In its simplest form, the Medicare Set-Aside (MSA) is a pool of funding reserved for future accident-related treatment once a workers' compensation case is settled. However, because of its complex nature, some employers will go the MSA route when there are better options available, or they'll falsely believe a settlement agreement will cover these expenses and decide not to pursue.
Unaddressed comorbid conditions can significantly complicate recovery and inflate claims costs. Industry experts emphasize the importance of early identification and intervention to improve outcomes, reduce disability duration, and control spending. Learn why proactive clinical strategies are essential for effective claims management.
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Case severity tools like the ODG calculator play a big role in helping workers’ comp professionals predict return-to-work timing and costs based on the total claim picture. However, if you fail to look beyond the compensable diagnosis, you may find that your severity rating score doesn’t add up. Genex’s Mariellen Blue, RN, CCM, national director of case management services, explains in this podcast.
In her article, "Factoring Comorbidities Into Case Severity," Mariellen Blue, RN, CCM, National Director of Case Management at Genex Services, discusses the significant impact of comorbid conditions—such as obesity, diabetes, hypertension, depression, and substance abuse—on workers' compensation claims.