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Industry Insights

 
Compound Medications: A Killer Scam 07/10/2014
By: Joe Paduda
State: NA | Segment: | 0
Compound drug use is exploding – so much so that Texas has changed their employee benefits program to limit reimbursement to $300.  They didn’t have much choice, as the Te...Read More
 
 
COA: At-Home 'General Fitness' Exercise Energy Compensable 07/09/2014
State: CA | Segment: | 0
Your humble blogger, before he hung out his own proverbial shingle and opened his own literal office, had the privilege of working for another law firm. One requirement of continued employment was a valid California Bar license, and one requirement of a valid California Bar license was keeping up wi...Read More
 
 
Curiouser and Curiouser 06/16/2014
State: NA | Segment: | 0
Santa Clara County and Orange County in California have filed a lawsuit against Purdue Pharma, The Purdue Frederick company, Teva Pharmaceuticals, Cephalon, Johnson and Johnson, Janssen Pharmaceuticals, Endo Health Solutions, Activis PLC, and "does 1 through 100, inclusive." The 100-page lawsuit is ...Read More
 
 
Cavalry (May Be) en Route on Dubon Issue 06/05/2014
State: CA | Segment: | 0
Put down that pen! Step off that ledge! Do not cave in on that medical treatment dispute!From the looks of it, the Dubon matter may have a new twist in the works – the WCAB recently granted reco...Read More
 
 
Coingate: The Gift that Keeps on Giving 05/06/2014
State: OH | Segment: | 0
Imagine, for a moment, that you hold the lofty position of inspector general for a major Midwest state. Imagine further that down the road and around the corner, before your time, way back in 2005, gross malfeasance and criminal activity happened in your state's Bureau of Workers' Compensati...Read More
 
 
Catastrophic Injuries 03/20/2014
By: Paul E. Pfeifer
State: OH | Segment: | 0
Dean Sziraki was employed in his family’s paving business when his world came crashing in on May 14, 1991. That day, while in the course of his work, he was injured in a one-car accident that resulted in catastrophic brain and spinal-cord injuries.He spent the next 16 years as a qu...Read More
 
 
Closed Formularies Control Drug Utilization 02/13/2014
State: NA | Segment: | 0
In July 2012, we took a look at the early results of the prescription drug formulary in Ohio and Texas.  Both were showing signs of favorable results.Where do we sit 18 months later?  In a word, progress.The Ohio Bureau of Workers' Compensation has recently repo...Read More
 
 
Closed Formularies: Not All Created Equal 01/21/2014
State: NA | Segment: | 0
Oklahoma is getting ready to launch a "closed formulary." Among the many reasons Oklahoma is pursuing this regulatory change must be the success enjoyed by its neighbor Texas. Texas has seen an 80% drop in the cost of "N" drugs for new injuries as of Sept. 1, 2011. For those injuries tha...Read More
 
 
Calif. has no Jurisdiction over another Ohio Pro Sports Case 01/16/2014
State: CA | Segment: | 0
Are you tired of pro-sports cases? No? Good!Today’s post is on the subject of Dan Fike, and, more to the point, his claim against the Baltimore Ravens/Cleveland Browns.  Mr. Fike was a professional football player from June of 1985 to December of 1992.  He sought to have ...Read More
 
 
Claimant Not Entitled to MSA due to Misrepresentation 01/06/2014
By: Heather Schwartz Sanderson
State: NA | Segment: | 0
In a case out of the Civil Appeals Court in Oklahoma, Ramos v. Becco Contractors, Inc. (Dec. 13, 2013), a claimant who misrepresented his immigration status and eligibility for Medica...Read More
 
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