Workers’ Comp Strategies Cut Medicare Set-Aside Costs by 47%
- Tower MSA Partners has launched a comprehensive report detailing performance metrics and strategy outcomes for workers’ compensation programs from 2022 through 2025.
- The data demonstrates that structured Medicare Secondary Payer strategies, including physician follow-up and pharmacy optimization, achieved an average 47% reduction in Medicare Set-Aside amounts in 2025.
- Clinical interventions yielded between $9 million and $12 million in annual cost savings across the evaluated four-year period.
- Ultimately, these clinical and technical methodologies successfully lowered approved settlement allocations and accelerated claims resolution times for industry stakeholders.
Appeals Court Denies Corrections Officer’s PTSD Claim
- A New York appeals court affirmed the denial of a corrections sergeant’s workers’ compensation claim for PTSD following an inmate’s death.
- The state’s statutory exception for first responders did not cover corrections staff when the claim was filed.
- Additionally, judges ruled that responding to life-threatening medical emergencies fell within her standard job responsibilities.
- Finally, updated 2025 workers’ compensation protections could not be applied retroactively to her case.
EverPeak Insurance Expands Workers’ Compensation Coverage to Kentucky
- EverPeak Insurance has launched its specialized workers’ compensation insurance in Kentucky, expanding its active coverage footprint to 18 states nationwide.
- Available through independent brokers via the Attune digital platform, the product targets high-risk sectors.
- The offering provides a single multi-state policy solution designed for industries like construction and warehousing.