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Workers' Compensation News


 
Closed Formularies Control Drug Utilization 02/13/2014
State: NA | Segment: | 190 | 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: | 431 | 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: | 243 | 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: | 305 | 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: | 275 | 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: | 751 | 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
 
 
Congratulations Pa., and Thanks Again to our Fla. IT Team 10/18/2013
State: NA | Segment: | 259 | 0
Pennsylvania launched an integrated electronic management system last month. The Workers' Compensation Automation and Integration System, or WCAIS, is described as the first system of its kind. It integrates data-sharing among three Pennsylvania state agencies, the Bureau of Workers' Compens...Read More
 
 
Case Law Update 09/27/2013
By: Teague Campbell
State: NC | Segment: | 260 | 0
Excusable neglect, Rule 613On Aug. 1, 2007, Adan Nieto-Espinoza filed a Form 18, alleging that he had sustained a workplace injury in May 2007. On Sept. 7, 2010, Deputy Commissioner Phillips granted Nieto-Espinoza’s motion for voluntary dismissal. On Oct. 18, 2010, Nieto-Esp...Read More
 
 
Controlling Work Comp Medical Costs: The Impact of Price 06/21/2013
State: NA | Segment: | 220 | 0 | Popular with Legal
The Workers Compensation Research Institute released the fifth edition of the Medical Price Index for Workers' Comp yesterday (download available at no cost) analyzing 25 states that account for 80% of...Read More
 
 
Choosing Your Battles Wisely under SB 863 Reforms 05/08/2013
By: Reid L. Steinfeld and Richard Boggan
State: CA | Segment: | 289 | 0 | Popular with Legal
California's Senate Bill 863 differs from past reforms with clear and unambiguous consequences to medical providers for failure to comply. The provisions of SB 863, relating to payment for medical services may seem obvious and the risks manageable, however, there are aspects of SB 863 yet to be ...Read More
 
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