Tower MSA Partners Rita Wilson and Other NAMSAP Directors Discussed Opioids and MSAs at the National Council of Self-Insurers Conference

Over 20,000 Medicare Set-Asides (MSAs) are submitted to the Centers for
Medicare and Medicaid Services (CMS) every year. A recent California
Workers’ Compensation Institute study showed that 69.4 percent of the
MSAs it reviewed allocated funds for opioids, despite evidence-based
guidelines that indicate that opioids are not appropriate for long-term
use or chronic pain. The National Alliance of Medicare Set-Aside
Professionals (NAMSAP) and the National Council of Self-Insurers (NCSI)
have joined forces to address the MSA’s role in perpetuating the opioid

NAMSAP officers shared the organization’s efforts to reduce opioid use
in MSAs at the NCSI 2018 Annual Meeting last week. “The Intersection of
Policy and Public Health” was presented by NAMSAP President Rita Wilson,
CEO of Tower MSA Partners; Gary Patureau, executive director of the
Louisiana Association of Self Insured Employers and a former NAMSAP
president; and the organization’s Vice President Amy Bilton, a
shareholder in the law firm of Nyhan, Bambrick, Kinzie, and Lowry.

“CMS’s review policy for WCMSAs requires the allocation of potentially
addictive opioids over the beneficiary’s full life expectancy at the
same dosage and frequency as was prescribed during the previous 6 to 12
months. This is inconsistent with its own Medicare Part D guidelines,”
Wilson said. “And it is contrary to all evidence-based guidelines,
including those produced by the Centers for Disease Control and

NAMSAP is calling for limits on opioids in MSAs through an ongoing
public awareness campaign. Its members have conducted media interviews,
met with key CMS and other government officials, and sent a letter to
every member of Congress that describes the problem and recommends

The presentation was part of NCSI’s 2018 Annual Meeting, held June 10-13
in Fort Lauderdale, Florida.


The National Alliance of Medicare Set Aside Professionals (NAMSAP) is
the only non-profit association exclusively addressing the issues and
challenges of Medicare Secondary Payer (MSP) compliance and its impact
on workers’ compensation and liability settlements. Contact NAMSAP at
225.454.6164, info@namsap.org or
via www.namsap.org.

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