COMPTALK

FDA Approves Consensi™: A Novel Combination but a Conundrum for the Medicare Set-Aside

On May 31st, the FDA approved Kitov Pharma’s application for Consensi™. Consensi is a unique combination product containing amlodipine, a calcium channel blocker used for the treatment of hypertension, and celecoxib, a non-steroidal anti-inflammatory used for the treatment of osteoarthritis. The product’s labeling will include a single indication for patients for whom treatment with amlodipine…
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Does the Medicare Secondary Payer Act Preempt State Law?

Recently the Maryland Court of Special Appeals addressed this question, in Netro v. Greater Balt. Med. Ctr., Inc., No. 1990, 2018 Md. App. LEXIS 679 (App. July 5, 2018). You may be aware that Netro, is also a case in which the Fourth Circuit was added to the growing list of jurisdictions addressing who can…
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The Opioid Crisis: What is the Government Doing About It?

There can be little doubt that the opioid crisis has reached staggering levels. The Centers for Disease Control and Prevention (CDC) statistics from 2016 reveal that on average, opioids killed about 115 Americans every day.[1] Drug overdoses have become the leading cause of death in Americans under the age of 50, with opioids accounting for two-thirds…
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COMPALLIANCE WESTERN REGION ACHIEVES FULL URAC RE-ACCREDITATION FOR W/C UTILIZATION MANAGEMENT

[caption id="attachment_5630" align="alignnone" width="144"] CompAlliance achieves  Full URAC re-accreditation for Workers' Compensation Utilization Management[/caption] August 23, 2018. The URAC Accreditation Committee met on August 14, 2018 and reviewed the CompAlliance application for re-accreditation for Workers’ Compensation Utilization Management Version 7.3 Program.  The Accreditation Committee voted to grant CompAlliance FULL Accreditation pursuant to the Workers’ Compensation…
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Medicare Secondary Payer Recovery Portal (MSPRP) Overview Webinar Slides Now Available

Last week, we posted about CMS’ overview webinar regarding the benefits of using the Medicare Secondary Payer Recovery Portal (MSPRP), a web-based application for managing Medicare recovery cases (or conditional payments).  The webinar slides from the webinar are now available for download here. If you have additional questions concerning the current functionality of the MSPRP, or recommendations for…
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CMS Provides High Level Overview of MSPRP and Insight into Future Enhancements

Last week, on August 16th, the Centers for Medicare & Medicaid Services (CMS), held an informative webinar to address the benefits of using the Medicare Secondary Payer Recovery Portal (MSPRP), a web-based application for managing Medicare recovery cases (or conditional payments).  The webinar was an overview explaining the various benefits of using the MSPRP, how…
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NAMSAP Bulletin Provides a Sneak Peek into CMS’ LMSA Review Program

Last week, the National Alliance of Medicare Set Aside Professionals (NAMSAP), through their Liability Medicare Set Aside (LMSA) Committee issued a special edition bulletin about LMSAs.  The bulletin described an April 16, 2018 meeting between NAMSAP members and the Centers for Medicare & Medicaid Services (CMS).  The informational bulletin, which is subject to change until…
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FDA Approval of the First Plant-Derived Cannabinoid Prescription Medication

In a landmark approval on June 25th, the Food and Drug Administration (FDA) approved Epidiolex® (oral cannabidiol solution) for the treatment of seizures associated with Lennox-Gestaut Syndrome or Dravet Syndrome, in children two years of age and older.  Epidiolex is the first marijuana-based drug approved for use in the United States. Two other drugs previously…
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KEEPING YOUR EMPLOYEES AT WORK DURING THE REHABILITATION PROCESS

Workers that do not Return to Work (RTW) experience a significant reduction in their overall income.  There is a potential for delayed RTW and/or RTW to an inappropriate position due to absent or delayed communications with employers or the claims professional. As case managers, we refer to the Case Management Society of America (CMSA) Standards…
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