Chevron Gone, Benefits Threatened

Two Years After Loper Bright: Workers' Compensation, the Administrative State, and a Coming Reckoning Over Social Security

Medicaid Cuts: Workers' Compensation Pays?

Trump Administration's Medicaid Work Requirements May Shift Enormous Costs to Employers and Workers' Compensation Insurers

Hemp, Medicare, and Workers' Compensation

A federal district court in the District of Columbia has dismissed a challenge to a novel Medicare hemp-access program, ruling that the plaintiffs lacked standing to sue. The decision in Smart Approaches to Marijuana v. Kennedy (D.D.C. May 22, 2026) has significant implications for healthcare providers, insurers, and workers' compensation practitioners navigating the rapidly evolving landscape of cannabis-related medical treatment.

CMS Tightens WCMSA Compliance Rules

The Centers for Medicare & Medicaid Services (CMS) has released Version 4.5 of the Workers' Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide, dated April 13, 2026 (COBR-Q2-2026-v4.5). While the technical updates in this version are modest, they come amid sweeping enforcement changes that every workers' compensation practitioner must understand.

CMS Penalties Hit Workers' Compensation

Workers' Compensation - Medicare Secondary Payer Compliance

Healthcare Costs Crush Workers' Compensation

The cost of medical treatment is not just rising — it is accelerating. And nowhere is this felt more sharply than in the workers' compensation system, where medical payments now constitute a dominant and growing share of every claim. What was a slow-burning crisis a decade ago has become an urgent structural challenge for employers, insurers, policymakers, and injured workers alike.

Health Reimbursement Rules Impact Claims

How IRS Coverage Mandates Affect Workers' Compensation Costs in 2026.

Medicare's Post-Acute Care Crisis

Post-acute care has emerged as a critical pressure point in workers' compensation claims, driven by Medicare policy changes and skyrocketing costs that directly impact claim settlements and future medical allocations.

WCMSA Gap Widens Dramatically

The Centers for Medicare & Medicaid Services (CMS) has released its fiscal year 2025 statistics for Workers' Compensation Medicare Set-Aside Arrangements (WCMSAs), revealing a striking trend that should concern workers' compensation professionals: the gap between what parties propose and what CMS recommends is at an all-time high.

Podcast: Chevron Falls: Workers' Compensation Survives

This podcast reviews the workers' compensation landscape one year after the US Supreme Court's Loper Bright decision, which struck down the Chevron defense.

Chevron Falls: Workers' Compensation Survives

A year ago, we examined how the Supreme Court's landmark decision in Loper Bright Enterprises v. Raimondo might reshape the workers' compensation landscape, particularly regarding Medicare Set-Aside (MSA) agreements and the Centers for Medicare & Medicaid Services' (CMS) administration of the Medicare Secondary Payer (MSP) Act. Now, with twelve months of hindsight, we can assess what has actually transpired—and what remains uncertain.

Shutdown Threatens Workers' Compensation Settlements

As the September 30 deadline looms, workers' compensation professionals nationwide face an unprecedented crisis that could freeze thousands of settlements, leaving injured workers in a state of financial limbo.

Navigating Physician Payment Changes

The Centers for Medicare & Medicaid Services (CMS) has recently unveiled its proposed rule for the Calendar Year (CY) 2026 Medicare Physician Fee Schedule (PFS). This proposal outlines significant changes that will shape how physicians are reimbursed for their services going forward, and stakeholders will need to understand the potential implications.

WCMSAs: What You Need to Know

The Centers for Medicare & Medicaid Services (CMS) recently hosted an informative webinar on Workers' Compensation Medicare Set-Asides (WCMSAs), shedding light on these crucial financial agreements and their impact on workers' compensation claims. 

Medicare Set-Aside Shake Up Ahead?

Awaiting a decision from the U.S. Supreme Court, Federal Communications Commission v. Consumers' Research is poised to potentially redefine federal administrative agencies' authority scope. This shift could flow into various regulatory processes, including the Workers' Compensation Medicare Set Aside Agreements (WCMSAs) adjudication. 

DOGE and Medicare Set Aside Agreements

This is the first in a series of posts concerning the potential impact of the US Department of Government Efficiency (DOGE) on the nation's patchwork of workers' compensation systems.

Medicare's Magic Number: $750 for Workers' Compensation 2025

The Centers for Medicare and Medicaid Services (CMS) has announced that it will maintain the current threshold of $750 for workers' compensation settlements in 2025. This threshold determines when settlements must be reported to Medicare and conditional payments must be repaid. Let's dive into what this means and how CMS made this decision.

Chevron's Fall: Medicare Set-Asides Face Legal Shake-Up

The recent U.S. Supreme Court decision in Loper Bright Enterprises v. Raimondo (2024), which overturned the Chevron doctrine established in Chevron U.S.A., Inc. v. Natural Resources Defense Council, Inc., is likely to have significant impacts on how the Centers for Medicare & Medicaid Services (CMS) operates regarding the Medicare Secondary Payer (MSP) Act, including conditional payments and Medicare Set-Aside (MSA) agreements. 

CMS Webinar: Mastering Mandatory Reporting for Insurance Providers

Mark your calendars! The Centers for Medicare & Medicaid Services (CMS) hosts an essential webinar on Section 111 Non-Group Health Plan (NGHP) Reporting. This event is crucial for those involved in liability insurance (including self-insurance), no-fault insurance, and workers' compensation.

CMS Publishes the Final Rule for MSP Civil Penalties

The Centers for Medicare and Medicaid Services [CMS] has published a final rule specifying how and when CMS must calculate and impose civil money penalties [CMPs] when non-group health plan [NGHP] responsible reporting entities [RRE] fail to meet their Medicare secondary payer [MSP] reporting obligations. NGHP includes workers’ compensation claims. The final rule also establishes CMP amounts and the circumstances under which CMPs will
not or will not be imposed. The effective date of this final rule is December 11, 2023.