Florida Workers’ Compensation: 2025 Legislative Session Recap
The 2025 legislative session in Florida was far from ordinary. Lawmakers reconvened for a special session, which concluded on June 15, 2025, to address unresolved issues from the regular session. No significant workers’ compensation reforms were enacted...
Reversionary Clauses: How to Fight Back and Maximize Settlement Value
By B. Josh Pettingill, MBA, MS, MSCC Reversionary clauses are a go-to tactic for insurance carriers in workers' compensation settlements involving Medicare Set Asides (MSAs). Once limited to catastrophic cases, they're now pushed in nearly every settlement. Most...
Unlocking More from a Workers’ Comp Settlement: The Power of a Second Structured Annuity
When a life-altering workplace injury leaves your client unable to work, navigating the complexities of a workers' compensation settlement becomes paramount. For James, a married man with a back injury from a work site accident, the resolution of his case was not just...
Medical Cost Projections vs. Certified Life Care Plans: Key Differences Explained
By Michele Earney, VP of Operations and Marilyn R. Litwin, Senior Director of Rehabilitation Consulting. When evaluating future medical expenses for an injured party in a legal or insurance context, two commonly used tools are Medical Cost Projections (MCPs) and...
CMS Now Notifies Injured Workers Directly About WCMSA Tracking and Responsibilities
Author: Mark Long, Senior Vice President, Regulatory Affairs, AmetrosEarlier this year in April 2025, the Centers for Medicare & Medicaid Services (CMS) released Version 4.3 of the Workers' Compensation Medicare Set Aside Reference Guide (WCMSA). CMS also updated...
Today’s MSA Will Exhaust Without Cost Containment
by Aaron Winnell, Medivest President A Medicare Set-Aside (MSA) is a device intended to fund expenses in the future, but it’s a product of the here and now. MSAs are priced based on today’s costs. But inflation assures that tomorrow’s healthcare costs will outstrip...
Are Functional Capacity Evaluations (FCEs) Reliable? New Research Highlights Strengths and Weaknesses
A 2018 systematic review published in the Journal of Occupational Rehabilitation sheds important light on the reliability and validity of various Functional Capacity Evaluation (FCE) methods commonly used in return-to-work decisions and disability determinations. The...
Celebrating 20 Years of Partnership
This year marks a monumental milestone for Capstone—20 years of partnership with Florida Workers’ Advocates. It has been a privilege and honor to work alongside FWA. As we celebrate this milestone, we want to express our heartfelt thanks for FWA’s unwavering...
AI Powered Deposition Summaries
Six Ways Ametros and Professional Administration Protect Injured Workers
By: Mark Long, SVP Regulatory Affairs When an injured worker receives a settlement, managing medical funds and ensuring continued care can be overwhelming. Without proper oversight, funds can run out too soon, paperwork can get messy, and Medicare compliance can...
The Greatest Risk is Doing Nothing
CMS has repeatedly kicked the can down the road concerning Liability Medicare Set-Asides guidelines and how to protect Medicare’s future interest in an injury case. Even though Medicare has not issued any guidelines for Liability cases as they have for workers'...
In the Room Where It Happens: Virtual Vs. In-Person Mediation
Virtual mediation has become a mainstay in the legal profession, including cases involving workers’ compensation and personal injury. What began as a necessity during the pandemic is now the default method for resolving disputes of all sizes. It’s efficient. It...