01.23.12

CMS Plans Value-Based Purchasing Reimbursements

Posted in Uncategorized, Medicare Set-aside, Workers' Compensation at 7:34 pm by admin

CMS recently announced that it will implement a value-based purchasing method to calculate reimbursement rates for physicians.  The program will target specific physicians in 2015, but the program is expected to expand to all physicians by 2017.  Under the program, physicians’ reimbursement rates will be affected by the quality of care furnished in relation to cost.

For details on the program, please view this article by the Healthcare Economist.

10.06.11

CMS Memo re: Liability MSAs

Posted in Uncategorized, Medicare Set-aside at 9:36 am by admin

Liability Medicare Set Aside arrangements (LMSA) have been the subject of debate between plaintiffs’ attorneys and the insurance industry. Until recently, CMS had not published any specific guidelines regarding the use of MSAs in non-workers compensation cases. This changed on September 30, 2011 when CMS issued its first Memo regarding proposed Liability Medicare Set-Aside Arrangements.

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09.21.11

Case Summary: Billy Smith, Plaintiff vs Marine Terminals of Arkansas, Defendant

Posted in Uncategorized, Medicare Set-aside, Workers' Compensation at 7:14 pm by admin

Billy Smith, Plaintiff vs Marine Terminals of Arkansas, Defendant and American Home Assurance
Company, Intervenor

Case No. 3:09-CV-00027-JLH

United States District Court, E.D. Arkansas, Jonesboro Division

August 9, 2011

Nature of Case:

This case came before the Court on Plaintiff’s Motion to Determine the Medicare Set Aside Amount in the case.

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09.15.11

Alert: $300 Threshold on Liability Settlements

Posted in Uncategorized, Medicare Set-aside, Special Needs Trust, Workers' Compensation at 7:08 am by admin

Medicare has implemented a $300 threshold for certain liability insurance cases. If all of the following criteria are met, Medicare will not recover against the beneficiary’s settlement, judgment, award or other payment: Read the rest of this entry »

07.25.11

2011 Medicare Trustees Report

Posted in Uncategorized at 12:33 pm by admin

Click here to access the 2011 Medicare Trustees Report.

Several statistics are highlighted below, as mentioned on healthcare-economist.com:

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