In Country Mutual Insurance Company v. Decker, 2018 U.S. Dist. LEXIS 115281 (July 11, 2018), the United States District Court for the...

In Mayo v. NYU Langone Medical Center, a New York state court vacated a settlement agreement (“the Agreement”), finding that a mutual...

A U.S. District Court for the Southern District of Florida recently held that a Medicare Advantage Organization (MAO) may bring an action...

On July 10, 2017, CMS issued an updated Workers’ Compensation Medicare Set-aside Portal (WCMSAP) User Guide which includes an expanded...

In January 2017, we posted an article concerning a recent case, Cali. Ins. Guar. Ass’n v. Burwell, No. 2:15-cv-01113-ODW (FFMx), 2017...

In the recent case, Mspa v. Century Sur. Co., No. 16-20752, 2017 U.S. Dist. LEXIS 37040 (U.S. Dist. S.D. Fla., March 15, 2017), the...

In Scheaffer v. Workers’ Comp. Appeal Bd. Std. Steel, 2017 Pa. Commw. Unpub. LEXIS 103 (February 14, 2017), Mark Scheaffer (Scheaffer)...

CMS recently issued an alert stating that it expects to expand the existing WCMSA re-review process. This potential expansion will...

It is a familiar story for many insurance carriers and self-insured employers—Medicare has asserted a number of conditional payment...

CMS recently indicated that changes had been made to its review of MSA proposals involving denied injuries. These changes could have...