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Industry Insights

 

Chahal: Utilization Review and Timeliness 05/06/2016
State: NA | Segment: Top | 0
SB 863 attempted to improve the delivery of medical benefits to applicants by mandating the use of evidence-based medicine via utilization review (UR) and independent medical review (IMR). ...Read More
 
 

Clingman: Insurance Con 05/03/2016
State: NA | Segment: Top | 0
This week Oklahoma Insurance Commissioner John Doak once again has joined other elected officials and others in the continued assault on Oklahoma’s working families. ...Read More
 
 
CWCI: Supreme Court Denies Review of Stevens 02/23/2016
By: California Workers’ Compensation Institute
State: NA | Segment: Top | 0 | Popular with Legal
Last Wednesday, the State Supreme Court declined to review the 1st District Court of Appeal’s October 2015 ruling in Stevens v. WCAB (Outspoken Entertainment) which found that:  1) The California Workers’ Compensation Independent Medical Review (IMR) process is not u...Read More
 
 
Constant or Persistent "Non-Trauma?" 01/15/2016
By: David Langham
State: NA | Segment: Top | 0
In workers' compensation, we have seen an evolution. I recently heard Frank Neuhauser speak about the future of workers' compensation. He appeared at the Southern Association of Workers...Read More
 
 
Cleansing 11/13/2015
Source: Julius Young
State: NA | Segment: Top | 0 | Popular with Array
Making headlines this week is another high-profile indictment in California workers’ comp. The federal charges allege a fraudulent kickback scheme among various Southern California medical providers, including doctors, chiropractors and durable equipment providers. This indi...Read More
 
 
California Case Law Update 10/15/2015
Source: WorkCompCentral
State: CA | Segment: Top | 0 | Popular with Medical
NEW! Treatt USA v. Superior Court, B263117, (10/08/2015): A California appellate court ruled that a worker suffering from a chronic and disabling lung condition as a result of his occupational exposure to diacetyl and acetyl propionyl waited too long to file a personal injury suit against th...Read More
 
 
California Case Law Update 09/24/2015
Source: WorkCompCentral
State: CA | Segment: Top | 0 | Popular with Legal
NEW! Matute v. Los Angeles Unified School District, ADJ984305, (09/17/2015): The Workers' Compensation Appeals Board, sitting en banc, ruled that a party wishing to appeal from an adverse independent medical review determination gets 35 days to file a petition for review with the board....Read More
 
 
Cyber Threats and WC: An Industry Confab May Be Needed 09/08/2015
By: Nancy Grover (Featured Columnist)
State: NA | Segment: Top | 0
Are cyber attacks really a threat to the workers' comp industry? Should payers start reserving for this? How can the industry "model" for this risk? After speaking recently with a couple of workers' comp security/tekkie types who scared the bejesus out of me, my ans...Read More
 
 
Case Deals with Credibility of Evidence 08/05/2015
By: Paul E. Peifer
State: NA | Segment: Top | 0
When Kelly Perry severely injured both thumbs in an industrial accident at his job with Viking Forge Corp. in September 2008, his subsequent workers’ compensation claim brought his case before us – the Ohio Supreme Court. The same day that Perry was injured, Dr. Drew R. E...Read More
 
 
California Case Law Update 07/31/2015
State: NA | Segment: Top | 0
NEW! State Compensation Insurance Fund v. Michael D. Drobot Sr., et al., SACV 13-0956 AG (CWx), (07/28/2015): A federal judge postponed until next summer the sentencing hearing for Michael D. Drobot, who pleaded guilty last year to conspiring to defraud a federal health care program and admi...Read More
 
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