Medicare Compliance

Goldberg Segalla’s Workers’ Compensation Practice Group brings clients a distinct competitive advantage to the defense of claims through our exceptional ability to handle Medicare Set-Asides (MSAs), the allocations for the future medical costs of an individual on (or soon to be on) Medicare following the settlement of a case.

Tackling the MSA proactively often makes a significant difference in obtaining a lower settlement cost. Developing and implementing the right strategy for each individual case requires an intimate knowledge of the Centers for Medicare and Medicaid Services (CMS) pre-approval process as well as proper negotiations with CMS.

Our team possesses extraordinary qualifications in this area through S. Philip Unwin and Jennifer B. Santoro, who have earned the credential of Medicare Set-Aside Certified Consultant. Their pre-approved training in Medicare Set-Aside trust arrangements — coupled with years of experience calculating Medicare Set-Asides, applying for approval, and investigating conditional payments — resonates with other parties during the negotiation process and greatly enhances our ability to achieve the lowest possible MSA amount.

This experience can benefit clients and carriers across the country and beyond the realm of workers’ compensation. The question of whether an MSA should be established is also very important to address in any general liability case in which the plaintiff is a Medicare beneficiary, the plaintiff is anticipated to be enrolled in Medicare by the time of settlement, or the plaintiff will require lifetime medical care as a result of his or her injuries.

To learn more about how our MSA and Medicare compliance capabilities may benefit you, contact Philip Unwin at 585.295.8340 or