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Workers' Compensation News

Curiouser and Curiouser 06/16/2014
State: NA | Segment: | 615 | 0
Santa Clara County and Orange County in California have filed a lawsuit against Purdue Pharma, The Purdue Frederick company, Teva Pharmaceuticals, Cephalon, Johnson and Johnson, Janssen Pharmaceuticals, Endo Health Solutions, Activis PLC, and "does 1 through 100, inclusive." The 100-page lawsuit is ...Read More
Cavalry (May Be) en Route on Dubon Issue 06/05/2014
State: CA | Segment: | 693 | 0
Put down that pen! Step off that ledge! Do not cave in on that medical treatment dispute!From the looks of it, the Dubon matter may have a new twist in the works – the WCAB recently granted reco...Read More
Coingate: The Gift that Keeps on Giving 05/06/2014
State: OH | Segment: | 452 | 0
Imagine, for a moment, that you hold the lofty position of inspector general for a major Midwest state. Imagine further that down the road and around the corner, before your time, way back in 2005, gross malfeasance and criminal activity happened in your state's Bureau of Workers' Compensati...Read More
Catastrophic Injuries 03/20/2014
By: Paul E. Pfeifer
State: OH | Segment: | 1109 | 0
Dean Sziraki was employed in his family’s paving business when his world came crashing in on May 14, 1991. That day, while in the course of his work, he was injured in a one-car accident that resulted in catastrophic brain and spinal-cord injuries.He spent the next 16 years as a qu...Read More
Closed Formularies Control Drug Utilization 02/13/2014
State: NA | Segment: | 296 | 0
In July 2012, we took a look at the early results of the prescription drug formulary in Ohio and Texas.  Both were showing signs of favorable results.Where do we sit 18 months later?  In a word, progress.The Ohio Bureau of Workers' Compensation has recently repo...Read More
Closed Formularies: Not All Created Equal 01/21/2014
State: NA | Segment: | 789 | 0
Oklahoma is getting ready to launch a "closed formulary." Among the many reasons Oklahoma is pursuing this regulatory change must be the success enjoyed by its neighbor Texas. Texas has seen an 80% drop in the cost of "N" drugs for new injuries as of Sept. 1, 2011. For those injuries tha...Read More
Calif. has no Jurisdiction over another Ohio Pro Sports Case 01/16/2014
State: CA | Segment: | 563 | 0
Are you tired of pro-sports cases? No? Good!Today’s post is on the subject of Dan Fike, and, more to the point, his claim against the Baltimore Ravens/Cleveland Browns.  Mr. Fike was a professional football player from June of 1985 to December of 1992.  He sought to have ...Read More
Claimant Not Entitled to MSA due to Misrepresentation 01/06/2014
By: Heather Schwartz Sanderson
State: NA | Segment: | 710 | 0
In a case out of the Civil Appeals Court in Oklahoma, Ramos v. Becco Contractors, Inc. (Dec. 13, 2013), a claimant who misrepresented his immigration status and eligibility for Medica...Read More
California: What's Working? What's Not? 12/19/2013
State: CA | Segment: | 578 | 0
I spent some time recently visiting Prium's customers in California, a state that might as well be its own country when it comes to workers' compensation (and lots of other things). Some specific observations based on my interactions with carriers, self-insured employers, third-party adminis...Read More
Castellanos v. Next Door Co. 10/29/2013
State: FL | Segment: | 1458 | 0
In a case decided (or not decided!) by the Florida 1st District Court of Appeal on Oct. 23, claimant challenged the act as unconstitutional in its restriction, under the formula set forth in Section 440.34 (1), Florida statutes (2009), to an attorney's fee of only $164.54 where the attorney had ...Read More
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