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Industry Insights

 

Young: Cozy Doctors 04/23/2019
By: Julius Young
State: CA | Segment: Top | 0
The Center for Investigative Reporting recently published another revealing story on questionable workers’ comp claims handling at the Tesla factory in Fremont. ...Read More
 
 

Langham: Cost-Shifting and Personal Decisions 04/22/2019
By: David Langham
State: NA | Segment: Top | 0
In a memorable Dilbert cartoon (April 30, 1995), Dilbert is introduced to a new vice president of his company. She asks about his day and he explains he was just emailing a coworker who is near a window to see if it is raining. ...Read More
 
 

Paduda: The Buyer-User Disconnect, aka the Shiny Object Problem 04/19/2019
By: Joe Paduda
State: NA | Segment: Top | 0
Had a very interesting conversation with a work comp services exec earlier this week that got me thinking about “portals,” those internet entry points where payer staff can access bills, reports, notes, alerts, and other documents and messages about their claims. ...Read More
 
 

Weinmann: Will AB 1107 Trim the Claws of UR? 04/18/2019
By: Robert Weinmann
State: CA | Segment: Top | 1
Under current law, employers are obliged to establish utilization review panels whose purpose is to review, approve, modify or deny diagnostic and/or treatment recommendations. ...Read More
 
 

Gelman: Employer Must Accommodate Off-Hours Use of Medical Marijuana 04/17/2019
By: Jon L. Gelman
State: NJ | Segment: Top | 0
An employee licensed to use medical marijuana under the New Jersey Compassionate Use Medical Marijuana Act may proceed with a New Jersey Law Against Discrimination (LAD) action ageist his employer for unlawful termination.  ...Read More
 
 

Grinberg: Defendant, not Applicant, Has Duty to Provide RTW Form to QME 04/16/2019
Source: Gregory Grinberg
State: CA | Segment: Top | 0
The workers’ comp system is a strange beast. So often we get interpretations of the law that are, well, unexpected. ...Read More
 
 

Goldstein: FDA Takes Interest in Compounded Medications 04/15/2019
Source: Jean S. Goldstein
State: NA | Segment: Top | 0
On April 3, Food and Drug Administration Commissioner Scott Gottlieb, and Deputy Commissioner Anna Abram, issued a ...Read More
 
 

Young: Remember IBR? 04/12/2019
By: Julius Young
State: CA | Segment: Top | 0
After the 2012 reforms, most of the attention went to independent medical review and the huge volume of utilization review disputes that wound up on the doorstep of Maximus, the Division of Workers' Compensation's IMR provider. ...Read More
 
 

Snyder: Winning the Zero Sum Game 04/11/2019
Source: Teddy Snyder
State: NA | Segment: Top | 0
Many negotiators approach resolution as a zero sum game. Each side’s gain or loss is exactly equal to the other party’s gain or loss. Viewing the resources available as limited can obstruct getting to settlement. ...Read More
 
 

Gelman: Nonsmokers Suffer From COPD 04/10/2019
Source: Jon L. Gelman
State: NA | Segment: Top | 0
Approximately 25% of adults with chronic obstructive pulmonary disease (COPD) have never smoked, and workplace exposures likely contribute to much of their disease. ...Read More
 
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