Our e-newsletter for Enterprise Risk Management, Claim Settlement and Healthcare Solutions.
Enterprise Risk Management (ERM)
Most Third Party Administrators (TPAs) profess to understand their clients’ needs and challenges to provide the lowest possible costs associated with casualty, health and disability claims in an Enterprise Risk Management (ERM) environment. However, our recent surveys indicate that most TPAs may not be able to provide the most innovative technology and services for the most critical elements of claim cost reduction. For key strategies and discussion points to consider in your risk and claim management with TPAs, please click here >>
Claim Settlement, Medicare, and Medicare Set Asides
On July 11, 2016, the United States District Court for the Eastern District of New York provided an opinion for Sexton v. Medicare. This opinion is important to all adjusters and practitioners administering workers’ compensation, liability, no-fault, or employer group health insurance.
For a summary and important links including the case opinion text, please click here >>
On August 18, 2016, the Centers for Medicare & Medicare Services (CMS) released privacy-protected data on the prescription drugs that were paid for under the Medicare Part D Prescription Drug Program in 2014. The new information confirms an alarming trend for prescription medications. For more about how this new information may be utilized in your risk and claim practices in the future, please click here >>