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Industry Insights

 
Major Legislative Change Coming in 2015? 03/12/2015
By: David Langham
State: NA | Segment: Top | 0
Will the Florida Chamber of Commerce be successful in "Bending the Cost Curve for Florida's Families?" The Florida Legislature is in session through early May. These 60 days each year are challenging. There are many topics to follow, and various bills will be debated, amended and fo...Read More
 
 
March 2015 Case Law Update 03/05/2015
By: Michael W. Sullivan
State: NA | Segment: Top | 0
BUSINESS OF INSURANCE In Yepes v. St. Supery Vineyard Winery, 2014 Cal. Wrk. Comp. P.D. LEXIS 735, the WCAB granted removal of a WCJ's order setting a matter for trial when the applicant was being prosecuted for workers' compensation fraud under IC 1871.4. INJURY I...Read More
 
 
Malpractice by Utilization Review? 12/19/2014
By: Dr. Robert Weinmann
State: NA | Segment: Top | 0
Here's the story we're working on right now: a utilization-review physician with a California license is being challenged for a decision that is reported to have resulted in harm to a patient. As we go to press, here's what we know: 1) Patient X sustained a brain and spinal co...Read More
 
 
Morales, Where Art Thou, Morales? 11/14/2014
By: David Langham
State: NA | Segment: Top | 0
What is Morales v. Zenith, and why is the Florida workers' compensation community watching for the Supreme Court's decision in that case? Perhaps the community is interested because they think that this case will be instructive. It is an interesting case in at least one regard: it...Read More
 
 
Measuring Quality of Medical Care: More Urgent, Easier to Do 10/13/2014
By: Peter Rousmaniere (Featured Columnist)
State: NA | Segment: Top | 0
Why do occupational medicine clinics in Aurora, Colorado, vary so much in their quality of services to injured workers? The leading workers’ compensation insurer in the state, Pinnacol Assurance, names and rates the clinics in that city. You can find the scores at Pinnacol’s C...Read More
 
 
Medicare Set-Aside Agreements Must be Crystal Clear to all Sides 05/13/2014
By: Eugene Keefe
State: IL | Segment: | 0
We consider this article required reading for all claims adjusters, risk managers, defense lawyers, and workers' compensation hearing officers across the country. In Paluch v. United Parce...Read More
 
 
May 2014 Case Law Update 05/07/2014
State: CA | Segment: | 0
JURISDICTION AND SUBROGATIONIn Smith v. New York Giants, 2014 Cal. Wrk. Comp. P.D. LEXIS 109, the WCAB declined to exercise jurisdiction over a professional football player's claim because his last two employment contracts provided that exclusive jurisdiction for resolving workers...Read More
 
 
March Case Law Updates 03/10/2014
State: CA | Segment: | 0
JURISDICTION AND SUBROGATIONIn Randle v. Seattle Seahawks, 2013 Cal. Wrk. Comp. P.D. LEXIS 621, the WCAB held that it had jurisdiction over a professional football player's workers' compensation claim even though the employment contract selected the state of Washington for all su...Read More
 
 
Move to the Center? 02/26/2014
By: Eugene Keefe
State: IL | Segment: | 0
It is no secret to veteran readers of this KCB&A newsletter that we have been known to wield a sharp pen over the years when it comes to our critique of the hearing officers of our Illinois Workers’ Compensation Commission. While perhaps harsh at times, much of our criticism was meant to p...Read More
 
 
More on Nurse Case Manager Selection 01/03/2014
State: CA | Segment: | 0
Nothing ruins a Friday for a cold-hearted workers’ compensation defense attorney more than having to side with the arguments of an applicant. Well, probably a few things could make a Friday worse (like realizing that it’s only Thursday), but that’s one of the bad ones. So it is, as...Read More
 
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