04.02.10
Posted in Uncategorized, Medicare Set-aside, Workers' Compensation at 8:10 am by admin
CMS recently announced that it is moving forward with its Workers’ Compensation Medicare Set-Aside Portal (WCMSAP). This portal will allow electronic submission of MSAs, thus expediting CMS’ review process. The portal is slated to officially open during the first quarter of 2011. CMS will release additional information on the portal before the official release.
Protocols will continue to share updates on the portal as they become available.
Click here to read CMS’ announcement.
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01.11.10
Posted in Uncategorized, Medicare Set-aside, Special Needs Trust, Workers' Compensation at 4:35 pm by admin
On December 1, 2009, The United States filed suit to recover conditional payments owed from a class action settlement. See CV 09-PT-2423-E, U.S.A. v. Stricker et al. While the complaint was short and only attached the master settlement documents, it appears that the United States may be seeking reimbursement for conditional payments made both before and after the settlement date. Read the rest of this entry »
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12.15.09
Posted in Uncategorized, Medicare Set-aside at 7:57 am by admin
As reported by CNN this morning, the proposed Medicare buy-in to seniors aged 55 to 64 will be dropped from reform efforts to avoid a Republican filibuster.
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12.14.09
Posted in Uncategorized, Medicare Set-aside at 2:24 pm by admin
Health reform proponents are considering an option to allow seniors aged 55 to 64 to buy-in to Medicare, but the measure is being scrutinized by several key senators.
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11.23.09
Posted in Uncategorized, Life Care Planning, Medicare Set-aside, Medical Case Management at 8:56 am by admin
Protocols Case Management: The Beers List and How Certain Drugs May be Inappropriate for Seniors
This blog is for informational purposes only. This information contained in his blog should not be used on specific files absent the appropriate consultations with treating physicians or other qualified individuals.
The medical community has been aware for many years that certain drugs are inappropriate for seniors (age 65+). As the body ages, it becomes less effective at breaking down drugs, and an accumulation may develop and result in adverse effects. Further, seniors often consume more medications than younger persons, and with each additional drug the potential for adverse reaction increases. Despite this well-documented issue, up to 25% of Medicare managed care patients are estimated to use at least one inappropriate medication (source: NCQA). Seniors who use these drugs incur more hospital visits and higher medical costs than seniors who don’t use the drugs. Read the rest of this entry »
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