Industry Insights
| 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 | |||
| 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 | |||
