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Industry Insights

 

Paduda: Single-Payer Health Insurance and Workers' Comp 06/17/2022
By: Joe Paduda
State: NA | Segment: Top | 0
Recently, the National Council on Compensation Insurance's Laura Kersey penned a piece about key legislative trends, one of which was single-payer health insurance. Good research work....Read More
 
 

Grinberg: No UR? No Problem — if There's no Material Change in Fact 06/16/2022
By: Gregory Grinberg
State: CA | Segment: Top | 0
I'm back with a blog post on yet another one of those favorite topics: utilization review.  The case at hand is Holguin v. First United Methodist Church, a panel decision. ...Read More
 
 

Snyder: The One Word to Keep Negotiation Going 06/15/2022
By: Teddy Snyder
State: NA | Segment: Top | 0
How do you react when your negotiating opponent says something completely outlandish? Some negotiators walk out. Some blow up, screaming invective. Some stoop to insult. In short, they do everything but negotiate. ...Read More
 
 

Kamin: Unpopular Bills Pass Initial Deadline, but Still Have a Long Way to Go 06/14/2022
By: John P. Kamin
State: CA | Segment: Top | 0
Four bills that could raise costs for California employers, administrators and carriers passed key votes in the California Legislature with an upcoming gubernatorial election pending in the background. ...Read More
 
 

Lim: Defendant With Lion's Share of CT Doesn't Always Get the Election 06/10/2022
By: David K. Lim
State: CA | Segment: Top | 0
Typically, in a cumulative trauma claim where there are two carriers having partial coverage, the applicant will elect against one of the co-defendants under Labor Code 5500.5. ...Read More
 
 

Barrios: Bringing COVID-19 Home to Your Spouse 06/09/2022
By: Brigget Barrios
State: CA | Segment: Top | 0
There is no question that COVID-19 altered our existence as humans. Worldwide, the pandemic has touched all aspects of daily life. It is not surprising, then, that we are still seeing the ripple effects in the California workers’ compensation system. ...Read More
 
 

Paduda: Those Damn Facility Fees 06/08/2022
By: Joe Paduda
State: PA | Segment: Top | 0
If you are a work comp payer, you don’t have to pay those ridiculous facility fees when care is delivered outside the hospital — at least not in Pennsylvania. ...Read More
 
 

Geaney: Appellate Division Endorses Penalty Assessed for Late Payment 06/07/2022
By: John H. Geaney
State: NJ | Segment: Top | 0
There are few cases in the Appellate Division that discuss penalties for late payments of permanency awards, so the recently published decision in Ripp v. Cou...Read More
 
 

Grinberg: WCAB Rejects Psych PD, Places Burden on Applicant 06/06/2022
By: Gregory Grinberg
State: CA | Segment: Top | 0
In the panel case of Sosa v. Race Engineering Inc., applicant claimed injury to his hand, psyche, internal system, skin, gastrointestinal system and sleep as a result of an admitted injury, but defendant accepted only the hand.  ...Read More
 
 

Burk: Advice to Employers in Dealing With Dependency, Lifetime Benefits 06/03/2022
By: Maura Burk
State: NJ | Segment: Top | 0
What happens if an employee dies during the pendency of the open and ongoing workers’ compensation claim? The answer to this depends on a few factors. ...Read More
 
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