Industry Insights
| 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 | |||
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Siefkes: Catastrophic or Not? | 02/06/2019 | |
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| 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 | |||
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Paduda: What Is Transparency? | 02/05/2019 | |
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| 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 | |||
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Gorman: Let's Cap the Well | 02/04/2019 | |
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| 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 | |||
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Thompson: A Bill of Rights to Limit Absurd Managed Care Fees | 02/01/2019 | |
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| 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 | |||
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Langham: Limine and Workers' Compensation | 01/31/2019 | |
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| Source: David Langham | |||
| State: NA | Segment: Top | 0 | |||
| In American legal proceedings there are debates of law and facts. The fact debates can be illustrated easily enough. ...Read More | |||
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Grinberg: Injured Worker Can Use Phone to Record QME Exam | 01/30/2019 | |
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| Source: Gregory Grinberg | |||
| State: CA | Segment: Top | 0 | |||
| So many of our litigated workers’ compensation cases turn on the medical-legal exam. Everyone knows that every single chiropractic qualified medical evaluators will find every injury results in 100% disability that is industrially caused, while every spine and orth...Read More | |||
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Duff: The 'Entrepreneurial Opportunity' Canard | 01/29/2019 | |
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| By: Michael C. Duff | |||
| State: NA | Segment: Top | 0 | |||
| The world of workers' compensation is always well-served to keep abreast of labor and employment law developments outside of its ordinary confines. ...Read More | |||
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Paduda: The Danger of Assumptions | 01/28/2019 | |
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| By: Joe Paduda | |||
| State: NA | Segment: Top | 0 | |||
| The older I get, the more I understand the value of experience. Convenient, huh? ...Read More | |||
| Lynch: Low-Wage Workers Pay More for Health Care Than High-Wage Workers | 01/25/2019 | ||
| Source: Tom Lynch | |||
| State: NA | Segment: Top | 0 | |||
| Anyone who can rub two brain cells together knows America spends more — much more — on health care than any other developed nation. Also well established is the sad fact that in terms of health care outcomes our brethren in the Organization for Economic Co-operation ...Read More | |||
