Celebrex and Abilify Price Drops Trigger MSA Reductions
Posted on December 14, 2020 by Daniel Anders
Recently, the lowest average wholesale price of Celebrex 200mg and the price of multiple strengths of Abilify dropped dramatically resulting in major MSA reductions. A widely used, non-steroidal anti-inflammatory drug, Celebrex (Celecoxib), is FDA-approved for several conditions: Ankylosing spondylitis Juvenile rheumatoid arthritis…
Need a Medicare Set Aside Second Opinion?
Posted on October 27, 2020 by Tower MSA Partners
Has a Medicare Set Aside ever disrupted one of your settlements? Any one of these things — unexpected medical, surgical or pharmacy costs, compliance issues, the way MSA administration will be handled, or the presence or absence of a structured…
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…
New CMS MSA Review Contractor: Different Name, Same Policy and Procedures
Posted on March 7, 2018 by Daniel Anders
While the review contractor is changing, the Workers’ Compensation Medicare Set-Aside (WCMSA) review policies and procedures remain the same. This was the message related to attendees of the Workers Compensation Review Contractor (WCRC) transition webinar held by CMS, yesterday, March…
What Do Medicare Part D, Medicare Set-Asides and Parenting Have in Common?
Posted on March 2, 2018 by Rita Wilson
For those who have raised children, or are in the process of doing so, one of our biggest challenges is to instill in our children some sort of positive decision-making paradigm in our children. You can call it religious values,…
CMS Webinar to Introduce New MSA Review Contractor
Posted on March 1, 2018 by Daniel Anders
Effective March 19, 2018, Capitol Bridge, LLC will be taking over responsibilities from Provider Resources as CMS’s Workers Compensation Review Contractor (WCRC). CMS has now announced a webinar set for Wednesday, March 7, 2018 at 1:00 PM ET to introduce…
CMS Statement on Opioids and WCMSAs Provides Little Clarity as to Future Review Practices
Posted on December 27, 2017 by Daniel Anders
In a recent post on its website, the Centers for Medicare and Medicaid Services (CMS) acknowledged the opioid crisis in this country, but provided little clarity as to how it intends to address this crisis in its review and approval…
Opioids in the MSA… Challenges and Strategies
Posted on November 3, 2017 by Tower MSA Partners
If seeing the word opioids one more time doesn’t trigger some sort of reaction, whether sadness, anger, desperation, or possibly hope at what appears to be traction to ‘Turn the Tide’ of addiction, then I can only surmise that you…
CMS to Transition to New MSA Review Contractor
Posted on September 11, 2017 by Daniel Anders
On September 1, 2017, the Centers for Medicare and Medicaid Services (CMS) announced the awarding of the contract for the Workers Compensation Review Contractor (WCRC) to Capitol Bridge, LLC. The $60 million contract is for one-year with the option of…
Practical Implications of the Revised CMS WCMSA Reference Guide
Posted on August 18, 2017 by Daniel Anders
Earlier this month the Centers for Medicare and Medicaid Services (CMS) released a revised Workers’ Compensation MSA Reference Guide (WCMSA) (find Version 2.6 here) with several notable changes and additions impacting its review of MSAs in workers’ compensation cases. The…
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