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Through an integrated medical, pharmacy, claims and legal approach, we deliver insights to help navigate the ever‑changing Medicare Secondary Payer landscape.

Recent blog posts

May 05, 2020 · Optum Settlement Solutions
The Centers for Medicare and Medicaid Services (CMS) wants their money back and is going after payers to get conditional payments reimbursed. CMS has been sending notices to payers demanding payment, but many of the notices are going unanswered. That creates a two-fold problem. Interest accrues on the balance, and if there’s no response, the U.S. Treasury could seize the assets of the payer (i.e., carrier or self-insured employer). Read more...
April 10, 2020 · Optum Settlement Solutions
The Workers' Compensation Medicare Set-Aside Portal (WCMSAP) is updated monthly based on Average Wholesale Price (AWP) data from RED BOOK®.  Updates include a significant drop in the price of pregabalin (generic of Lyrica®), and a substantial decrease in the price of meloxicam (generic of Mobic®). Read more...
April 09, 2020 · Optum Settlement Solutions
As you may have heard, meloxicam had a major price decrease within the last month. Meloxicam (generic formulation of Mobic) is a non-steroidal anti-inflammatory (NSAID), which is commonly prescribed for workers’ compensation injuries. Read more...
April 06, 2020 · Clinical Connection team
The Food and Drug Administration (FDA) announced on April 1, 2020 it will be requesting manufacturers remove all prescription and over-the-counter (OTC) ranitidine products, a popular histamine (H2)-blocker, from the market immediately. Ranitidine recalls initially began last fall Read more...
April 02, 2020 · From the desk of David W. Young
While there are many unknowns, Optum Workers’ Compensation and Auto No-Fault is committed to our customers, claimants and our team members. We remain fully staffed and operational and continue to ensure that the injured person is receiving the right treatment at the right time for the right duration and for the most appropriate cost. Read more...
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