Industry Insights
| Major Findings in 1st Annual Comp Bill Review Survey | 05/22/2009 | ||
| By: Joe Paduda | |||
| State: NA | Segment: | 0 | |||
| By Joe PadudaWe at Health Strategy Associates have completed our First Annual Workers Comp Bill Review Survey and there are several highlights worthy of mention. Bill review is considered significantly 'more important' than other managed care services by survey respon...Read More | |||
| Must Read Ruling on General Liability by Illinois Supreme Court | 12/09/2008 | ||
| By: Eugene F. Keefe | |||
| State: IL | Segment: | 0 | |||
| By Eugene F. KeefeSynopsis: Vitally important ruling for all Illinois risk managers handling major litigation in our courts.Editor’s comment: This is one of those, “That’s Illinois” rulings. It doesn’t have to make sense or follow what we call th...Read More | |||
| Murray V. Mariner Health Update | 10/24/2008 | ||
| State: FL | Segment: | 0 | |||
| By Mary L. WakemanThe Florida Supreme Court on Oct. 23 released it's long awaited opinion on the constitutionality of the revised attorney fee statute in section 440.34, Fla. Stat. (2003). The Court determined that claimants are entitled to recover a "reasonable fee" for ...Read More | |||
| Medicare Set-Asides Update | 08/15/2008 | ||
| State: NA | Segment: | 0 | |||
| By Gould and LambIn December 2007 the Medicare, Medicaid and State Children's Health Insurance Program (SCHIP) Extension Act became law. The portion of this law important to carriers, self-insured entities and third-party administrators who have workers' compensation, liability o...Read More | |||
| Murray v. Mariner Health/ ACE USA | 07/10/2008 | ||
| By: McConnaughhay, Duffy, Coonrod, Pope & Weaver | |||
| State: FL | Segment: | 0 | |||
| By McConnaughhay, Duffy, Coonrod, Pope & WeaverIn the 2003 reforms, lawmakers eliminated all claimant attorney hourly fees with one exception, that being a $150 hourly fee up to a maximum of $1,500 for one medical claim per accident.It was the legislative intent as confir...Read More | |||
| Medicare Recovery Made Simple | 05/23/2008 | ||
| By: Jon Gelman | |||
| State: NA | Segment: | 0 | |||
| By Jon GelmanNavigating the Medicare recovery system just became a whole lot easier with the deployment of the new website launched by the new national MSP Recovery Contractor (MSPRC). The Centers for Medicare & Medicaid Services (CMS) has consolidated all of the function...Read More | |||
| Medicare is to Workers' Comp as Yin is to Yang | 04/17/2008 | ||
| By: Joe Paduda | |||
| State: NA | Segment: | 0 | |||
| By Joe PadudaWhy do regulators base workers' compensation reimbursement on Medicare? It's easy, simple, and already familiar to legislators and regulators alike. It is also a big mistake.Medicare is a program for America's elderly -- over-65, mostly sedentary, and...Read More | |||
| Mississippi Verdict Could Erode Employer Protections | 03/28/2008 | ||
| State: MS | Segment: | 0 | |||
| By Foster WelburnThe Mississippi's Workers' Compensation Act generally guarantees to employees the right to receive pre-determined compensation benefits for workplace accidental injuries without the need to prove the employer's fault. In exchange for guaranteed benefits...Read More | |||
| Minor schism follows newest Labor Code Section 4660(d) opinion | 01/31/2008 | ||
| State: CA | Segment: | 0 | |||
| Yet another decision from the Court of Appeals, this time the 2nd District, has upheld the WCAB's interpretation of Labor Code Section 4660(d) in Pendergrass II, rejecting a WCAB decision that issue prior to that en banc decision applying the 1997 Permanent Disability Rating Schedule (PDRS) base...Read More | |||
| Malingering in the workers' compensation setting. | 01/18/2008 | ||
| By: Dr. Steven D. Feinberg | |||
| State: NA | Segment: | 0 | |||
| By Dr. Steven D. FeinbergFor many individuals that sustain an injury, there is a close correlation between subjective complaints and objective pathology. Since most physicians are trained in treating physical pathology, the outcome of treatment is usually satisfactory for all concerned....Read More | |||
