Progressive Medical/PMSI Announce Medicare Set-Aside Administration Partnership with Ametros

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Progressive Medical/PMSI (soon to be known as Helios) and Ametros Financial have joined in a partnership to provide technology-enabled professional administration of Medicare Set-Aside funds.

Progressive Medical/PMSI (soon to be known as Helios), a specialty services company focused on cost containment innovations for workers’ compensation, liability, and no fault insurance, and Ametros Financial, a professional administration company specializing in Medicare Set-Asides (MSAs), have joined in a partnership to provide technology-enabled professional administration of MSA funds. The addition of professional administration to Progressive Medical/PMSI’s current suite of Medicare Secondary Payer (MSP) offerings positions the company as a complete solution for pre- and post-settlement needs.

“There is great demand for timely, cost-effective alternatives that still deliver full Medicare compliance for settled claims,” said Jeffrey Gurtcheff, Vice President and General Manager of the company’s Settlement Solutions division. “This new partnership combines the pharmacy and MSA expertise of Progressive Medical/PMSI with the post-settlement experience of Ametros to offer clients a truly differentiated solution.”

Through the Ametros CareGuard program, Progressive Medical/PMSI provides full-service, professional administration services. This program eases the concern by all stakeholders that injured workers will lose Medicare eligibility because of the complexity of administering and reporting an MSA according to standards of the Centers for Medicare and Medicaid Services (CMS). Using professional administration as part of the claim settlement process will:

  •     Assure the MSA funds are spent appropriately
  •     Provide the beneficiary with certain prescriptions, medical equipment, and medical treatment at a cost lower than that used to calculate the MSA, thus extending the MSA benefit
  •     Offer evidence of protecting Medicare’s interests

“We are excited by the opportunity to enhance the value and extend the reach of CareGuard through this partnership,” commented Ken Paradis, chairman of Ametros Financial. “Our point-of-sale technology makes compliance both easy and comprehensive. CareGuard’s technology and people enable our Members to save MSA dollars, avoid payment paperwork and reporting, and safeguard their ongoing Medicare eligibility. The MSA is a just a plan. CareGuard makes it all happen according to plan.”

“Submitting to CMS is a client-by-client decision, but if the decision is to not submit, our professional administration services will extend MSA funds, assure they are spent appropriately, and offer clear evidence of protecting Medicare’s interests,” commented Gurtcheff.

About Progressive Medical and PMSI
Progressive Medical and PMSI, soon to be Helios, is the leading expert in pharmacy benefit management, ancillary services, and settlement solutions for workers’ compensation and auto no fault insurance. With corporate offices in Memphis, Tennessee, the company has nearly 1,400 employees in offices in Tampa, Florida; Westerville, Ohio; Price, Utah; and Salt Lake City, Utah. With nearly 60 years of combined industry leadership, Progressive Medical and PMSI empowers payers to do the right thing for the injured worker by ensuring the right decisions are made at the right time. For more information, visit

About Ametros
Ametros Financial Corporation (“Ametros") provides professional administration services for MSAs, MCPs (non-MSA accounts), special needs trusts (“SNT”), and life care plans (“LCP”) with the industry’s first automated, patented and affordable solution. Mixing simplicity and savings for the claimant with risk mitigation for all parties, CareGuard has spurred settlements and its own growth as the nation’s premier professional administration company.

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Jan Luongo, APR, CPRC

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