Do You Know What Your Case is Worth?

Arriving at a fair and just settlement, computing a trust amount, plus the actual litigation of injury is the most complex part of a case. Whether it is (defense or a plaintiff case) medical malpractice, personal injury, workers' compensation, or a product liability file, you need to be able to support and defend the monies that are necessary to obtain or manage a reasonable quality of life for the injured person involved, during his/her life expectancy.  How is this accomplished?

Cost projections are compiled through a comprehensive analysis of the medical records, physician interviews, client assessments, discussions with vendors and medical providers.  Our cost analyst has the ability to project the medical services, needs and equipment the injured person will need over their life expectancy through her experience with the case management of catastrophic injuries, rehabilitation experience and specialized training with both cost analysis and life care planning.  She is fully qualified and experienced expert withness to defend or present the report in trials, depositions or hearings.

• A Life Care Plan provides the cost of medical needs over an catastrophic injured person's  life expectancy.
• Cost projections for episodic or individual surgeries, or reviewing for appropriate costing is one of the services that Case Strategies provides daily upon request from their clients. These are used for litagation (both defense or plaintiff) or to assist insurance adjusters set reserves.
• We also review other life care plans for fairness, appropriateness and whether the plan is relative to the needs of the case. 

Medicare Set Aside Medical Summary with Cost Projection

(Workers Compensation)

Medicare has ruled that it will only be a secondary payer to worker's compensation files and will not be responsible for payment of medical issues related to workers compensation injuries. The Medicare Set Aside is prepared initially by identifying any leins on the proposed file, completing a projected cost analysis for future medicals and the submission of the file to Medicare for evaluation of acceptance.

Identifies medical issues and strategies to minimize exposure or position the file for closure.  This estimates the medical costs for both non-catastrophic and catastrophic files, including Spinal Cord Injuries, Acute Brain Injuries, burns, complex cases such as multiple injuries, RSD, Amputations

All worker's compensation cases, and liability cases ready for settlement must be reviewed internally to determine if a medicare set aside is required prior to completion of the settlement.  If the case meets a two prong criteria, then these cases must have a Medicare Set Aside plan developed.  Call us for information concerning how to ensure that your file meets and satisfies the medicare rulings. 

Other uses for cost projections:

• A recent supreme court case ruled that Medicade has to have a  cost projection for future care on all cases that are involved in a third party suit.  They are only able to redeem funds that were deemed appropriate prior to the trial.
• Specific episodes of needs such as the cost of a surgery, yearly maintenance for specific problems, costs of equipment etc.