Tower News

Stay up to date on Tower MSA Partners news and events

Tower’s Dan Anders Comments on NY Ban on Hold-Harmless Clauses in Settlement Agreements

Posted on March 6, 2020 by Tower MSA Partners

New York Workers’ Compensation Board recently issued a bulletin indicating it will not approve settlements requiring injured workers to indemnify or hold insurers harmless if Medicare demands future reimbursements. Tower’s Chief Compliance Officer Dan Anders said the board may be responding to a growing trend of MSAs and settlements that are not submitted to Medicare for review. See WorkCompCentral’s coverage here (subscription required)

Cybersecurity Webinar Garners More Coverage

Posted on March 6, 2020 by Tower MSA Partners

Cybersecurity is a hot topic and a major threat to all businesses and organizations – especially those handling personal health data.  Risk & Insurance’s Courtney DuChene covers the threat in detail, including data from Tower MSA Partners’ cybersecurity webinar and a separate webinar featuring Safety National’s Mark Walls.  Read it here: hipaa violations are just one of the exposures in a workers comp industry cyber attack

Business Insurance: Insurers could face stiff MSP penalties

Posted on March 3, 2020 by Tower MSA Partners

Business Insurance’s Angela Childers examined CMS’s proposed rules for Section 111 Mandatory Insurer Reporting penalties in this Feb. 26 article.  She quoted Tower’s Chief Compliance Officer Dan Anders on the severity of the possible $1,000 per-day-per-claim penalty for not reporting MSP data or not reporting it with sufficient accuracy. You don’t want to face a $365,000 or more penalty. See Dan’s post for proposal details and contact him at Daniel.anders@towermsa.com for direction on how to submit comments and prepare for the impending penalties.

Cybersecurity Threats & You

Posted on March 3, 2020 by Tower MSA Partners

Many businesses don’t think a data breach will happen to them; small businesses especially assume they’re too small to attack. However, Tower’s Feb. 19 cybersecurity webinar featured a survey that showed that 11% of very small businesses and 44% of midsized organizations experienced a data breach in the last 12 months.  A quarter of these companies had to file for bankruptcy, 10% went out of business entirely. See Nancy Grover’s excellent coverage of the webinar for workerscompensation.com.  And, you can watch the webinar at Tower’s webinar.

Tower to Speak at WCI

Posted on February 17, 2020 by Tower MSA Partners

WCI notified Tower MSA Partners that our proposal on Managing CAT Claims was accepted for the National Trends track at the 2020 conference (August 16-19).  The session will present strategies for managing and settling complicated, high-cost catastrophic claims.  Using case studies, a panel of experts examine key decisions that led to positive outcomes. While not all catastrophic claims settle, with the right strategies, resources and partners, many that haven’t, could. Plan to attend! #WCI2020.

Tower’s Dan Anders is New NAMSAP VP

Posted on February 7, 2020 by Tower MSA Partners

The National Alliance of Medicare Set-Aside Professionals (NAMSAP) has announced its 2020 Board of Directors, including our Chief Compliance Officer Dan Anders, who was elected by the board as Vice President. Dan will work closely with NAMSAP President Ciara Koba of Gordon Rees and other board members to continue their effective dialog with CMS on a range of MSP compliance matters.  In addition to serving as Vice President, Dan is co-chair of the Policy & Legislative Committee which reviews and provides recommendations to the board concerning proposed MSP legislation and CMS policy.

For details, see the article in WorkCompWire.

New Guide to Medical Treatment After Settlement

Posted on December 13, 2019 by Tower MSA Partners

The Tennessee Bureau of Worker’ Compensation recently published the “30-Minute Guide to Medical Treatment after Settlement.”  Tower’s Chief Compliance Officer Dan Anders was a significant contributor to the guide, along with Ametros’ Dorothy Holland and Humana’s Brian Bargender, CRSP. 

An educational resource for the state’s injured workers who are deciding whether to settle the medical portion of workers’ compensation claims, the guide covers: 

  • Lifetime medical benefits vs. closed medical benefits
  • How future medical costs are calculated
  • Settlement negotiations
  • Workers’ Compensation Medicare Set-Asides (WCMSAs)
  • Self-Administration vs. Professional Administration of post-settlement medical funds

Designed to help injured workers better understand open lifetime medical benefits and the consequences of closing their workers’ compensation claims, the guide helps injured workers carefully consider their options and make informed decisions. The 19-page PDF is available at https://www.tn.gov/content/dam/tn/workforce/documents/injuries/30MinuteGuidetoMedicalTreatmentafterSettlement.pdf

Tower MSA Partners Engages Vigilant Technology Solutions to Add Another Layer of Data Security

Posted on November 13, 2019 by Tower MSA Partners

DELRAY BEACH, Fla.–As part of its commitment to continually enhance its technology, improve data security and combat cyber threats, Tower MSA Partners, which provides Medicare Secondary Payer services to the workers’ compensation and liability industries, has entered a partnership agreement with Vigilant Technology Solutions. An Ohio-based cybersecurity firm, Vigilant is providing its powerful CyberDNA Managed Network Security Monitoring service.

Read it here

Get Measurably Better Results with Tower MSA Partners

Posted on October 28, 2019 by Tower MSA Partners

Some employers, carriers and other payers think Medicare Set-Asides (MSAs) are all pretty much the same, a commodity.  A company calculates future medical expenses and sends a report with an allocation to the Centers for Medicare and Medicaid Services (CMS), and there’s not much to be done about it. 

That just isn’t true.  There are many ways to reduce allocation amounts while protecting Medicare and ensuring appropriate care for injured workers.  And, some MSA companies are better than others. 

Tower MSA Partners continuously measures our MSP compliance and MSA performance and uses the data to re-engineer our processes and challenge CMS, when necessary.    

Our data shows 66% of our MSAs have no dollars allocated for pharmacy and 77% have no dollars allocated for opioids.  Keep in mind that these are MSAs that CMS has approved.   

Benchmarking our results against CMS gives us insight in how to draft MSAs that can be easily and quickly approved. A good 74% of the MSAs we submit are approved by CMS – with no counter higher. 

Our Pre-Triage service identifies inappropriate medical and pharmacy treatment and other obstacles to settlement.  The clinical interventions we recommend and deliver dramatically reduce allocation amounts.  We balance care, compliance and cost to optimize our clients’ MSAs, and we were able to achieve cost savings from 61% of the MSAs we produced so far in 2019. 

What are your numbers?  If you’re not seeing numbers like these, visit Booth #2517 and start getting results that are measurably better. 

TowerMSA.com

NWCDC Panel to Feature Tower’s Dan Anders & Anne Alabach of CPC Logistics

Posted on October 17, 2019 by Tower MSA Partners

Tower’s Chief Compliance Officer Dan Anders to present at NWCDC!

You may not realize how much your relationship with your Medicare Set-Aside vendor affects MSA allocation amounts and the time it takes to settle and close a claim. 

Tower’s Chief Compliance Officer Dan Anders and Anne Alabach, Workers’ Compensation Department Manager for CPC Logistics, will share strategies for “Achieving Great Outcomes with your MSA Vendor,” starting at 1:45 p.m. on Nov. 7 at NWCDC.

Attendees will learn how to:

  • Partner with your MSA vendor to drive down costs and reduce turnaround times
  • Identify variables that impact MSA amounts and cause delays in CMS approvals
  • Identify metrics needed to evaluate success or point to needed improvements

Case studies will illustrate the ability of legal and clinical interventions to reduce MSA costs, effectively challenge CMS responses, and offer practical advice for improving your MSA program. Read more at: Tower MSA Partners Dan Anders and CPC Logistics Anne Alabach will present “Achieving Great Outcomes with your MSA Vendor” at NWCDC.

Put the session in your calendar right now & visit us at Booth #2517 to learn how Tower can help you optimize your MSP compliance and MSA programs. 

NWCDC will be held at Mandalay Bay in Las Vegas and more details can be found at https://www.wcconference.com/

Related:

Medicare Set-Aside (MSA) – Addressing cost drivers and barriers to claim closure and smoothing the path to CMS approval and settlement

MSA 2nd Opinions – MSA too high? Get an MSA 2nd Opinion from Tower

For Media Inquires, Contact:

Helen King Patterson
813.690.4787
helen@kingknight.com

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