Do the hidden, and not so hidden, costs of physician dispensing of drugs outweigh the benefits? Drugs prescribed and dispensed directly by physicians often cost substantially more to consumers, and by extension any covering insurer, than drugs dispensed... Read More
NCCI has recently examined the demographics related to MSAs (distributions of amounts of MSAs and total settlements that include MSAs; distributions of ages of claimants) and the aspects of the CMS review process (length of time from submission to CMS... Read More
By Jeffrey C. Napolitano, Juge Napolitano Guilbeau Ruli & Frieman, a plc, Metairie LA Wholesale pharmacies who contract with physicians to provide pharmaceuticals to them on a consignment basis for dispensing to their workers compensation patients... Read More
There is a garden industry that has emerged since 1997 in California of companies who have become “WCMSA specialists”, promoting themselves as experts in developing WCMSA proposals that will pass muster with CMS. Most workers’ compensation... Read More
By Jennifer C. Jordan, Esq., General Counsel, MEDVAL, LLC With the addition of Part D to the Medicare program in 2006, Medicare set-aside allocations (“MSAs”) grew exponentially overnight. The problem was further exacerbated by the April... Read More