Medicare Set-Aside (MSA) Solutions
Our MSA solutions are built on the foundation of reasonable consideration of Medicare’s interest in a claim, and adequate allocation of future medical expenses and treatment needs.
We offer a variety of MSA program types and work collaboratively with our customers to address their unique settlement needs.
Our team is composed of professionals with decades of combined industry experience, which they use to guide customers through the MSA process with a focus on driving both cost and time savings.
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Medicare Set-Aside (MSA)
We work to set the standard for the way Medicare Set-Aside Arrangements (MSA) are prepared and integrated into workers’ compensation and personal injury settlements. The IMPAXX team utilizes our strong focus on customer service, long-standing industry relationships, and extensive knowledge to help facilitate successful outcomes for our customers.
Our teammates have an average of more than 15 years of experience in their respective discipline, and we have found that there simply is no substitute for relevant experience and personal commitment to our customer’s success.
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Certified MSA
An alternative to traditional MSAs, our Certified MSA utilizes evidence-based medicine, standards of care methodology, and real-world metrics to calculate future medical expenses. The Certified MSA bypasses the voluntary Medicare review process, is compliant with MSP statutes, and typically results in a reduced MSA amount providing the additional savings associated with a closed file.
In addition, our Certified MSA methodology allows for a more streamlined, efficient process and offers savings, speed, and satisfaction – helping you resolve claims faster while reducing costs and facilitating the peace of mind that comes from knowing that Medicare’s interests have been considered.
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E-MSA
The e-MSA integrates a MSA with annuity and administration quotes (provided simultaneously with the MSA), thereby simplifying the settlement process.
Annuity and administration quotes are provided at no additional cost and with no obligation to engage the services of the annuity broker or professional administrator.
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Non-Submit MSA
Guided by evidence-based medicine and aligned with physicians’ recommendations, this type of MSA strives to avoid the costs and overfunding that can sometimes be associated with the practice of forecasting medical needs based solely on outcomes predicted during CMS review.

Non-Threshold MSA
Our experienced professionals use standards of care methodology when completing the Non-Threshold MSA for claims that do not meet the CMS review threshold.
This allocation includes a Rate Age and recommendations for future medical treatment and medications and may include annuity recommendations (upon request).
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Liability MSA
This type of MSA outlines future Medicare-covered medical treatment and prescription drug costs that would otherwise be paid by Medicare and includes a summary of current treatment and future care recommendations. Our team assists the settling parties with incorporating this information into the settlement process.
Our professionals use a Rated Age and consider standards of care and current CMS guidelines to provide adequate protection of the Medicare Trust Fund and compliance with the MSP statutes.