Industry Insights
| Show-Me a Bad Ruling | 01/27/2007 | ||
| State: CA | Segment: | 0 | |||
| With all due sympathy to a local widow who lost her husband three years ago, a compassionate Missouri Supreme Court made a bad law when it awarded her a continuation of her husband's workers compensation payments after he died. At age 76, her husband sustained a debilitating knee injury w...Read More | |||
| So This is Actually 'Peer Review' | 12/30/2006 | ||
| State: CA | Segment: | 0 | |||
| By Dr. William Nemeth What is peer review? "Peer review," in the most general sense, refers to a process by which a health care provider reviews the work of another health care provider with a similar scope of clinical practice. In the context of the Texas workers' compensatio...Read More | |||
| Steering Clear of Operational Risk | 12/16/2006 | ||
| State: CA | Segment: | 0 | |||
| By Linda Chase-Jenkins and Samir Shah Operational risks and related capital requirements have become a growing area of concern for regulators. U.S. regulators have tended to lag behind their European counterparts, but this may change in light of corporate-governance concerns and the occas...Read More | |||
| Sandhagen UR Decision Upholds WCAB | 12/02/2006 | ||
| State: CA | Segment: | 0 | Popular with Insurance | |||
| By Jake Jacobsmeyer The 3rd District Court of Appeal finally issued its decision in State Compensation Insurance Fund v. WCAB (Sandhagen) addressing a series of issues involving admissibility of reports and procedural aspects of utilization review. In a case that took over two years ...Read More | |||
| Simply Wrong | 11/18/2006 | ||
| State: CA | Segment: | 0 | |||
| By Jim Copland When Winston Churchill rallied Londoners to douse the fires ignited by Nazi bombers, he didn't take extraordinary pains to caution rescuers to wear protective masks -- let alone to consider carefully if they'd weighed the potential long-term dangers from smoke inhalation. Bu...Read More | |||
| Sandhagen Opinion Beneficial to Injured Workers | 11/18/2006 | ||
| State: CA | Segment: | 0 | |||
| The following column is republished from the WorkCompCentral Professional Forums. By York McGavin Hi WCC Forum Members: After reviewing the Sandhagen opinion from the 3rd DCA a few times, I note two no-brainer conclusions that are unavoidable: ...Read More | |||
| Supreme Court to Hear Apportionment Formula Issue | 11/18/2006 | ||
| State: CA | Segment: | 0 | |||
| By Jake Jacobsmeyer The California Supreme Court has posted on its Web site that the Petitions for Hearing in the Welcher cases and also Brodie v. WCAB have all been granted for review. The vote for review by the court was unanimous with all seven of the Supreme Court justi...Read More | |||
| Surveillance, Fishing, and Landing Documentation of Fraud | 11/18/2006 | ||
| State: CA | Segment: | 0 | |||
| By Brad Ballentine Surveillance investigations have a lot in common with the subject of fishing, beyond the fact that on a warm day they can both be a sweaty and smelly business. They both involve sitting and waiting for something to happen. For the fisherman, the waiting can be part of ...Read More | |||
| SB 815: The Wrong Bill at the Wrong Time | 09/09/2006 | ||
| State: CA | Segment: | 0 | |||
| By David J. DePaoloSB 815 is hugely flawed and should not be signed by the Governor even if an insurance executive supports it. Let's review: SB 815 seeks to amend Labor Code section 4658, the permanent disability indemnity section. This section is what converts percentage of disa...Read More | |||
| Second Surgical Opinion Process Clarified By WCAB | 09/09/2006 | ||
| State: CA | Segment: | 0 | |||
| By Jake Jacobsmeyer The Workers' Compensation Appeal Board published a "Significant Panel Decision" (1) that significantly clarifies the process for objecting to requests for spinal surgery and provided alternate procedures for defendants to follow to object to such requests for surgery....Read More | |||
