The New Rules of MSAs

How Defense Uses Non-Submit MSAs

Medicare Set-Asides (“MSAs”) don’t exist under the law. CMS insists MSAs are a voluntary process. But – are they truly voluntary?   CMS’s recently updated WCMSA User Guide has a new section 4.3 that makes it seem like MSAs are essentially mandatory. The good news is that CMS has laid out all of the reasons…

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What is a “Non-Submit” or “Evidence-Based” MSA?

Medicare Set-Asides are a specialized product where Medicare has set forth a special process. The general idea is that an MSA will pay for medical care related to sued-for injuries so that Medicare doesn’t pay. But what happens when the MSA industry decides it wants to cut Medicare from the approval process?    Medicare says…

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MASSIVE’s Ryan Weiner Speaking at the MSA Roundtable during KTLA’s Workers Compensation Section

Ryan Weiner, COO of MASSIVE, will be presenting at the Medicare Set-Asides Roundtable on Friday, December 10, 2021, from 2:30 – 3:30 p.m. (CST).    Key content to be discussed at the Medicare Set-Asides Roundtable includes:  The Do’s and Don’ts of MSAs and EBMSAs  How to protect the Client on a MSA Proposal  30-minute Q & A Session    Attendees must register and be a member of the KTLA Workers Compensation Section. 

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EBMSAs and How to Protect Yourself and Your Clients

In last week’s blog, we discussed Evidence-Based Medicare Set-Asides (EBMSAs) and why they are risky and problematic. Defense-oriented MSA organizations are selling EBMSAs as a security, but if there is going to be future care that is Medicare’s responsibility, what happens when there is no money to pay it?   The answer? You are trading…

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What are EBMSAs?

If you are a worker’s compensation attorney, then you already know about Evidence-Based Medicare Set-Asides, or EBMSAs. EBMSAs are supposedly created according to evidence-based guidelines, and designed to take into account an expected decline in medical treatment over time.   It’s important for attorneys to weigh the pros and cons and truly understand the effect…

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