Industry Insights
Court Enforces Labor Code Section 5500.5 Venue Rules, Reverses WCAB | 12/02/2006 | ||
State: CA | Segment: | 0 | |||
By Jake Jacobsmeyer The Court of Appeal certified for publication a previously issued decision on venue selection before the WCAB. In Dominos' Pizza v WCAB (Kerr), the court has reversed a WCAB ruling that allowed an applicant to file an Application for Adjudication of Claim at a venu...Read More | |||
Caremark/CVS and the Threat of Wal-Mart | 11/07/2006 | ||
State: CA | Segment: | 0 | |||
By Peter Cohan Sunday's merger between drugstore chain CVS Corp. (NYSE: CVS) and Pharmacy Benefit Manager (PBM) Caremark Rx, Inc. (NYSE: CMX) could raise your medical expenses and slam your stock portfolio. By eliminating competitors, the merger could result in higher drug prices for ...Read More | |||
Choking on a Clouded Past | 11/04/2006 | ||
By: Peter Rousmaniere (Featured Columnist) | |||
State: CA | Segment: | 0 | |||
By Peter Rousmaniere Many of the 40,000 World Trade Center ground zero rescue and cleanup workers are at risk of serious health problems and disability from what they inhaled on-site. Why? Because this is a case of how America responds to local disasters: writing a playbook and ignoring i...Read More | |||
Come and Get Your Terrorism Insurance? Not So Fast | 10/07/2006 | ||
State: CA | Segment: | 0 | |||
By Jim Kouri Terrorists using unconventional weapons, also known as nuclear, biological, chemical, or radiological (NBCR) weapons, could cause devastating losses. The Terrorism Risk Insurance Act (TRIA) of 2002, as well as the extension passed in 2005, will cover losses from a certified ...Read More | |||
Court Finds No Fault in Late Submission of Bill | 10/07/2006 | ||
By: Larry Rogak | |||
State: CA | Segment: | 0 | |||
By Larry Rogak INADVERTENT SUBMISSION OF BILLS TO WRONG INSURER IS A "REASONABLE EXCUSE" FOR LATE SUBMISSION Hempstead Pain & Med Servs., P.C. a/a/o Sofia Rivera v General Assur. Co. 2006 NY Slip Op 26381 Decided on Sept. 5, 2006 District Court Of Suffolk County, 3rd District Hackeling, J...Read More | |||
Correctional Officer Not Public Safety Officer Outside Prison Walls | 10/07/2006 | ||
State: CA | Segment: | 0 | |||
By Jake Jacobsmeyer The California 3rd District Court of Appeal affirmed decision of a WCAB denying reconsideration from a trial determination that finding a correctional officer, even though in uniform, was not in the course and scope of employment when stopping at a motor vehicle accide...Read More | |||
California Should Follow Texas' Lead | 09/23/2006 | ||
State: CA | Segment: | 0 | |||
By David J. DePaolo, Esq. It should not have come as a surprise that a study published by the American College of Occupational and Environmental Medicine (ACOEM) found that injured workers treated by medical networks that did NOT use utilization review missed the fewest days of work and w...Read More | |||
Contractor Fails to Prove Paint Fumes Didn't Cause Plaintiffs' Problems | 09/23/2006 | ||
By: Larry Rogak | |||
State: CA | Segment: | 0 | |||
By Larry Rogak Spiegel v. Fine Paint Co., NYLJ 9/13/06 (Supreme Court, Nassau County) (Palmieri, j) (index no. 014940/04) (Decided: Aug. 28, 2006) This is an action for negligent exposure to toxic fumes to which plaintiffs were exposed while defendant was painting. Defendant mo...Read More | |||
Clinical Care Update: UM Tool - A Means To Improve Quality | 09/09/2006 | ||
State: CA | Segment: | 0 | |||
By Dr. Bruce Sherman Introduction Sharply escalating medical costs prompted close scrutiny of health care utilization patterns, with a particular focus on quality and efficiency of care delivery. Perhaps no where is this more evident than in workers# compensation systems...Read More | |||
CMS Memorandum of July 24 | 08/12/2006 | ||
State: CA | Segment: | 0 | |||
The Memorandum released by the Centers for Medicare & Medicaid Services (CMS) on July 24, 2006 specifically addresses a significant change regarding the issue of annuitizing the prescription drug portion of the MSA allocation. In the Answer to Question 3, CMS states that "the amount for f...Read More | |||