Some employers, carriers and other payers think Medicare Set-Asides (MSAs) are all pretty much the same, a commodity. A company calculates future medical expenses and sends a report with an allocation to the Centers for Medicare and Medicaid Services (CMS), and there’s not much to be done about it.
CPC Logistics’ Workers’ Compensation Department Manager Anne Alabach and Tower MSA Partners Chief Compliance Officer Dan Anders will refute that notion when they present “Achieving Great Outcomes with your MSA Vendor” at the National Workers’ Compensation and Disability Conference & Expo (NWCDC) next month.
“There are all kinds of strategies that payers and proactive MSA providers can take to dramatically reduce MSA dollar amounts and affect how quickly and smoothly they can obtain CMS approval,” Anders said.
Through case studies, attendees will learn which factors contribute to high-dollar allocations, how to reduce costs through clinical and legal interventions, and how to measure a program’s performance. “Metrics empower you to re-engineer processes to achieve better outcomes,” Anders noted, adding that 77 percent of Tower’s CMS-approved MSAs contain no allocations for opioids and 66 percent contain no pharmacy at all.
“The relationship the client has with their MSA vendor plays a big role, and we will also talk about ways to improve this relationship,” Alabach said.
The session starts at 1:45 p.m. on November 7 during NWCDC, which will be held at Mandalay Bay in Las Vegas from November 6-8. Details are available at www.wcconference.com.
About Tower MSA Partners
Headquartered in Delray Beach, Fla., Tower MSA Partners’ services include pre-MSA Triage, MSAs, physician peer reviews, CMS submissions, MSA administration, medical cost projections, life care plans, conditional payments, and Section 111 reporting. Tower leverages leading edge technology to proactively stage claims and works collaboratively with clients to identify issues and intervene to modify outcomes. Tower remains involved in the claims, through final resolution, MSA and/or other settlement. This model enables Tower’s clients to provide better care to injured workers, reduce claim and MSA costs, and obtain CMS acceptance of the MSA. For more information, visit www.towermsa.com and www.mspcomplianceblog.com.
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