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Industry Insights

 
Pharmacies Self-Interest v. Silos v. Ignorance 07/02/2013
By: Joe Paduda
State: NA | Segment: | 0
Drugs dispensed by physicians account for $1.7 billion in workers’ comp costs.Why don’t the big retail pharmacies care about physician dispensing in workers’ comp?Why isn’t Walgreens, CVS, Rite-Aid and Medicine Shoppe up in arms about this?...Read More
 
 
Parallel Universe 06/17/2013
State: CA | Segment: | 0
The California Division of Workers' Compensation has recently posted its "2013 Study of Access to Medical Treatment for Injured Workers," written by the Berkeley Research Group.Labor Code 5307.2 requires the DWC to do annual access studies. Specifically, Labor Code 5307.2 includes th...Read More
 
 
Pointing a Toy Gun at a Cop Is now an Accident-as-a-Matter-of-Law 05/03/2013
By: Eugene Keefe
State: IL | Segment: | 0 | Popular with Legal
You can’t make this up, folks. We are saddened to see state governors from all over the U.S. visiting/advertising and sending letters to Illinois CEOs trying to get them to move or open new operations in their states. The most vocal business-grabber is Gov. Rick Perry of Texas, who makes a com...Read More
 
 
Physician-Dispensed Packaged Drugs: The CWCI's New Study 03/07/2013
State: CA | Segment: | 0 | Popular with Legal
The California Workers' Compensation Institute has announced a new study on physician-dispensed repackaged drugs.Authored by Alex Swedlow, Laura Gardner and John Ireland, the February 2013 CWCI study is titled "Differences in Outcomes for Injured Workers Receiving Physician-Dispensed...Read More
 
 
Physician Dispensers Are Getting Desperate 02/21/2013
By: Joe Paduda
State: NA | Segment: | 0 | Popular with Medical
Oh this is getting fun!On Jan. 24, WorkCompCentral published a column ostensibly written by a physician attacking me for exposing the dangers, both physical and financial, inherent in physician dispensing of repackaged drugs. I say ostensibly because the column reads like it was ghostwri...Read More
 
 
Policy Wonks, Lend Me your Ears 02/12/2013
State: NA | Segment: | 0 | Popular with Legal
The Insider is very much looking forward to the Workers Compensation Research Institute annual conference, taking place on Feb. 27-28 in the virtual epicenter of wonkiness, Cambridge, Mass. There is always much food for thought in these annual gatherings of insurance execs, state officials, policyma...Read More
 
 
Plaintiffs once again Try to Avoid Medicare Reimbursements and Fail 01/18/2013
By: Jennifer Jordan
State: NY | Segment: | 0
Two interesting cases emerged out of the State of New York last week in which both the state and federal courts held that Medicare Part C plans do in fact have a "statutory" recovery right sufficient to preempt Section 5-335 of the New York General Obligations Law. You may recall that, in August 201...Read More
 
 
Premium Audit Bill and Policy Renewal Conundrum 01/14/2013
By: James J. Moore
State: NA | Segment: | 0
"Our Workers Comp premium audit bill surprisingly increased our premium by 26%. We do not necessarily agree with the audit and want to change insurance carriers. Due to the timing of the audit, we are already two months into our next policy. Can we dispute the audit and cancel our renewal policy?...Read More
 
 
Pharmacist Lien Claimant Swallows Bitter Pill of Defeat 11/19/2012
State: CA | Segment: | 0 | Popular with Legal
What happens when the defense does not comply with California Labor Code Section 4610? Well, if you ask a lien claimant or one of their reps, the answer is pretty clear – there may be good in the world, there may be evil; some things may be right, or may be wrong; it’s even possible for ...Read More
 
 
Providers' Unmitigated Gall 11/09/2012
By: Joe Paduda
State: CA | Segment: | 0 | Popular with Legal
A recent edition of WorkCompCentral arrived with the news that hospitals and device manufacturers somehow are arguing the huge overpayment for surgical devices in California is justified because of the “additional costs” of putting these devices in comp claimants.Seems the Ca...Read More
 
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