Krsmsa Information

Medicare Set Aside (MSA) A Medicare Set-Aside is an arrangement between the settling parties in order to protect Medicare’s interests when settling future medical benefits for qualified individuals and to prevent the shift of burden from the primary payer to Medicare. Medical Cost Projections (MCP) A Medical Cost Projection (MCP) is a comprehensive medical report which is designed to help identify any potential medical issues or complications. It will also provide assistance with reserve setting and a comprehensive financial analysis of both current and future medical care. Life Care Planning (LCP) Life care planning provides a well-documented, comprehensive assessment for the long term expenses of a catastrophically injured person. It is critical for the company and the injured employee to be fully knowledgeable of these anticipated expenses. These expenses can include drugs, therapy, educational needs, transportation needs, continuing medical treatment, home care, architectural renovations, and other costs. Under Drug Utilization Review (DUR) A Drug Utilization Review (DUR) is an evidenced based review of the claimant’s medication regimen. The report focuses on both clinical and economic areas of drug therapy. The report will address the following areas; appropriateness of use, cost savings, generic alternatives, dose consolidation, discontinuation of unnecessary therapies and non-injury related medication. .