Best Medicare Set Aside Podcasts (2025)

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Demystifying Medicare Set-Asides in Workers Comp 8:35

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5d ago8:35

8:35

Medicare Set-Asides (MSAs) represent a critical factor in the workers compensation settlement landscape, yet they remain widely misunderstood by many professionals in the industry. In this Expert Insights episode, "Demystifying Medicare Set-Asides in Workers Comp," MEC’s Medical Management Consultant, Tina D’Andrea, unpacks how a properly executed …

1
The Powerful Impact of Drug Screening on Claims Management 8:26

19d ago8:26

8:26

Urine drug screens have become an essential component in the landscape of workers comp claims management. In this Expert Insights episode, "The Powerful Impact of Drug Screening on Claims Management," MEC’s Medical Management Consultant, Jeff Pack, RN, BSN, provides his unique perspective on how these tests serve multiple purposes throughout the li…

1
Understanding WCMSAs and TPOC Reporting 36:29

24d ago36:29

36:29

Join Amy Bilton, Esq. (Nyhan, Bambrick, Kinzie and Lowry), Suzanne Jordan (Broadspire) and our host, Bridget Smith (IMPAXX) for an informative conversation on the new WCMSA Section 111 TPOC reporting requirements. As of April 4, 2025, CMS requires the reporting of Workers’ Compensation Medicare Set-Aside information when reporting Total Payment Obl…

1
Beyond Pain and Addiction: The Triple Diagnosis 6:21

1M ago6:21

6:21

The medical field has long recognized the complex intersection of chronic pain and addiction, but a critical third component is often overlooked. In this MEC Connect Expert Insights episode, “Beyond Pain and Addiction: The Triple Diagnosis,” our Chief Medical Officer, Dr. Fernando Branco, shares his approach to treating patients beyond the traditio…

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Unsung Heroes: Spotlight on Nurse Case Managers 6:41

2M ago6:41

6:41

In this MEC Connect Expert Insights episode, “Unsung Heroes: Spotlight on Nurse Case Managers,” MEC’s Medical Management Consultant Dana Dorsey explains how nurse case managers serve as the critical bridge between injured workers and successful recovery. Based on two decades of experience in the field, Dana shares insights about how Nurse Case Mana…

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Categorizing Spinal Cord Injuries with Peggy Ford 8:10

2M ago8:10

8:10

In this episode, MEC’s Senior National Medical Catastrophic Consultant Peggy Ford unpacks the complex world of the American Spinal Injury Association (ASIA) Impairment Scale. Peggy breaks down this essential clinical tool that standardizes how healthcare professionals evaluate and communicate about spinal cord injuries. This includes: The three cru…

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Navigating the Journey of Amputation Cases 8:27

3M ago8:27

8:27

Amputations are among the most challenging cases in workers' compensation. In this Expert Insights episode, MEC’s Senior National Catastrophic Medical Consultant Phyllis Ramondetta provides excellent insights into this complex topic that affects thousands of workers annually. Phyllis shares expert commentary based on over 20 years of experience as …

1
Decoding Complex Regional Pain Syndrome 7:11

3M ago7:11

7:11

In this episode, Dr. Fernando Branco, MEC AVP of Claims and Chief Medical Officer, tackles the multifaceted world of Complex Regional Pain Syndrome (CRPS) by drawing on decades of specialized experience in physical medicine, rehabilitation, pain management, and addiction medicine. Dr. Branco provides valuable insights about: How this complex diagno…

1
Managing Spinal Cord Injuries with Tracie Lemus 8:29

3M ago8:29

8:29

In this episode, Tracie Lemus, RN, CCM, MSCC, National Catastrophic Nurse Consultant at Midwest Employers Casualty, highlights critical care strategies and rehabilitation insights for better recovery outcomes for spinal cord injuries. Tracie provides invaluable knowledge on injury types, common complications, and the importance of comprehensive tre…

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MEC Connect - Expert Insights 1:12

4M ago1:12

1:12

Join us for a new MEC Connect season featuring our innovative series of Expert Insights podcasts. These episodes highlight the expertise of MEC colleagues who share insights and best practices for managing catastrophic claims and our outcome-based approach for excess workers’ compensation insurance coverage that benefits workers and employers alike…

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Ch-Ch-Changes! 33:22

5M ago33:22

33:22

2024 was a year of change in the MSP landscape. Much of the change enacted in 2024 is now coming into play in 2025. Join host Tim Mercer of Nyhan, Bambrick, Kinzie and Lowry as he discusses the impact these changes could have on our workflow in 2025 and beyond with Barrye Miyagi of Taylor Porter and Brendon De Souza of Sanderson Firm.…

1
Revisiting Liability and the MSP 32:19

6M ago32:19

32:19

Aaron Winnell, Jason Creel and Steve Shaw join host Jennifer Shymanski to discuss the current state of Medicare Secondary Compliance on liability cases. The group examines some recent comments from CMS on liability future allocations, discusses the conditional payment process on liability matters and offers insight into how their clients are workin…

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Episode 45: 2024 Annual Conference Highlights 32:01

7M ago32:01

32:01

Join Tim Mercer as he discusses the 2024 Annual Conference highlights with Amy Bilton, Vice President, Nyhan Bambrick Kinzie Lowry, and MSPN Past President Conference Committee Co-Chair, and Amber Worman, MSP Optimization Manager, Walmart Claims Services, and MSPN Treasurer. They will review some of the biggest take-aways, benefits of attending eit…

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Episode 44: Preview of 2024 Annual Educational Conference 17:35

10M ago17:35

17:35

Join host Bridget Smith of IMPAXX as she chats with Conference Planning Committee Co-Chairs Michelle Allan and Amy Bilton about what you can expect at MSPN's 2024 Annual Educational Conference on September 25-27, 2024, in Baltimore, Maryland.By The National Medicare Secondary Payer Network

1
Resolving Complex Workers Compensation Claims 24:11

1y ago24:11

24:11

Hosts Matt Yehling and Patty Reinecke welcome back Dan Dalton, Chief Claims and Regulatory Counsel at MEC, to discuss the resolution process for complex and high-exposure workers compensation claims. Dan provides insights into when to begin settlement discussions, the steps involved in resolving these claims, and the role of mediation in reaching a…

1
Measures of Success in Complex Workers Compensation Claims 11:36

1y ago11:36

11:36

Hosts Matt Yehling and Patty Reinecke sit down with Vicki Barker, Senior Claims Analyst for at MEC, to discuss success stories and the positive impact MEC has made on injured workers’ lives through their handling of complex workers compensation claims. Vicki shares her perspective on measuring success, collaborating with partners, and achieving pos…

1
Collaborating to Mitigate Costs on Complex Workers Compensation Claims 10:44

1y ago10:44

10:44

Hosts Matt Yehling and Patty—Reinecke are joined by Gina Holt, former Client Consultant Manager and current ISI Underwriter at MEC, to discuss how MEC collaborates with clients and TPAs to mitigate costs on complex, potentially excess-level workers compensation claims. Gina shares insights on MEC's hybrid role, early intervention strategies, and le…

1
Cost Containment and Mitigation 15:13

1y ago15:13

15:13

Hosts Matt Yehling and Patty Reinecke are joined by Marianne Reed, Senior Claims Analyst at MEC, to discuss strategies for containing and mitigating costs in complex workers compensation claims. Marianne shares her expertise on identifying cost drivers, collaborating with stakeholders, and implementing targeted interventions to improve outcomes and…

1
Episode 43: Part 1 of 2: The Interplay of State-Specific Laws & Medicare Set-Asides 26:02

1y ago26:02

26:02

Host: Annie Davidson, Vice President of Client Success, Examworks Compliance Solutions Guest: Sid Wong, Vice President of Policy, Verisk This episode continues to build on the fact pattern introduced at the outset of this year’s podcast series. Join host Annie Davidson and guest Sid Wong as they address some key state law provisions around the coun…

1
Complex Regional Pain Syndrome (CRPS) and Reflex Sympathetic Dystrophy (RSD) with Dr. Fernando Branco 27:59

1y ago27:59

27:59

Hosts Matt Yehling and Patty Reinecke sit down with Dr. Fernando Branco, MEC's Chief Medical Officer, to discuss Complex Regional Pain Syndrome (CRPS) and Reflex Sympathetic Dystrophy (RSD). Dr. Branco shares his expertise on these challenging diagnoses, explaining how they can develop from seemingly minor injuries and the difficulties in accuratel…

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Post-Traumatic Stress Disorder (PTSD) in the Workplace with Tina D'Andrea 15:05

1y ago15:05

15:05

This episode features guest Tina D'Andrea discussing the critical topic of post-traumatic stress disorder (PTSD) in the workplace. With over 25 years of experience in workers compensation, Tina offers deep insights into the symptoms, diagnosis, and effective treatment of PTSD, particularly among professions with high public interaction like first r…

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Ep. 42 Is it really connected? 30:16

1+ y ago30:16

30:16

Join host Rasa Fumagalli, Bridget Smith and Annie Davidson as they address the Medicare Set-Aside issues that come up in cases involving pre-existing conditions. The discussion also focuses on the best ways to address the various causation issues in the MSP case study.By The National Medicare Secondary Payer Network

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Failed Back Syndrome with Jeff Pack 15:40

1+ y ago15:40

15:40

Hosts Matt Yehling and Patty Reinecke are joined by Jeff Pack, a Medical Management Consultant at MEC, to discuss failed back syndrome. Jeff shares his experience dealing with complex back injury claims that often start as sprains or strains but can lead to multiple surgeries and the diagnosis of failed back syndrome. The episode explores common tr…

1
Migratory Sprains & Strains with Dana Dorsey 13:15

1+ y ago13:15

13:15

Hosts Matt Yehling and Patty Reinecke welcome Dana Dorsey from MEC's Medical Management Unit to discuss sprains and strains. Dana, with her extensive background in field case management, dives into the definitions, treatments, and prevention of these injuries, highlighting how they can lead to complex claims if not managed properly from the outset.…

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Ep. 41 Civil Money Penalties are Here! 26:26

1+ y ago26:26

26:26

MSPN Podcast Committee Co-Chair Jennifer Shymanski is joined by Suzanne Jordan, Compliance Manager for Broadspire. Suzanne and Jennifer discuss the upcoming Civil Money Penalties for Section 111 Mandatory Insurer Reporting, and recap the recent January 2024 CMS Townhall updates regarding the penalties.…

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Exploring Migratory Claims with Dan Dalton 23:32

1+ y ago23:32

23:32

They explore key differences from catastrophic claims, focusing on disputed issues, medical care management, and disability assessment. Dan shares insights on the use of Independent Medical Examinations (IMEs) and emphasizes the value of involving opposing counsel. The episode highlights the need for a collaborative approach to improve outcomes for…

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Exploring Migratory Claims with Kam Garrett 12:40

1+ y ago12:40

12:40

In this episode of MEC Connect, hosts Matt Yehling and Patty Reinecke sit down with MEC Senior Claims Analyst Kam Garrett to delve into the complex world of migratory claims. Kam shares a real-life example of a migratory claim that spanned over a decade and the challenges involved in handling such cases. They also discuss recurring trends, resource…

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Ep. 40 Kicking off 2024 with an MSP Case Study 21:57

1+ y ago21:57

21:57

MSPN Podcast Committee Co-Chairs Bridget Smith and Jennifer Shymanski are joined by Julie Garrison, Partner at Nyhan, Bambrick, Kinzie and Lowry to kick off 2024. Bridget, Julie and Jennifer begin our year-long discussion of MSP topics through the lens of a case study. They introduce the fact pattern and begin with a conversation on MSP issue ident…

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An Introduction to Migratory Claims with Sherrie Murray 9:28

1+ y ago9:28

9:28

Hosts Matt Yehling and Patty Reinecke interview MEC’s Sherrie Murray about the challenges of "migratory claims"—claims involving injuries that start simple but spiral into complex cases involving endless treatments and prescriptions. In this episode, we explain MEC’s approach to these thorny claims, focusing on appropriateness of care, prescription…

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Ep. 39 Showtime in Review 15:28

1+ y ago15:28

15:28

Join us for MSPN’s December podcast featuring Jodi Taylor and Tim Mercer, with host Rasa Fumagalli, as they share their experiences at the MSNPN Annual Educational Conference. Was it worth the two day time investment?By The National Medicare Secondary Payer Network

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Ep. 38 It's Almost Showtime! 10:31

1+ y ago10:31

10:31

Join host Jennifer Shymanski and guests Michelle Allan and Amy Bilton of the Annual Conference Committee for some behind-the-scenes sneak peeks, what to expect next week, and more!By The National Medicare Secondary Payer Network

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Ep. 37 MSP Update 17:34

1+ y ago17:34

17:34

Join host Bridget Smith with her guests Michelle Allan and Ciara Koba as they discuss some highlights and happenings in the MP industry. From the new notice on Section 111 Civil Monetary Penalties to National Compensation Conference happenings and what to look forward to in November, this fall pod has some pumpkin and spice for everyone.…

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Ep. 36 Allocator Tricks of the Trade 24:54

2y ago24:54

24:54

Join host Rasa Fumagalli JD, MSCC, CMSP-F in the latest MSPN podcast as she discusses “ Allocator Tricks of the Trade” with Julie Garrison JD, MSCC, CMSP-F and Brendon DeSouza JD, CMSP. Hear how these experts handle CMS submission challenges.By The National Medicare Secondary Payer Network

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Ep. 35 Everything ORM 31:58

2y ago31:58

31:58

Join our host Bridget Smith with special guests Beth Hostetler and Frank Fairchok as we review updates on the Unsolicited Response File, a Wishlist for expanding ORM Termination and how to get ready for potential Civil Monetary Penalties.By The National Medicare Secondary Payer Network

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Ep. 34 Living with the PAID Act 22:40

2y ago22:40

22:40

The PAID Act went into effect in December 2021. Bridget Smith and Jennifer Shymanski join host Rasa Fumagalli to discuss the impact of the implementation and offer some best practices.By The National Medicare Secondary Payer Network

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Ep 33. Settlement Talk: Insights from AASC 28:08

2y ago28:08

28:08

In this episode of Set Aside Some Time, we dive into the world of settlement consulting with leadership from the industry’s newest trade association, the American Association of Settlement Consultants (AASC). We are joined by Joanna Wynes, AASC President-elect, and Jennifer Wieroniey, AASC Executive Director. Discover how AASC was founded to give a…

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Diving Deep Into Liability MSP Issues 36:27

2y ago36:27

36:27

Join Jennifer Shymanski, Barrye Miyagi and Rasa Fumagalli for this month’s podcast that takes a deep dive into some of the MSP compliance issues faced in two specific case studies. Our experienced panelists address best practices for a seamless settlement.By The National Medicare Secondary Payer Network

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Section 111: Get the Scoop on the Latest Updates 25:55

2y ago25:55

25:55

Join our host Bridget Smith as she discusses all things Section 111 with our guest Ciara Koba. Hot topics including the delay in Civil Monetary Penalties; what to do now to improve your Section 111 Reporting process and avoid potential penalties; and a discussion of the Unsolicited Response File are all on the agenda.…

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Be a Part of Who We Are and What We Do: 2023 Presidential Interview 23:24

2+ y ago23:24

23:24

What can you expect from MSPN this year? Join Jennifer Shymanski of IMPAXX as she interviews MSPN President John Kane of Ametros to discuss the direction for MSPN in 2023.By The National Medicare Secondary Payer Network

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Case Law Update 34:13

2+ y ago34:13

34:13

Tune in to our February 2023 episode to hear Annie Davidson of ExamWorks Compliance Solutions chat with Shannon Metcalf of Hedrick Gardner Kincheloe & Garofalo, LLP on case law.By The National Medicare Secondary Payer Network

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2022 Recap 30:32

2+ y ago30:32

30:32

Is it 2023 already? Join Rasa Fumagalli, Bridget Smith, and Jennifer Shymanski as they discuss MSA highlights of 2022.By The National Medicare Secondary Payer Network

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Creative Administration of MSA 42:55

2+ y ago42:55

42:55

Tune in to this month's episode to hear Rasa Fumagalli of Synergy Settlement Services chat with Shawn Deane of Ametros and Aaron Winnell of Medivest about MSA administration issues that may have required some “out-of-the-box” thinking.By The National Medicare Secondary Payer Network

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CAT Claim Resolution 21:54

2+ y ago21:54

21:54

In our final episode of Season 1, Matt Yehling and Patty Reinecke speak with Geoff Jones, Senior Claims Attorney at Midwest Employers Casualty (MEC) about resolution of catastrophic claims. Topics covered include: If and when a catastrophic claim can be settled. Situations where a settlement is not possible or recommended. Considerations for indemn…

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How to Handle Clients on Medicare and Medicaid 22:52

2+ y ago22:52

22:52

Tune in to this month's episode to hear Rachel Maldonado of Gordon & Rees chat with Jason Lazarus of Synergy Settlement Services and Will Lindahl of Community & Professional Training (CPT) Institute about how to handle clients on Medicare and Medicaid.By The National Medicare Secondary Payer Network

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2022 Annual Educational Conference Highlights 1:02:31

2+ y ago1:02:31

1:02:31

Please join Christi Allison, Brian Cowan, Mark Heberling, Rachel Maldonado, Dena Ramsey, and Jennifer Shymanski for highlights of the 22 annual conference sessions. Yes - 22 sessions in one hour! So, whether you were able to attend virtually, in person, or had to miss this year, this podcast will impart the royal flush of the conference. Guests wil…

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Long Term CAT Claims Management 17:24

2+ y ago17:24

17:24

In episode 8, Kelly Loos, Senior National Catastrophic Claims Analyst at Midwest Employers Casualty (MEC), teams up with Matt Yehling and Patty Reinecke for a conversation about claim management once an injured employee has achieved medical stability. Topics covered include: Factors that need to be addressed before a CAT claim can be considered sta…

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Returning Home After a Catastrophic Injury 19:20

2+ y ago19:20

19:20

In episode 7, Matt Yehling and Patty Reinecke welcome back Phyllis Ramondetta, Senior National Catastrophic Medical Consultant at Midwest Employers Casualty (MEC). They will discuss the factors involved for an injured employee to achieve the goal of returning home after a catastrophic injury. Topics covered include: Services and modifications that …

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Post-Acute Care After a Catastrophic Injury 17:01

2+ y ago17:01

17:01

In episode 6, Matt Yehling and Patty Reinecke welcome Phyllis Ramondetta, Senior National Catastrophic Medical Consultant at Midwest Employers Casualty (MEC), for a discussion on what to expect after the acute phase of a catastrophic injury. Topics covered include: Types of rehabilitation options available after hospital discharge. Injuries that be…

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Using Centers of Excellence (COE) to Rehabilitate Catastrophically Injured Employees 22:26

3y ago22:26

22:26

In episode 5, Matt Yehling and Patty Reinecke welcome back Midwest Employers Casualty’s (MEC) Chief Medical Officer, Dr. Fernando Branco. The three discuss the significant role Centers of Excellence (COE) play in the rehabilitation of catastrophically injured employees. Topics covered include: Explain why MEC may recommend a COE for the treatment o…

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Significance of Immediate Medical Care for Catastrophic Injuries 19:57

3y ago19:57

19:57

In this installment of MEC Connect, Matt Yehling and Patty Reinecke chat with Midwest Employers Casualty’s (MEC) Chief Medical Officer, Dr. Fernando Branco. Dr. Branco addresses the importance of proper medical treatment to achieve the best outcome for the injured employee. Topics discussed include: Initial steps of a successful catastrophic medica…