What is the advantage of doing a Drug Regimen Review or Cost Projection prior to an MSA Allocation?

  • By admin
  • 7 December, 2012
  • Comments Off on What is the advantage of doing a Drug Regimen Review or Cost Projection prior to an MSA Allocation?

drradvantage_976x313

Reviewing the drug regimen prior to obtaining an MSA allocation is important when you have a claimant who has a high number of prescriptions, is using brand name vs generic, or is on a narcotic.  In many cases a review of the medication history can open up opportunities to reduce future costs. Reasons why a Drug Regimen Review (DRR) is helpful before a Medicare Set-Aside is performed include:

  • * Some drugs being listed are no longer going to be needed.  If it is a short wait period then it is better to hold off on settlement until the drug is no longer necessary
  • * Some medications are being prescribed which have nothing to do with the case
  • * Brand names are being used instead of generic
  • * Dosage can be structured so a less expensive alternative can be utilized.
  • * Physicians can be questioned as to the need for prolonged use of certain medications

For the same reasons, a Cost-Projection can be useful.   A  Pre-Medicare Set-Aside (quick cost or cost projection) will assist you in identifying the probable future medical cost of a claim, thereby allowing you to plan a reserve for future medical expenditure.

 

 

Comments are closed.

Scroll Up