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Industry Insights

 
Cash Cow 02/15/2012
State: CA | Segment: | 0
Are medical treatment recommendations sometimes driven by profit motive?In my whole career I've met very few injured workers who expressed concern that the treatment recommendations of their doctor were influenced by physician income considerations.Americans tend to trust...Read More
 
 
Coventry's 2011 Financial Results 02/10/2012
By: Joe Paduda
State: NA | Segment: | 0
Coventry Health announced their full-year 2011 results this morning (Feb. 8); I'd have to sum it up as quite positive, driven primarily by big Medicaid and Medicare revenue increases. There's no question where management is focused with Centers fo Medicare and Medicaid Services (CMS) progra...Read More
 
 
Calif. Case Law Update 01/10/2012
State: CA | Segment: | 0 | Popular with Legal
The following is a summary of important updates to California workers' compensation law.THE BUSINESS OF INSURANCEIn Gonzalez v. Hamlin Development Corp., 2011 Cal. Wrk. Comp. P.D. LEXIS 366, the Workers' Compensation Appeals Board held that an insurers' atte...Read More
 
 
Can an Employer Defeat Asbestos Claim with Statute of Limitations? 12/12/2011
By: John H. Geaney
State: NJ | Segment: | 0
The answer to this question, at least in New Jersey, is a resounding yes, if you have the right facts.  In Russo v. Hoboken Board of Education, A-1861-10T4 (App. Div. Nov. 29, 2011), the petitioner filed a claim petition on Feb. 24, 2004.  He alleged that pulmonary injuries caused by asbes...Read More
 
 
Changes to Maryland Workers' Comp Regulations Finalized 12/05/2011
By: Jennifer Jordan
State: MD | Segment: | 0
You may recall a September 2011 blog article that discussed proposed amendments to Code of Maryland Regulations 14.09.01 and COMAR 14.09.19 adding specific requirements for workers’ compensation settlements involving Medicare beneficiaries.These amendments were finalized Nov. 28 an...Read More
 
 
California Legal Updates 11/03/2011
State: CA | Segment: | 0 | Popular with Legal
The following is a summary of important updates to California workers' compensation law.INJURYIn Rawley v. Boston Red Sox, 2011 Cal. Wrk. Comp. P.D. LEXIS 184, the Workers' Compensation Appeals Board upheld a decision that the last employer over which the Appeals Boar...Read More
 
 
Copy Service Fee Schedule a Smart Move 10/31/2011
State: CA | Segment: | 0 | Popular with Legal
Readers from states other than California always marvel at the odd customs, practices and laws governing workers' compensation in the Golden State.So I'm sure there's some chuckling outside of the state's borders when reading about the latest debate - a fee schedule for p...Read More
 
 
Calif. Medical Director Position Will be Tough to Fill 10/07/2011
State: CA | Segment: | 0
The California Division of Workers' Compensation medical director position has been vacant now for around three years, and despite recruitment efforts the DWC has received only one application. New Administrative Director Rosa Moran has her hands full with huge challenges, b...Read More
 
 
Calif. Government Messing with Work Comp $$ Again 09/12/2011
State: CA | Segment: | 0
California legislators love to make workers' compensation costs a political issue, but when it comes down to The Money they are quick to both strangle the agencies responsible for the system and to take money that was supposed to be exclusive to it.This time legislators want to remov...Read More
 
 
Cost-Containment Services and Medical Fees Need Alignment 08/26/2011
State: CA | Segment: | 0 | Popular with Legal
By David J. DePaoloThe fastest growing segment of medical expense, at least as it is categorized currently in California, is cost-containment services.This segment includes medical bill review, utilization review and case management services.The Rand Corp., throug...Read More
 
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