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Tower’s New White Paper Featured in WorkCompCentral.com Article

Posted on September 17, 2018 by Tower MSA Partners

What is the story on Liability MSAs? Tower’s Dan Anders gives some background and offers ways to prepare liability claims until CMS provides more direction in a new white paper, publicized in this WorkCompCentral.com article.

Download the white paper from here.

WorkCompCentral, Tower MSA Partners & Ametros Invite You to a Webinar on Optimizing MSAs: Before & After Settlement

Posted on September 4, 2018 by Daniel Anders

The trusted source for the latest news in workers’ compensation, WorkCompCentral.com, hosts the leading innovators in Medicare Set-Aside development and administration, Tower MSA Partners and Ametros, in an upcoming webinar on the topic of Optimizing MSAs: Before & After Settlement. This free one-hour webinar will be presented by Tower Chief Compliance Officer Dan Anders, Ametros CEO Marques Tolbert, and will be held on Thursday, October 18, 2018 at 2 PM EDT.

Overview:

Settling work comp claims calls for a tricky balance. Payers want to limit the amount of money that is allocated to a Medicare Set-Aside and injured workers worry about running out of money for their work-injury related medical bills. How do you balance these competing interests? This webinar shows how pairing an intervention-driven MSA partner with a supportive professional administrator can produce a fair and reasonable MSA allocation and still protect and extend those allocation dollars over an injured worker’s life expectancy.

Attendees Will Learn How:

  • To balance the interests of payers and injured workers when settling claims.
  • An accurate drafting of the MSA provides its own cost savings.
  • To identify MSA cost drivers and how to apply clinical interventions to reduce them.
  • The right professional administrator can reduce the costs of medical and pharmacy care for the injured worker after settlement.
  • Professional administration can support an injured worker after settlement and protect and extend the life of the settlement

These lessons will help you drive claims to settlement and reduce those settlement costs while ensuring the injured worker has sufficient funds for future medical care. Don’t miss this opportunity to learn from these MSA experts!

Registration can be completed by following this link to the WorkCompCentral website or calling (866) 975-2667.

Thank you!

Tower MSA Partners Sponsored WCI-TV Highlights WC Leaders at the 2018 WCI Conference

Posted on August 23, 2018 by Tower MSA Partners

Tower MSA Partners was pleased to once again sponsor WCI-TV at the recently concluded 2018 WCI Educational Conference. Following last year’s theme, which explored opioids in WC claims, this year Tower MSA featured interviews with the preeminent professionals in the Workers’ Compensation Industry on the topic of Knocking Down Barriers to Settlement of Claims.

Tower MSA invites you to watch these short and informative interviews from these leaders in the field of Workers’ Compensation:

Anne Alabach, Workers’ Compensation Department Manager, CPC Logistics

Quick take: “We try to be transparent with our drivers from the onset of a claim.”
See Anne’s full interview here.

Dan Anders, Chief Compliance Officer, Tower MSA Partners

See Dan’s interview introducing the WCI-TV theme of Knocking Down Barriers to Settlement of Claims here.
See Dan’s interview providing a synopsis of lessons learned from the WCI-TV interviewees here.

Kimberly George, Senior Healthcare Advisor, Sedgwick Claims Management Services

Quick take: “The earlier you can begin talking about settlement the better, we shouldn’t be afraid of that.”
See Kimberly’s full interview here.

Andy Olwert, President, Next Level

Quick take: “Treat the injured worker the way we would like to be treated”
See Andy’s full interview here.

Michael Stack, CEO, AMAXX, LLC.

Quick take: Michael Stack highlighted the importance of leveraging vendor partners to identify claims ready for settlement
See Michael’s full interview here.

Marques Torbert, CEO, Ametros

Quick take: Marques Torbert explains how being an advocate for the injured worker can knock down barriers to settlement.
See Marques’ full interview here.

Mark Walls, Vice President of Communications and Strategic Analysis, Safety National

Quick take: “The time to control your medical costs isn’t when you are trying to settle your claim, its well before that.”
See Mark’s full interview here.

Tower MSA Partners Sponsored WCI-TV Highlights WC Leaders at the 2018 WCI Conference

Posted on August 23, 2018 by Daniel Anders

Tower MSA Partners was pleased to once again sponsor WCI-TV at the recently concluded 2018 WCI Educational Conference. Following last year’s theme, which explored opioids in WC claims, this year Tower MSA featured interviews with the preeminent professionals in the Workers’ Compensation Industry on the topic of Knocking Down Barriers to Settlement of Claims.

Tower MSA invites you to watch these short and informative interviews from these leaders in the field of Workers’ Compensation:

Anne Alabach, Workers’ Compensation Department Manager, CPC Logistics

Quick take: “We try to be transparent with our drivers from the onset of a claim.”
See Anne’s full interview here.

Dan Anders, Chief Compliance Officer, Tower MSA Partners

See Dan’s interview introducing the WCI-TV theme of Knocking Down Barriers to Settlement of Claims here.
See Dan’s interview providing a synopsis of lessons learned from the WCI-TV interviewees here.

Kimberly George, Senior Healthcare Advisor, Sedgwick Claims Management Services

Quick take: “The earlier you can begin talking about settlement the better, we shouldn’t be afraid of that.”
See Kimberly’s full interview here.

Andy Olwert, President, Next Level

Quick take: “Treat the injured worker the way we would like to be treated”
See Andy’s full interview here.

Michael Stack, CEO, AMAXX, LLC.

Quick take: Michael Stack highlighted the importance of leveraging vendor partners to identify claims ready for settlement
See Michael’s full interview here.

Marques Torbert, CEO, Ametros

Quick take: Marques Torbert explains how being an advocate for the injured worker can knock down barriers to settlement.
See Marques’ full interview here.

Mark Walls, Vice President of Communications and Strategic Analysis, Safety National

Quick take: “The time to control your medical costs isn’t when you are trying to settle your claim, its well before that.”
See Mark’s full interview here.

NAMSAP Bulletin Highlights Meeting with CMS on Liability MSA Reviews

Posted on August 16, 2018 by Daniel Anders

Recently, the National Alliance of Medicare Set-Aside Professionals (NAMSAP) released a Special Edition Bulletin providing insight into a meeting between CMS and NAMSAP representatives on the topic of the planned expansion of the Workers’ Compensation MSA review process to liability MSA Reviews.  NAMSAP’s April 2018 meeting was one of several with stakeholder organizations.

Your writer was one of the NAMSAP representatives who had the privilege of meeting with CMS to hear and discuss how such a Liability MSA Reviews may work.   Mr. Tom Stanley, the Co-Chair of NAMSAP’s Liability Committee provided a summary of the following meeting highlights in the bulletin:

  • CMS stated they have an 18-month timeframe (from April 2018) before it rolls out a LMSA Review program.
  • The program would be voluntary.
  • CMS has indicated that their enforcement mechanism is the denial of services.
  • CMS felt strongly that the injured party must receive something (free and clear) through settlement.
  • CMS would not review an LMSA until Settlement has been reached.
  • CMS feels a LMSA is exclusively the responsibility of the plaintiff.
  • Regarding LMSA’s, CMS made it clear that the defendant(s), and their insurers, are not a target.
  • Medicare pricing of services was discussed.
  • CMS does not feel it can mandate professional administration.
  • CMS would publish a LMSA Reference Guide.
  • Eligibility remains the same as the current WCMSA system – Medicare beneficiaries or injured parties who have a reasonable expectation of Medicare eligibility within 30 months. Per statute, Medicare’s interest must be considered in every claim.
  • A workload threshold of $250,000 is anticipated – “NO SAFE HARBOR”. This level mirrors the $25,000 workload threshold for WCMSA’s.
  • For settlements between $250,000 and $750,000 threshold, CMS approval is available and encouraged by CMS. CMS would apply “a formula” to determine the LMSA amount. Starting with the total settlement amount, CMS would subtract certain expenses and apply the discount factor to total settlement.
  • Above $750,000 level is a full commutation. A traditional MSA would be prepared and, if submitted to CMS, evaluated by CMS for adequacy.

As Mr. Stanley advised, “everything discussed in the meeting was subject to change and related to liability Medicare Set-Asides only.”  I would like to emphasize that point as well.  You should not in anyway take the above points as final, rather they are points of discussion as CMS continues to listen to stakeholders and assess the best method for protecting Medicare’s interests in post-liability settlement injury-related medical.

Importantly, CMS realizes that in protecting those interests an eventual voluntary LMSA review process must continue to provide an incentive for the parties to settle their case.   Consequently, some type of apportionment to ensure the plaintiff receives a portion of the settlement monies is expected in any final review process.

NAMSAP will to continue to dialogue with CMS and also discuss with its membership, both through a webinar and at the annual conference, the points presented by CMS.  Given the launch of a CMS LMSA review process is not expected for some time, Tower MSA Partners will shortly be releasing a white paper on best practices for addressing future medicals in liability settlements.

If you have any questions or would like to discuss the topic of LMSAs further, please contact Dan Anders, Chief Compliance Officer, at 888.331.4941 or Daniel.anders@towermsa.com.

Related:

Liability Settlement Solutions

CWC & Risk Conference

Posted on August 15, 2018 by Tower MSA Partners

CWC & Risk Conference

Monarch Beach Resort, Dana Point, CA

September 4th-7th, 2018

Tower MSA will be exhibiting at the CWC & Risk Conference September 4th-7th. We will be available to discuss how Tower’s technology-driven MSP compliance can benefit you. In addition, we have solutions to knock down the barriers to settling claims. Please stop by our booth or contact Hany at hany.abdelsayed@towermsa.com & 916-878-8062 to learn more.

Montana Governor’s Conference

Posted on August 15, 2018 by Tower MSA Partners

Montana Governor’s Conference

August 22-24 2018

Tower MSA is pleased to be a Silver Sponsor and exhibitor at the annual Montana Governor’s Conference August 22nd-24th, 2018. Reach out to Hany at hany.abdelsayed@towermsa.com or 916-878-8062 to learn about Tower’s technology driven MSP compliance.

Tower MSA Partners Sponsors WCI-TV

Posted on August 14, 2018 by Tower MSA Partners

Tower MSAFor the fourth consecutive year, Tower MSA Partners is sponsoring WCI-TV, the televised coverage of WCI 2018.

“Our theme this year is ‘Knocking Down Barriers to the Settlement of Claims,’” said Dan Anders, Tower’s Chief Compliance Officer.

Unreasonably high pharmacy costs, inappropriate use of opioids and other drugs, vague references to possible future surgeries, and jurisdictional challenges pose some of the common obstacles to settling claims.

Read it here

 

Case Study: $951,189 in Savings Through MSA Optimization

Posted on July 19, 2018 by Tower MSA Partners

CMS approval is not a legal requirement for an MSA. However, the potential financial repercussions for providing an inadequate MSA are such that many industry stakeholders find it wise to submit proposed MSAs to the agency.

Estimating the future medical costs takes enormous skill. For example, the final amount takes into account only the expenses related to the specific injury. Also, it needs to include things such as durable medical equipment that, while not needed presently, may be necessary in the future. Surgeries and other recommended medical treatments should also be included.

At the same time, the MSA should not include treatments or medications that are either not related to the injury or are not currently being used, or expected to be used by the injured worker. Unfortunately, when treatment recommendations are not clearly stated in the medical records, the concern that CMS may return a ‘counter higher’ response can lead many to overfund MSAs — especially, in the case of medications. – Michael Stack

 

Check out Tower MSA’s case study showing how  MSA optimization can save companies thousands of dollars.

Read it here.

Tower MSA Partners Names Jesse Shade Director of Information Technology.

Posted on June 29, 2018 by Tower MSA Partners

Tower created an extremely sophisticated technology to drive best practices for MSP compliance and seamlessly link everything from Section 111 reporting through conditional payments, interventions, and MSA preparation and closure. The technology is complex on our end to make things easier for our customers, and it takes an expert to manage and constantly improve it. So, we are delighted to announce that Jesse Shade has joined Tower to do just that. For more information, click here Tower MSA Partners Names Jesse Shade Director of Information Technology.

For Media Inquires, Contact:

Helen King Patterson
813.690.4787
helen@kingknight.com

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