Industry Insights
| Unininsured = Uninformed | 10/14/2015 | ||
| By: Jeffrey A. Zolonz and Zachary H. Sacks | |||
| State: NA | Segment: Top | 0 | |||
| Times are hard, especially if you are a small business person. Workers’ compensation costs are high in California, and premium payments can be discouraging, especially for someone with a small business. Besides, if you consider your workers in...Read More | |||
| Utilization Review and Independent Medical Review | 12/30/2014 | ||
| By: Robert L. Weinmann | |||
| State: NA | Segment: Top | 0 | |||
| Of these two programs, the more perfidious one is independent medical review (IMR), into which the Legislature carelessly linked secrecy and finality of decision making. The IMR decision is supposedly a final medical decision no matter how incorrect and harmful that decision may be....Read More | |||
| Unfunded Mandates and Patient Safety | 09/24/2014 | ||
| By: Michael Gavin | |||
| State: NA | Segment: Top | 0 | |||
| Last week, several New Jersey state legislators convened a press conference to announce a legislative package intended to stem the tide of opioid and heroin overdoses in the Garden State. And quite a package it turned out to be, comprising 21 bills covering everything from mandatory insurance cov...Read More | |||
| Unpublished Decision Calls into Question Comp Carrier's Subrogation Rights | 08/29/2014 | ||
| State: NA | Segment: Top | 0 | |||
| A recent unpublished and quite puzzling decision from the New Jersey Superior Court, Appellate Division, threw decades of established New Jersey subrogation law into question when it announced that a workers’ compensation carrier has no subrogation/reimbursement rights on the medical portio...Read More | |||
| Underwriting and Adjusting Conundrum | 08/12/2014 | ||
| State: NA | Segment: Top | 0 | |||
| Two days ago, I analyzed a recent court case where the Nebraska Supreme Court made a ruling that can devastate a state's workers' comp system. The conund...Read More | |||
| Unintended Consequences: Utilization Review and Litigation | 05/12/2014 | ||
| State: NA | Segment: | 0 | |||
| It took about a year, but that's about how long these things usually take. When Senate Bill 863 went into effect, many parties, including Prium, expressed some concern around the independent medical review process and whether or not it would stand up to the challenges that we knew would co...Read More | |||
| Understanding Pennsylvania's Statutory Employer Defense | 04/21/2014 | ||
| By: Gary L. Wickert | |||
| State: PA | Segment: | 0 | |||
| Abraham Lincoln once said, “The best way to get a bad law repealed is to enforce it strictly.” When and whether an injured employee can sue an owner or subcontractor for a work-related injury in Pennsylvania has been a matter of some confusion over the years. It is the latest in a landsl...Read More | |||
| Uninsured Employers and CT Injuries | 04/08/2014 | ||
| State: CA | Segment: | 0 | |||
| Jack doesn’t have insurance. Jack gets an employee. Jack wises up after having an employee for almost a year, and gets workers’ compensation insurance. Jack’s employee files a claim for a cumulative trauma injury. Jack’s insurer refers the file to its ...Read More | |||
| Utilization Review: Hypocrisy in Velvet Gloves | 03/26/2014 | ||
| By: Dr. Robert Weinmann | |||
| State: CA | Segment: | 0 | |||
| Obvious bad faith in workers' comp re injured workers is revealed in this story about how an insurance company denied care without making any attempt to reach the primary treating physician before issuing a decision. We are not stating the patient's name for obvious reasons. We're not st...Read More | |||
| Unacceptable Regulations | 12/16/2013 | ||
| State: CA | Segment: | 0 | |||
| On Dec. 6, the California Division of Workers' Compensation issued proposed revised Independent Medical Review regulations, subject to a 15-day comment period.The proposed IMR regs contain elements that are totally unacceptable and which are, frankly, anti-worker.First, s...Read More | |||
