Workers' Compensation News
OWCP Starts Reining in Compound-Drug Spending
By: Elaine Goodman (medical/business reporter)
State: NA | Segment: Top |
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Spending on compound drugs within the Federal Employees’ Compensation Act program has plummeted by 90% — from $20 million a month down to $2 million a month — after a preauthorization requirement was put in place last year.
Ohio AG Sues Drugmakers Over Opioid Marketing
State: OH | Segment: NORTH |
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Ohio Attorney General Mike DeWine has filed a lawsuit against five opioid manufacturers, alleging that the drug companies engaged in fraudulent marketing regarding the risks and benefits of prescription opioids that fueled the state's opioid epidemic.
OWCA Director Decries House Passage of Formulary Bill
State: LA | Segment: SOUTH |
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The head of the Office of Workers’ Compensation Administration has come out against House Bill 592, which passed the House last week and would establish a drug formulary with the Official ...
One Call Program Helps Ensure Injured Workers Get to Medical Appointments
State: NA | Segment: NATIONAL |
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One Call Care Management has launched a service that will allow the company to quickly identify transportation issues that might prevent an injured worker from getting to a medical appointment.
Through the program, called Relay Transportation, One Call’s staff can arrange alternativ...
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Today's Round Up
CA - Audit Standards Tighten for 2018
Claims administration services will need to score better in 2018 than they did this year to pass the initial stage of annual audits and avoid a more stringent review of claim files.
The Division of Workers’ Compensation said the Profile Audit Review performance standard for 2018 will be 1.47573, down from the PAR standard of 1.47885 in 2017.
Claims administrators that receive a score equal to or less than the standard set by the division will be required to pay any outstanding compensation but will not face administrative penalties. Shops that score higher will be subject to .
NATL. - Erie Promotes HR VP to Executive Vice President
0 min read
Erie Insurance has promoted Dionne Wallace Oakley to executive vice president of human resources and strategy, the carrier said in a press release.
Dionne Wallace Oakley
Wallace Oakley’s role will expand to include oversight of “several strategic functions,” the carrier said.
Wallace Oakley joined Erie Insurance in 2011 as vice president of human resources business partners, following a 22-year career at State Farm where her responsibilities included commercial lines service, personal lines underwriting, auto claims, corporate public affairs, agent recruiting and human r.
NM - Governor Makes Appointment to Advisory Council
0 min read
New Mexico Gov. Susana Martinez appointed Tara Bonestroo to the state’s Advisory Council on Workers’ Compensation and Occupational Disease Disablement.
Bonestroo is a partner in Bonestroo and Sons Dairy in Portales. She will fill a vacancy for a business representative on the advisory council.
The advisory council recommends rules and regulations relating to the state’s workers’ compensation system. Although the council’s role is largely advisory, it has authority to appoint members to the panel that approves independent medical examination providers.
AK - WCB Reviewing Court Cases at Jan. 11 Meeting
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Members of the Alaska Workers’ Compensation Board will discuss 2017 state Supreme Court and Workers’ Compensation Appeals Commission decisions during a Jan. 11 meeting.
Board members will also discuss the 2018 year-to-date budget during the meeting. The agenda also includes a one-hour public comment period.
The board meets from 9 a.m. to 5 p.m. Jan. 11 at the Division of Workers’ Compensation office, 3301 Eagle St., room 208, Anchorage.
The meeting agenda is here.
ID - Industrial Commission Posts Draft Audit Guidelines for Review
0 min read
The Idaho Industrial Commission posted to its website draft audit guidelines for public review and comment.
The commission conducts periodic audits to ensure carriers and self-insured employers are complying with claims adjustment requirements.
Draft guidelines outline types of claims that will be reviewed during the audits, including all total permanent disability claims and fatality claims, and a sample of other claims. The commission will examine whether payments were timely, whether payers correctly calculated benefits owed to injured workers and whether they’re promptly reporting .
CA - Judge Consolidates Claims for Sanctions, Payment on Copy Service Bills
CA - No Injunction in QME Dispute; Judge Questions Jurisdiction to Hear Complaint
CA - Little Explanation for Large Increase in SIF Costs
CA - Better ID of Suspended Providers, Process to Report Bad Actors Sought at Hearing
CA - Ex-NBA Player Pleads Guilty in Charity-Donations-for-Client-Referral Scheme
CA - DIR at Odds With Auditor Over Fraud Recommendations
CA - Investigation Into Double Electrocution Leads to Fraud Charges
NATL. - Debate Over Evidence-Based Guidelines Heats Up
CA - DWC Approves Carve-Out Agreement Between Los Angeles and Police Union
CA - DWC Posts Adjustment to Physicians' Fee Schedule
Jan 6, 2018
2018 Liens, Costs and Med-Lega
New for 2018 - learn all pertinent laws, skills and tools for lien issues starting January 2018. …
Jan 20, 2018
2018 MCLE Super Saturday
This program provides the six hours of â€œSpecial Requirementâ€ training, wi …
Jan 22-23, 2018
2018 Florida Comp Update
The 2018 Florida Comp Update at the Don CeSar Hotel in Pete Beach, FL, will provide two days of vi …