Your ANSwer for Workers' Compensation Medical Cost Containment

The Financial Repercussions of MSAs on Large Loss Claims

Medicare recommends an allocation of funds in a Workers’ Compensation settlement that is set aside to ensure that the injured party’s qualified medical expenses are funded, also known as Medicare Set Aside. These funds must be used to pay for treatment related to the Workers’ Compensation injury, that would otherwise be paid for by Medicare. The financial repercussions of MSAs on settlements can be significant.

medicare set aside  ANS Soltuions medical cost containment strategies for workers comp large claims

By |April 15th, 2015|Medical Cost Containment, Pharmaceutical Industry, Workers Compensation Payers|Comments Off on The Financial Repercussions of MSAs on Large Loss Claims

Pharmaceutical Review- Breaking the Cost Cycle for Payers

pharmacotherapy review Prescription drug abuse is a nationwide epidemic with the Workers’ Compensation industry experiencing significant collateral damage. The trending use of opioid analgesics for chronic pain treatment of injured workers, coupled with the high potential for dependency or abuse of opioids not only contributes to skyrocketing costs for the payer, but also poses increased risks for the injured worker. So where can Payers turn to break the pharmaceutical cost cycle?

A Drug Utilization Review That Actually Works

Many pharmaceutical cost containment […]

By |March 30th, 2015|Drug Utilization Review, Workers Compensation Payers|Comments Off on Pharmaceutical Review- Breaking the Cost Cycle for Payers

Workers’ Compensation Legacy Files: Creating Opportunity for Success

Originally published June 23, 2014 – WorkCompWire.com

By Anne Sambucini, RN, CCM, CDMS, CNLCP, MSCC, Founding Principal, Chairperson at ANS Solution

workcompwireLarge or small, every workers’ compensation insurer faces the challenge of complex, large loss, legacy cases. These legacy medical claims represent one of the most challenging and significant cost drivers in the insurance industry. I believe that great challenges represent a pathway to enormous success.

Not to date myself, but when I first entered the workers’ compensation […]

By |June 24th, 2014|Workers Compensation Payers|Comments Off on Workers’ Compensation Legacy Files: Creating Opportunity for Success