MSA Services / PMSI Partnership

PMSI MSA Services continues to innovate the Medicare Set-Aside process. This time, the industry leader is taking on the latest MSA challenge: pharmaceutical costs.
With the addition of Medicare Part D in 2006, set-aside values have increased dramatically, costing the insurance industry millions of dollars. A new partnership was needed to ensure the lowest possible pharmacy costs.
Health Advocates has teamed up with the nation’s leading single-source provider of prescription medications. Along with experience and expertise, PMSI brings to the industry the ability to secure the lowest possible drug pricing for every MSA.
As a result of this partnership, Health Advocates will now offer three new services which will significantly lower total settlement costs as well as benefit the injured worker. These services include:

Prescription Cost Projections (FREE - included with every MSA assignment)
  • Provides access to contract pricing that is below the majority of WC state fee schedules: Savings of up to 20% over best available pricing sources.
  • Determines best Rx pricing based on brand discounts, generic availability, and future cost projections.
Post-Settlement Rx Card Program (FREE - available to claimant on every MSA assignment)
  • Negotiated discount rates on brand and generic prescription medications further reduce the MSA amount.
  • Direct billing of the MSA Account.
  • Additional discounts at PMSI Mail Service pharmacy which can offer even more savings of up to 25%.
Comprehensive Clinical Pharmacy Review (Optional service - $400 flat fee)
  • Clinical review to confirm included medications are appropriate to the primary injury.
  • Analysis of cost savings due to: duplicative therapies, limited duration therapies and/or diminishing-use prescriptions.