated Guides & Toolkits  
Breaking Down Medicare’s Updated Guides & Toolkits  

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 […]
Are you Ready? Ensuring Your Workers’ Compensation Medicare Set Aside Program is in Order  
Are you Ready? Ensuring Your Workers’ Compensation Medicare Set Aside Program is in Order  

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. […]
Medicare Issues Policy Change to Amended Review Process for Workers’ Compensation Medicare Set Asides  
Medicare Issues Policy Change to Amended Review Process for Workers’ Compensation Medicare Set Asides  

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 […]
Saved by Zero: Important Updates to the Workers’ Compensation MSA Reference Guide 
Saved by Zero: Important Updates to the Workers’ Compensation MSA Reference Guide 

On January 17, 2025, the Centers for Medicare & Medicaid Services (CMS) issued an updated Workers’ Compensation Medicare Set Aside (WCMSA) Reference Guide (v4.2). There were several changes, but the most important relates to the […]
Medicare Releases Updated Data on Workers’ Compensation Medicare Set Asides  
Medicare Releases Updated Data on Workers’ Compensation Medicare Set Asides  

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) […]
Medicare Parts C & D Have Entered the Work Comp MSA Chat  
Medicare Parts C & D Have Entered the Work Comp MSA Chat  

Shawn Deane  General Counsel & Vice President of Claims Solutions | J29  Shawn.Deane@j29inc.com     On August 1, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued updates to the Workers’ Compensation Medicare Set Aside Reference […]
Upcoming Reporting Changes Emphasize Importance of Post-Settlement Workers’ Compensation MSA Administration
Upcoming Reporting Changes Emphasize Importance of Post-Settlement Workers’ Compensation MSA Administration

Shawn Deane General Counsel & Vice President of Claims Solutions | J29 Shawn.Deane@j29inc.com   As previously reported on in www.workerscompensation.com, the Centers for Medicare & Medicaid Services (“CMS”) plans to implement Sec. 111 reporting requirements relative […]
How AI Can Improve Treatment & Cost Forecasting Accuracy Within the Medicare Set-Aside Process 
How AI Can Improve Treatment & Cost Forecasting Accuracy Within the Medicare Set-Aside Process 

By Kimberly Wiswell, Director of Client Services, Embedded AI, Gradient AI   Medicare Set-Aside Arrangements (MSAs) are an important part of workers’ compensation programs and assist in earmarking settlement funds to cover future medical expenses stemming from […]