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Sublocade – A New Once-Monthly Injection for the Treatment of Opioid Use...
The opioid crisis continues to be one of the most talked about issues facing the health care community, and the nation as a whole, having been declared a national public health emergency. In response,...
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CRC Contractor Transition Webinar Slides Available for Review
CRC Webinar Slides Available for Review If you missed the January 18th webinar introducing the incoming Commercial Repayment Center Contractor, Performant Recovery, Inc., those slides are now available...
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Liberty Life Assurance Company of Boston Announces Exit from the Structured...
Our structured settlement department received word this morning that Liberty Life Assurance Company of Boston is being sold to Lincoln Financial Group. As a result of the sale, Liberty Life will be...
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The CRC Dark Days are Coming, February 8 – 9, 2018
The highly anticipated Commercial Repayment Center (CRC) contractor transition from CGI Federal to Performant Recovery was discussed in a CMS Town Hall presentation this afternoon. The stated goal:...
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Meet the New CRC Contractor on 01/18/18
The industry has been invited to a CMS-sponsored webinar to introduce the new Commercial Repayment Center (CRC) contractor, Performant Financial Corporation, who will be taking up residence effective...
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Take 2: MAO Class Action Fails on Second Amended Complaint
As you may recall, several weeks ago we reported on a new spin in the Medicare Advantage Organizations (MAO) class action realm. At the root of this latest private cause of action, is a multi-district...
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CMS Releases Updated NGHP User Guide, Version 5.3
CMS updated their Non-Group Health Plan (NGHP) User Guide, and released version 5.3. The updated guide can be found here. The update to the guide essentially addresses CMS’ long planned transition, as...
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WCRC Award Protests Denied
As we previously reported, CMS awarded the Workers’ Compensation Review Contractor (WCRC) contract to Capitol Bridge, LLC, which was subsequently protested by two other companies who participated in...
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CMS to Begin Utilizing 2014 Life Table
The CMS WCMSA web portal, where Workers’ Compensation Medicare Set Aside submissions are submitted to CMS for review, has alerted users that as of December 11, 2017, CMS will begin using the Table 1:...
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Another Court Case, Perpetuating the Confusion Surrounding LMSAs
Yesterday, a decision came out of the District Court for New Mexico, based upon an action to determine whether a Medicare Set-Aside was needed in a matter involving a personal injury suit. (Silva v....
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Visit MEDVAL #3316 at the NWCDC in Las Vegas
MEDVAL will be exhibiting at the annual National Workers’ Compensation and Disability Conference (NWCDC), December 6th – 8th, 2017 in Las Vegas, Nevada. For a full agenda of the event, visit the...
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More MSPA Claims 1 Cases Dismissed for Standing
The U.S. District Court for the Central District of California dismissed the attempted class action against Mercury General on November 2, 2017. As with the other attempted national actions, standing...
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CMS Document SE17019 Reissued; The Effect This Document Has On Your MSA
As we continue to monitor for guidance from the Centers for Medicare & Medicaid Services (CMS) regarding Medicare Secondary Payer (MSP) compliance and liability/no-fault insurance claims, we have...
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Change is Needed: CWCI Study Provides Concrete Evidence of Over Inclusion of...
This week, the California Workers’ Compensation Institute (CWCI) released a study documenting opioid use in Workers’ Compensation Medical Set-Asides (WCMSAs). The study (for which MEDVAL contributed...
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CMS Considering Voluntary Review of Liability MSAs, Again
On October 26, CMS once again issued an alert indicating it would be considering expanding the review of voluntary Medicare Set-Asides (MSAs) to include liability insurance and no-fault insurance...
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Another New Spin in the MAO Class Actions
MAO-MSO Recovery II, LLC, et al., v. Boehringer Ingelheim Pharmaceuticals, Inc., et al. was dismissed for lack of standing on October 10, 2017. In this latest MSP private cause of action stemming from...
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Another Michigan Spine Case
Opinion out of the U.S. District Court for the Eastern District of Michigan reported on October 13, 2017 shows that the Michigan Spine and Brain Institute is at it again. You may recall that in 2013,...
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Class Action MAO Recoveries Are Continuing
On August 10, 2017, MSP Recovery Claims, LLC filed a class action complaint against Safeco Insurance Company of America in a Florida Circuit Court. Yesterday, the Defendants filed a request for...
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New Medicare Secondary Payer Recovery Contract Awarded
On October 5, the Centers for Medicare and Medicaid Services (CMS) awarded Performant Financial Corporation the Commercial Recovery Center (CRC) contract. The contract was previously awarded to CGI...
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Full Medicaid Recovery Coming to a Claim Near You: October 1st
As we have seen, Medicare Advantage Plans, Military/Governmental Healthcare Providers, and Private Insurers are aggressively pursuing liens with a priority right approach to recovery. We often discuss...
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