Medicare Secondary Payer (MSP)

The SSA’s Report provides an overview of the current and projected financial status of the Social Security program and more important information.

Based on our handling of MSP claims and observations, we note these considerations and issues where further CMS clarity may be helpful.

On June 17th, the Centers for Medicare and Medicaid Services held an “Introduction to Workers’ Compensation Medicare Set-Asides (WCMSAs) Webinar.”

CMS has announced that it is holding an Introduction to workers’ compensation Medicare set-asides Webinar scheduled for June 17th at 2:00 p.m. (ET).

Treasury actions can take several forms, and take insurers by surprise, so it is important to keep in mind these five things and how Verisk can help.

Two recent updates in national policy include: President Trump’s Executive Order regarding Rx drug pricing and WC medical equipment pricing trends.

Major changes are coming to $0 Workers’ Compensation Medicare set-asides (WCMSA) practices starting in July 2025. 

CMS has released an updated Section 111 NGHP User Guide (Version 8.1, May 5, 2025) regarding Section 111 reporting related to non-group health plans.

CMS has released an updated MSPRP User Guide Version 6.5 (April 7, 2025) featuring several updates.

On March 27, 2025, CMS held an “Introduction to MSP for Beneficiary Representatives” webinar.

With CMS's new requirements in effect, we're thrilled to introduce Verisk's TPOC/WCMSA Resource Center, offering a variety of essential resources.

CMS will host an Introduction to MSP for Beneficiary Representatives webinar on March 27, 2025, at 1 p.m.

CMS has a released an Alert advising that effective 4/7/2025, Amended Review requests “will be allowed at any time a WCMSA case is approved.”  

CMS releases an updated WCMSA Reference Guide (Version 4.2, January 17, 2025).

CMS released an updated MSPRP User Guide with changes to the security protocols for the Multi-Factor Authentication process.