Industry Insights
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Jordan: Evidence of Medicare Advantage Organization Not Acting in Medicare's Best Interests | 05/08/2017 | |
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| Source: Jennifer Jordan | |||
| State: NA | Segment: Top | 0 | |||
| For the past year or so, we have watched courts treat Medicare Advantage Organizations (MAOs) as if they were on equal footing as the federal government acting in the best interest of the Medicare Trust Funds. ...Read More | |||
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Jacobsmeyer: 3rd District Rules Apportionment to Genetic Factors Permissible | 04/28/2017 | |
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| By: Jake Jacobsmeyer | |||
| State: CA | Segment: Top | 0 | Popular with Legal | |||
| The Court of Appeals in the 3rd District has issued a blockbuster opinion on apportionment in City of Jackson v WCAB (Rice) regarding the requirements for substantial medical evidence in worker&rsq...Read More | |||
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Jacobsmeyer: 3rd District Upholds Validity of IMR Process | 03/30/2017 | |
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| By: Jake Jacobsmeyer | |||
| State: CA | Segment: Top | 0 | |||
| The 3rd District Court of Appeals has issue its decision in Ramirez v. WCAB, again upholding the constitutionality of the IMR process for review of UR determinations and providing, perhaps, some a...Read More | |||
| Jacobsmeyer: Late IMR Is Valid IMR | 06/27/2016 | ||
| State: CA | Segment: Top | 0 | |||
| The 2nd Appellate District has issued the first of what should prove to be several appellate decisions on the timeliness of independent medical review decisions and the assertion by a Workers' Compensation Appeals Board panel decision that IMR timelines were mandatory, and late...Read More | |||
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Jordan: MSP Not So 'Extraordinary' to Completely Pre-empt State Law | 05/10/2016 | |
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| State: NA | Segment: Top | 0 | Popular with Array | |||
| A great MSP case is reported out of Pennsylvania on May 3, involving what the MSP does not do, in particular, pre-empt state law under any circumstances. ...Read More | |||
| Jacobsmeyer: Appellate Court Dumps Lien Filing Fee Challenge | 03/31/2016 | ||
| State: CA | Segment: Top | 0 | Popular with Legal | |||
| The 2nd District Court of Appeal has handed down a decision affirming the California Legislature’s creation of the lien filing fee as part of SB 863. In Chorn v. WCAB, a physician, Dr. Robin Chorn, filed a complaint joined by two injured workers in an effort to...Read More | |||
| January Case Law Update | 01/12/2016 | ||
| State: CA | Segment: Top | 0 | Popular with Legal | |||
| JURISDICTION AND SUBROGATION In Stinnett v. Los Angeles Dodgers, New York Mets, 2015 Cal. Wrk. Comp. P.D. LEXIS 644, the WCAB held that, pursuant to New York Knickerbockers v. WCAB (Macklin) (2015) 80 CCC 1141, California had a significant and legitimate interest over a baseball player...Read More | |||
| July 2015 Case Law Update | 07/15/2015 | ||
| Source: Michael W. Sullivan, Michael Sullivan & Associates LLP | |||
| State: NA | Segment: Top | 0 | Popular with Legal | |||
| JURISDICTION AND SUBROGATION In Walker v. Tampa Bay Buccaneers, 2015 Cal. Wrk. Comp. P.D. LEXIS 240, the WCAB affirmed a professional football player's award of 70% PD and declined to enforce a forum selection clause. THE BUSINESS OF INSURANCE In Kimco Staffing Service...Read More | |||
| June 2015 Case Law Update | 06/03/2015 | ||
| By: Michael Sullivan | |||
| State: CA | Segment: Top | 0 | |||
| JURISDICTION AND SUBROGATION In Clark v. Green Bay Packers, 2015 Cal. Wrk. Comp. P.D. LEXIS 180, the WCAB held that it had jurisdiction over, and that the Green Bay Packers were liable for, a professional football player's cumulative trauma injury even though the employment contract d...Read More | |||
| Judging | 02/26/2015 | ||
| State: NA | Segment: Top | 0 | |||
| Would you like to be a California workers’ comp judge? That was a question posed to me at a recent party by an acquaintance who has no experience with the workers’ comp field. The answer is no. But it got me thinking. It was a subject I recently discussed with ...Read More | |||
