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Industry Insights

 

Moore: My Subrogation Mini-Rant for 2024 07/01/2024
By: James Moore
State: NA | Segment: NATIONAL | 0
I try not to rant about mistakes that I see made during our premium, mod and claims reviews, by my subro SOS mini-rant (please excuse) for 2024 covers subrogation. ...Read More
 
 

Geaney: Petitioner Can't Prove Work-Related Need for Breast Reconstruction Surgery 06/28/2024
By: John H. Geaney
State: NJ | Segment: NORTH | 0
A misunderstanding of a key fact can doom an expert opinion.  ...Read More
 
 

Montgomery: CCSF Sends Corrected Payments to Providers 06/27/2024
By: Catherine Montgomery
State: CA | Segment: WEST | 0
No one knows better than daisyBill how much payment abuse California workers’ comp providers endure. ...Read More
 
 

Paduda: Opioids, NSAIDs and Better Options 06/26/2024
State: NA | Segment: NATIONAL | 0
The Workers Compensation Research Institute's latest report on drugs in workers’ comp has some excellent news:...Read More
 
 

Paduda: State Moves That Will Affect Workers' Comp 06/25/2024
By: Joe Paduda
State: NA | Segment: NATIONAL | 0
The state legislation that will most affect workers’ comp is often not about workers’ comp. Rather, it deals with other parts of the health care ecosystem. For example: ...Read More
 
 

Paduda: The Latest on Workers' Comp Pharmacy 06/24/2024
By: Joe Paduda
State: NA | Segment: NATIONAL | 0
We are finishing up our annual survey of pharmacy benefits management in workers’ comp. Here are three findings from the 15 we’ve done so far. ...Read More
 
 

Montgomery: Athens Halts Processing 99 Cents Stores Bills 06/21/2024
By: Catherine Montgomery
State: CA | Segment: WEST | 0
In April, 99 Cents Only Stores LLC declared bankruptcy, leaving the self-insured employer with no way to pay its third-party administrator, Athens Administrators, for handling its injured employees’ claims. ...Read More
 
 

Kamin and Larres: En Banc Decision Clarifies Kite Rebuttals 06/20/2024
By: John P. Kamin and Louis A. Larres
State: CA | Segment: WEST | 0
The Workers’ Compensation Appeals Board has issued a new en banc decision clarifying how applicants’ attorneys may rebut the Permanent Disability Rating Schedule to add PD and get higher monetary values. ...Read More
 
 
CAAA: Cal Fire Battles More Than Flames 06/18/2024
By: California Applicants' Attorneys Association
State: CA | Segment: WEST | 0
The California Legislature has maintained a laser focus on combating wildfires, in part because of the breathtaking cost to suppress them: In the last 10 years, Cal Fire has pulled $7.5 billion from the state emergency fund to fight fires, including about $1.2 billion in 2022. Despite the...Read More
 
 

Moore: Workers' Comp Budgeting After the Pandemic 06/17/2024
By: James Moore
State: NA | Segment: NATIONAL | 0
One of the most difficult tasks for employers in the post-pandemic era requires a large amount of data analysis. Workers' comp budgeting adds more complexities to the mix. ...Read More
 
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