Industry Insights
|
Torrey: Taking One for the Team | 02/15/2019 | |
|---|---|---|---|
| Source: David B. Torrey | |||
| State: PA | Segment: Top | 0 | |||
| The issue of safety incentive programs in the workplace has been current for a number of years now. A common concern is that safety programs that promise a periodic bonus to all, if no injuries occur, may create anxiety among workers that they should avoid reporting their injuries. ...Read More | |||
|
Weinmann: All Is Not Well in California and Hawaii | 02/14/2019 | |
|---|---|---|---|
| Source: Robert Weinmann | |||
| State: NA | Segment: Top | 1 | |||
| Duty of care (King v. CompPartners) was reviewed in this column in October. The case involved the sudden discontinuation by a utilization review physician of patient Kirk King's klonopin. ...Read More | |||
|
Young: It's About Time | 02/13/2019 | |
|---|---|---|---|
| Source: Julius Young | |||
| State: CA | Segment: Top | 0 | |||
| The California Division of Workers’ Compensation has now announced free online access to medical evidence-based treatment guidelines for medical providers. ...Read More | |||
|
Goldstein: Proposals Will Likely Increase Medicare Advantage Plan Enrollment | 02/12/2019 | |
|---|---|---|---|
| Source: Jean S. Goldstein | |||
| State: NA | Segment: Top | 0 | |||
| The Centers for Medicare and Medicaid Services recently released Part II of a set of proposals that CMS indicates “will take significant steps in continuing the agency’s efforts to maximize competition among Medicare Advantage Plans (MAP) and Part D plans.” ...Read More | |||
|
Moore: Where Small Claims Can Turn to Crises | 02/11/2019 | |
|---|---|---|---|
| Source: James Moore | |||
| State: NA | Segment: Top | 0 | |||
| Most medical-only claims adjusting sections in a claims processing manual consist of very few pages. Lost time adjusting takes up the majority of a third-party administrator or insurance carrier claims manual. ...Read More | |||
| Lynch: The Wizard Behind The Curtain, Part 1 | 02/07/2019 | ||
| Source: Tom Lynch | |||
| State: NA | Segment: Top | 0 | |||
| Suddenly, everybody’s out to get pharmacy benefit managers: the Centers for Medicare and Medicaid Services, state legislatures, state Medicaid officials, a boatload of experts and even President Donald Trump, who appears to actually and sincerely believe PBMs have created a rigged system....Read More | |||
|
Siefkes: Catastrophic or Not? | 02/06/2019 | |
|---|---|---|---|
| Source: W. Robert Siefkes | |||
| State: CA | Segment: Top | 0 | |||
| I recently resolved a case involving a health care worker’s exposure to the measles virus during the course of her usual and customary work activities. It caused rather substantial neurological impairments. The neurologic injuries were accepted. ...Read More | |||
|
Paduda: What Is Transparency? | 02/05/2019 | |
|---|---|---|---|
| Source: Joe Paduda | |||
| State: NA | Segment: Top | 0 | |||
| Buyers are asking health care intermediaries for “transparency.” I’ll try to concisely describe what this transparency thing is. ...Read More | |||
|
Gorman: Let's Cap the Well | 02/04/2019 | |
|---|---|---|---|
| By: Patrick C. Gorman | |||
| State: CA | Segment: Top | 1 | |||
| We have been seeing a cottage industry in the area of non-independent bill review medical-legal disputes over the past three years. ...Read More | |||
|
Thompson: A Bill of Rights to Limit Absurd Managed Care Fees | 02/01/2019 | |
|---|---|---|---|
| By: Barry Thompson | |||
| State: NA | Segment: Top | 0 | |||
| A properly incentivized third-party administrator must share in the challenge of a claim and not profit from failure. Limitless managed care fees provide no credible incentive to resolve work comp claims. ...Read More | |||
