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Industry Insights

 
California: What's Working? What's Not? 12/19/2013
State: CA | Segment: | 0
I spent some time recently visiting Prium's customers in California, a state that might as well be its own country when it comes to workers' compensation (and lots of other things). Some specific observations based on my interactions with carriers, self-insured employers, third-party adminis...Read More
 
 
Castellanos v. Next Door Co. 10/29/2013
State: FL | Segment: | 0
In a case decided (or not decided!) by the Florida 1st District Court of Appeal on Oct. 23, claimant challenged the act as unconstitutional in its restriction, under the formula set forth in Section 440.34 (1), Florida statutes (2009), to an attorney's fee of only $164.54 where the attorney had ...Read More
 
 
Congratulations Pa., and Thanks Again to our Fla. IT Team 10/18/2013
State: NA | Segment: | 0
Pennsylvania launched an integrated electronic management system last month. The Workers' Compensation Automation and Integration System, or WCAIS, is described as the first system of its kind. It integrates data-sharing among three Pennsylvania state agencies, the Bureau of Workers' Compens...Read More
 
 
Case Law Update 09/27/2013
By: Teague Campbell
State: NC | Segment: | 0
Excusable neglect, Rule 613On Aug. 1, 2007, Adan Nieto-Espinoza filed a Form 18, alleging that he had sustained a workplace injury in May 2007. On Sept. 7, 2010, Deputy Commissioner Phillips granted Nieto-Espinoza’s motion for voluntary dismissal. On Oct. 18, 2010, Nieto-Esp...Read More
 
 
Controlling Work Comp Medical Costs: The Impact of Price 06/21/2013
By: Joe Paduda
State: NA | Segment: | 0 | Popular with Legal
The Workers Compensation Research Institute released the fifth edition of the Medical Price Index for Workers' Comp yesterday (download available at no cost) analyzing 25 states that account for 80% of...Read More
 
 
Choosing Your Battles Wisely under SB 863 Reforms 05/08/2013
By: Reid L. Steinfeld and Richard Boggan
State: CA | Segment: | 0 | Popular with Legal
California's Senate Bill 863 differs from past reforms with clear and unambiguous consequences to medical providers for failure to comply. The provisions of SB 863, relating to payment for medical services may seem obvious and the risks manageable, however, there are aspects of SB 863 yet to be ...Read More
 
 
Can 'Jake' Authorize a Change in Physician? 05/01/2013
State: FL | Segment: | 0
I enjoy the creativity in advertising. I have to remind myself that they are all just trying to push a product, one which I would not likely even consider without their advertising. I am often struck by the humor in advertisements. I find that the product name and purpose rarely sticks with me, but ...Read More
 
 
Can Nurse Case Manager Controversy be Cured with Agreed Rules? 04/25/2013
By: John P. Campbell Jr.
State: IL | Segment: | 0 | Popular with Legal
Illinois employers/defense attorneys view nurse case managers as a resource to maintain up-to-date information on the status of treatment and progress with recovery on the more difficult workers’ compensation claimants. Conversely, the Illinois workers' compensation petitioner’s Bar ...Read More
 
 
Closed Formulary: Coming Soon to your State? 03/27/2013
State: NA | Segment: | 0 | Popular with Legal
There's little doubt that the Texas closed formulary rules (instituted for new injuries as of 9/1/11 and forthcoming for all claims as of 9/1/13) is having it's intended impact.  Opioid scripts have dropped, spending on medication therapy has dropped, and prescription habits are clearly...Read More
 
 
Court Holds Psych Injury Need Not Be Immediately Apparent 03/22/2013
By: Matthew Ignoffo
State: IL | Segment: | 0
In Chicago Transit Authority v. IWCC (2013 IL App.1st 120253 WC, opinion filed March 11, 2013), the Illinois Appellate Court, Workers’ Compensation Division upheld an Illinois Workers' Compensation Commission decision awarding workers’ compensation benefits for psychological injuries...Read More
 
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