Tower’s Dan Anders says “It’s Still OK to Submit an MSA” in WorkCompWire article

April 26, 2019

The concept of not submitting a Medicare Set-Aside (MSA) for approval from the Centers for Medicare and Medicaid Services has become an increasingly popular topic in workers’ compensation.  This week’s WorkCompWire Leaders Speak features Tower Chief Compliance Officer Dan Anders’ insight on why it’s still OK to submit an MSA.

 

The article can be found here.

Tower CEO Rita Wilson Talks MSAs and Metrics in WorkCompWire’s Leaders Speak

April 18, 2019

How can you use metrics to evaluate your MSP compliance and MSA programs? And, what metrics apply? Tower CEO Rita Wilson shares key performance indicators, ways payers can use them in the settlement process and apply settlement strategies to on-going claims management in this week’s WorkCompWire Leaders Speak.

Here’s a brief excerpt:

“When issues are detected, the same clinical interventions (pharmacist-to-physician contact or physician peer review) used in the MSA process can be used to ensure the injured worker receives appropriate treatment and reduce costs to the claim. Payers can mitigate their eventual MSA exposure by managing the claim for settlement, and the PBM can help, but only if they know what will happen downstream.

Some payers tend to isolate MSP compliance, but it’s actually a continuation of claims management and critical to pre-settlement analysis. If payers have a high drug spend throughout the life of the claim, they are accepting a lifetime of spend at settlement. If they implement clinical interventions to reduce pharmacy usage early in the claim, they reduce its overall costs.”

Read the full article:Rita Wilson: Applying Settlement Strategies to Improve Ongoing Claims Management

Related:

What Gets Measured Gets Managed…. What’s Your Number?

Tower MSA Partners Presents a Premier Webinar: Leveraging Metrics and MSA Partner Relationship to Settle Claims

April 2, 2019

banner for 2019 tower msa partners webinar details

On April 24, Tower MSA Partners CEO Rita Wilson and Chief Compliance Officer Dan Anders will host a lively hour-long webinar that explains how to measure the performance of an MSA program and identifies the metrics needed. They also discuss ways to strengthen the payer/provider relationship in order to produce lower allocations on CMS-approved MSAs and quicker claims closures. Discussion points include:

 

  • How to measure your MSA program performance – what metrics should you use?
  • MSA drafting and review factors that impact MSA performance
  • Implement simple strategies to effectively work with your MSA partner and settle claims
  • Make your MSA provider part of your settlement team

The webinar also highlights how Tower’s key performance metrics compare to some national standards, giving examples of metrics that determine whether a program is successful. The free webinar will be held April 24 at 2 p.m. Eastern.

 

Hope you will join!

 

Dan Anders

Chief Compliance Officer

 

Register Here