Industry Insights
Medicare and Workers' Comp: NCCI's View | 02/08/2010 | ||
By: Joe Paduda | |||
State: NA | Segment: | 0 | |||
By Joe PadudaRecently, NCCI released a white paper entitled "Medicare and Workers Compensation Medical Cost Containment." The report goes well beyond a discussion of the relationship between Medicare's physician and hospital reimbursement policies' impact on workers' comp; no...Read More | |||
Mich. WC Case is a Wake-Up Call for Businesses | 02/02/2010 | ||
State: NA | Segment: | 0 | |||
By Randall S. Boss For most employers, workers’ compensation insurance has long been a buffer between them and the frivolous lawsuits employees could potentially file every time they slipped on a wet floor, wrenched their back picking up a box, or banged their head on a low-hanging...Read More | |||
More Gold-Digging in the Tunnels of Illinois | 11/03/2009 | ||
By: Eugene Keefe | |||
State: IL | Segment: | 0 | |||
By Eugene KeefeSynopsis: More gold-digging in the “Tunnels of Illinois.” Are lawsuit lenders now “creating” claims by financing workers' compensation surgeries? Editor’s comment: From our review, it would appear lawsuit lenders may be fu...Read More | |||
Maurice Greenberg is Back | 10/29/2009 | ||
State: CA | Segment: | 0 | |||
By Julius YoungHe's baaaaak!Not that he really ever left.....That's Maurice Greenberg, who as chairman of AIG presided over the rise of an insurance behemoth. AIG is everywhere. Several months ago while walking in Shanghai on the banks of the H...Read More | |||
Major Cause - Boy Was I Wrong | 10/09/2009 | ||
By: Judge Tom Leonard | |||
State: OK | Segment: | 0 | |||
By Judge Tom Leonard Major cause is the most puzzling of the new terms in the 2005 legislative reforms. "Major cause means the predominate [sic] cause," and the employment must be the major cause of the injury. Predominate [sic] is a synonym for major, and we have a ter...Read More | |||
MultiPlan to Acquire PPO Viant | 08/14/2009 | ||
By: Joe Paduda | |||
State: NA | Segment: | 0 | |||
By Joe PadudaPPO company Viant (owner of Beech Street and PPONext) will be acquired by larger PPO company MultiPlan.The announcement came last week; here's the lead from the internal memo to employees:"After much thought and deliberation by our board of ...Read More | |||
Making Return-to-Work Policy Successful Using Transitional Duties | 08/06/2009 | ||
By: Rebecca Shafer | |||
State: NA | Segment: | 0 | |||
By Rebecca ShaferThe No. 1 goal of any injury management policy is to return injured employees to work just as soon as they are medically able; ideally in their original state of health to their regular duty job. There is a difference between "medically necessary" and "medica...Read More | |||
MTUS Changes Are Here | 07/20/2009 | ||
By: Mullen & Filippi | |||
State: CA | Segment: | 0 | |||
By Mullen & FilippiTaking a cue from the midsummer heat, we explore in this edition of the Mullen & Filippi Bulletin some new regulations and recent cases which are likely to be hot topics for conversation in the coming days. Changes to the Medical Treatment Uti...Read More | |||
Medical Determinations Are Final, Absent Timely Objection | 07/16/2009 | ||
State: CA | Segment: | 0 | |||
By Michel LeClercOn Tuesday, July 7, 2009, the 3rd District Court of Appeal denied an employer's claim for temporary disability (TD) overpayment where the employer had failed to make a timely Labor Code 4062 objection to the treating physician's opinion on TD.In J.C. ...Read More | |||
Medco Health Reform Debate | 05/22/2009 | ||
By: Joe Paduda | |||
State: NA | Segment: | 0 | |||
By Joe PadudaLast week, PBM giant Medco hosted a discussion of health reform that was one of the better events I've encountered - better because the conversation was realistic, pointed, and quickly got into the reality of health care reform - it's about cost.Par...Read More | |||