WorkCompNews 070326

RI - constraint on policy changes; PA - Interpretation changes perceptions on anti-referral; NA - MSA implications impacted by management 

"A compensation change has to be flagged almost six months out. For producers who place business with more than one P&C company - and that is exactly who the statute covers - it buys time to plan before a cut takes hold."

"anti-referral provision doesn't extend to prescription drugs, allowing doctors to direct injured workers to pharmacies in which they hold financial stakes:

"Clinical engagement and pharmacy management drove consistent reductions in Medicare set-aside allocations over a four-year period"

Comments

Post a Comment

Popular posts from this blog

02.20.26

Insurance jobs decrease, COVID compensable on cluster theory, scam hearings, and reinstated whistleblowers US insurers account for half of financial sector's 22000 January job losses "The employment contraction stands in sharp contrast to overall labor market performance. " New York court forces freight company to pay for COVID-19 workplace death - HRD America "Medical providers could not say definitively where the driver caught the virus. That is where workplace prevalence became critical. " Spanish-speaking workers targeted in workers' compensation hearing scam, state says "The state says scammers will contact workers by phone, email, social media, or video calls, and try to convince them to appear at an online workers’ compensation hearing." Contractors ordered to pay workers fired after raising asbestos concerns "OSHA determined the firings violated federal whistleblower protections under the Clean Air Act, the Solid Waste Disposal Act, an...
Read more

News 03.02.26

Physician dispensing,  AI solution, Summary judgment on concealment, workplace deaths, moonlighting on comp, and a ranch hand allergic to meat FL appeals court pulls the plug on physician dispensing in workers' comp "Are doctors considered pharmacists, allowed to dispense medications to injured workers, often at a higher price?" New Gradient AI Solution Provides AI-Powered Workers' Compensation Claims ... - Business Wire "benchmarking solution is grounded in real claims data – providing defensible, data-driven decision-making for enhanced claims oversight." Summary Judgment Upheld: Workers' Compensation is Exclusive Remedy in Municipal ... - JD Supra "held that the city did not fraudulently conceal injuries from the employees." Workers Killed in Separate Accidents at Work - WorkersCompensation.com Accidental deaths reported in multiple jurisdictions. Worker moonlighting on workers' compensation loses unfair dismissal claim "he had perf...
Read more

01.19.26

California Public Self-Insured Workers' Comp Claims Fell Last Year, But Losses Hit New Highs "For the third consecutive year, both the number and frequency of work injury claims reported by California’s public self-insured employers declined last year, even as total paid and incurred workers’ compensation losses continued to rise" Tennessee Supreme Court Clarifies Workers' Comp Standard for Pre-Existing Conditions "The court rejected the defense’s narrow interpretation, stating that the plain meaning of “aggravation” does not require a permanent change." Ballot initiative proposes to separate Pinnacol Assurance from state control "The proposal ... would permit the mutual insurance company to disaffiliate from the state and operate independently for a $150 million lump-sum payment. " Calif. board limits duration of attorney-fee commutations in lifetime awards "insurers may not continue reducing lifetime permanent disability payments after the f...
Read more