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Industry Insights

 

Montgomery: Sedgwick Tries PPO Discount for Med-Legal (Again) 04/19/2024
By: Catherine Montgomery
State: CA | Segment: WEST | 0
We’ll say it as often as we have to: Preferred provider organization discounts do not apply to bills for medical-legal services. ...Read More
 
 

Kamin: More Policy Exclusions Would Reduce Losses 04/18/2024
By: John P. Kamin
State: CA | Segment: WEST | 0
Insurance carriers could be saving millions of dollars by properly using exclusions to bar coverage for staffing agencies, thanks to a published decision from 2019. ...Read More
 
 

Phillips: It's All Settled 04/17/2024
By: Judge Allen Phillips
State: TN | Segment: SOUTH | 0
One of the goals of the 2013 Reform Act was an efficient and timely system for resolution of claims. Settlement by agreement furthers that goal by getting employees their benefits more quickly and by allowing employers to avoid undue litigation expenses. ...Read More
 
 

Snyder: Public Benefit Rules Have Changed, but It Might Not Make a Difference 04/12/2024
By: Teddy Snyder
State: CA | Segment: Top | 0
In July 2022, I alerted readers about a new Medi-Cal eligibility law, California Welfare and Institutions Code §14005.62, which removed the asset limit test. As of Jan. 1, 2024, there is no asset limit. ...Read More
 
 

Headrick: Clearing Up a Common Misconception 04/11/2024
By: Judge Audrey Headrick
State: TN | Segment: SOUTH | 0
Merriam-Webster defines misconception as “a wrong or mistaken idea.” ...Read More
 
 

Snyder: Litigation Guidelines Should Define Four Settlement Triggers 04/10/2024
By: Teddy Snyder
State: CA | Segment: NATIONAL | 0
Civil litigators tend to observe certain guideposts as mediation triggers, such as the closing of discovery, setting of a trial date, or an order from the court to use mediation.  Because about 95% of civil cases settle before trial, mediation is the norm for almost every area of civil ...Read More
 
 

Kirsch: Depositions of Comp Carrier Employees After Intervening in Third-Party Actions 04/09/2024
By: Ashton T. Kirsch
State: NA | Segment: NATIONAL | 0
Thin skin and subrogation do not go hand-in-hand. We are the crashers at every party and the uninvited guests that nobody wants to see show up when a personal injury suit has been filed. ...Read More
 
 

Wilson and Bennett: Could AI Have Prevented the Opioid Crisis in Workers' Comp? 04/08/2024
By: Heather Wilson and Chris Bennett
State: NA | Segment: NATIONAL | 0
The U.S. has been experiencing an opioid crisis since the mid-1990s, and opioids have had a significant effect on public health and the nation’s economic and social outcomes. ...Read More
 
 

Moore: Pandemic Effect Over in March 2027. Really? 04/05/2024
State: NA | Segment: NATIONAL | 0
March 1, 2023, would have been the end of the COVID-19 emergency. I am assuming that California was the last state to remove the emergency. ...Read More
 
 

Geaney: A Brief History of Our State's Workers' Compensation Act 04/04/2024
By: John H. Geaney
State: NJ | Segment: NORTH | 0
For those who do not like workers’ compensation, blame Otto von Bismarck.  ...Read More
 
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