May 2015

Our e-newsletter for Enterprise Risk Management, Claim Settlement and Healthcare Solutions.

Enterprise Risk Management (ERM) - Risk Profile Development – Measuring and Monitoring the Risks

Last month we discussed the process of risk evaluation and treatment for risk profile development. In this installment we will briefly describe the next steps to measure and monitor risk profiles.   Read more >>

Claim Settlement, Medicare, and Medicare Set Asides

CMS Issues a Final Rule for the SMART ACT  

On April 23, 2015, The Centers for Medicare & Medicaid Services (CMS) established an appeal process for Applicable Plans under the Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART ACT), Including Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers’ Compensation Laws or Plans.   Read more >>

Healthcare

CMS Announces New Medicare Prescription Drug Cost Data is Available

On April 30, 2015, the Centers for Medicare & Medicaid Services (CMS) announced the availability of new, privacy-protected data on Medicare Part D prescription drugs prescribed by physicians and other health care professionals in 2013.   Read more >>