Work Comp News 041026

Evaluating pass through, LA frausd allegation WI Benefit increase, Fifth Circuit Health Care question, WI Substance abuse funding

Express Scripts Racketeering: When Transparency Becomes Strategy
Conversations across the market are centering on rebate structures, transparency, and the role financial incentives play in shaping clinical decisions.
 
New Orleans DJ fraudulently collected $37K in workers' comp benefits from S&WB, officials say
"As a condition of receiving workers’ compensation benefits related to the injury, Murphy had to disclose any work activity or monthly earnings"

Big raise on way for permanently and totally disabled workers in Wisconsin
"more than 300 permanently and totally disabled recipients haven’t received a raise in their worker’s comp benefits since 2016."

Fifth Circuit examines whether workers' comp is a health care benefit in pharmacy fraud appeal
"Is the federal workers’ compensation program for government employees a “health care benefit program” under the statute that criminalizes defrauding such programs?"

Evers approves workers comp increases, redirects other state labor department money
"repurposed $250,000 per year in state funds that have been going unused for years" to treat substance abuse

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