Industry Insights
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Moore: Why Don't Loss Run Numbers Match X-Mod Sheets? | 06/23/2022 | |
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| By: James Moore | |||
| State: NA | Segment: Top | 0 | |||
| One of the most frequent questions that we have received over the years is why the workers’ comp loss run numbers never match the info on the experience modification sheets. Let's look at three reasons why this happens during a loss run review. ...Read More | |||
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Moore: Medical-Only Analysis: Little Claims That Wreck Budgets | 06/22/2022 | |
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| By: James Moore | |||
| State: NA | Segment: Top | 0 | |||
| I have written about performing a medical-only claims analysis quite often in the past. Now that I am reviewing more loss runs, I still see a pattern that may make you rethink your workers' comp loss run reviews. Festering, tiny claims often fly under the radar. ...Read More | |||
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Young: Scaling Back | 06/21/2022 | |
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| By: Julius Young | |||
| State: CA | Segment: Top | 0 | |||
| One of the most controversial 2022 California workers’ comp bills is SB 1127. But that bill has now been considerably scaled back. ...Read More | |||
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Paduda: Single-Payer Health Insurance and Workers' Comp | 06/17/2022 | |
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| 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 | |||
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Grinberg: No UR? No Problem — if There's no Material Change in Fact | 06/16/2022 | |
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| 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 | |||
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Snyder: The One Word to Keep Negotiation Going | 06/15/2022 | |
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| 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 | |||
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Kamin: Unpopular Bills Pass Initial Deadline, but Still Have a Long Way to Go | 06/14/2022 | |
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| 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 | |||
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Lim: Defendant With Lion's Share of CT Doesn't Always Get the Election | 06/10/2022 | |
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| 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 | |||
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Barrios: Bringing COVID-19 Home to Your Spouse | 06/09/2022 | |
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| 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 | |||
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Paduda: Those Damn Facility Fees | 06/08/2022 | |
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| 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 | |||
