Ametros Member Spotlight
IAIABC: Please provide an organizational overview (number of employees, years in business, vision)
Mark Long, Senior Vice President, Regulatory Affairs, Ametros: Ametros is a healthcare-focused organization with approximately 190 employees. It was founded in 2010, making it 15 years old. The company operates across the United States, serving injured individuals nationwide. Ametros’ organizational vision is to make healthcare easier for injured individuals, reflecting its commitment to simplifying post-injury care and support.
IAIABC: How does your organization serve the workers’ compensation industry?
ML: Ametros plays a vital role in the workers’ compensation industry by supporting injured individuals after settlement. The organization provides post-settlement medical management services that help individuals navigate their healthcare and ensure compliance with Medicare regulations. Ametros simplifies the process of managing medical funds, coordinating care, and extending funds, ultimately making healthcare easier and more transparent for injured workers.
IAIABC: What do you see as some of the major challenges the industry is facing, and how can we as a community address them?
ML: The workers’ compensation industry is navigating several significant challenges:
Complexity of Post-Settlement Care: Injured individuals often face difficulties managing their healthcare after settlement, especially when it comes to coordinating care and ensuring compliance with Medicare guidelines.
Ever-Changing CMS Regulations: The Centers for Medicare & Medicaid Services (CMS) frequently updates its policies and requirements, particularly around Medicare Set-Asides (MSAs). These changes have a significant impact on state policy makers as they establish settlement standards through statute, rules, and guidance. This interplay between states and CMS can create uncertainty and compliance risks for both injured individuals and industry stakeholders.
Lack of Education and Transparency: Many individuals are unaware of their responsibilities of post-settlement, leading to confusion and potential mis compliance.
As a community, we can address these challenges by staying informed and agile in response to CMS updates, ensuring our compliance strategies evolve alongside regulatory changes. Additionally, investing in education and advocacy empowers injured individuals with the knowledge and tools they need to confidently manage their care.
IAIABC: Are there any projects/programs/initiatives going on at your organization that you are particularly excited or enthusiastic about?
ML: We’re continuously working to improve the experience for our members through initiatives that simplify healthcare and support services. These efforts lead to meaningful impact for our members and help make life easier for those working in the workers’ compensation space.
IAIABC: What's an interesting fact about your organization that most people don't know?
ML: Each year, Ametros publishes the Member Impact Report, an annual review that showcases our member and client service performance, healthcare savings data, and the values and causes we champion. It’s a powerful reflection of the impact we make and the communities we support.
IAIABC: Why is your organization a member of the IAIABC? What would you tell others about the benefits of membership?
ML: Ametros values its IAIABC membership for the opportunity to connect with the regulatory community and gain insights that help us better serve our members. The networking and shared learnings are invaluable for staying informed and contributing meaningfully to the workers’ compensation space.