States with Decreased Medical Payments

At the 2016 WCRI Annual Issues & Research conference, Carol Tellis from WCRI discussed CompScope findings on trends in medical payments per claim from 2009-2014. From 2009-2014, half the study states had little change in medical payments per claim. 9 of the study states had increases under 3% with three states having a reduction in […]

Crossing State Lines for Medical Care

At the 2016 WCRI Annual Issues Symposium, Dr Rebecca Yang and Dr Bogdan Savych from WCRI presented the findings from a very narrow ongoing study that focused on claims from New York City that sought medical care at ambulatory surgical centers (ASC). This study was triggered by the fact they were seeing over a 30% […]

California Workers’ Compensation Medical Dispute Resolution

At the 2016 WCRI Annual Issues & Research Conference, Alex Swedlow from California Workers’ Compensation Institute (CWCI) discussed their studies around medical review and medical dispute resolution in California workers’ compensation. CWCI studies many potential areas of of friction to see the impact this had on state benefit costs. There is almost no correlation between […]

Workers’ Compensation Outcomes by State

At the 2016 WCRI Annual Issues & Research Conference, WCRI representatives presented a session comparing workers’ compensation outcomes across states. Panelists included: Dr. Sharon Belton – WCRI Dr. Bogdan Savych – WCRI Dr. Vennela Thumula – WCRI The purpose of this study and other similar studies recently conducted by WCRI was to analyze the outcomes […]

Fee Schedules and Workers’ Compensation Case Shifting

At the 2016 WCRI Annual Issues & Research Conference, Dr. John Ruser and Dr. Olesya Formenko from WCRI discussed a not-yet published study on the impact that medical fee schedules can have on case-shifting in workers’ compensation. Studies have shown that a fee schedule changes not only change the price paid for services, but it […]

Defending California Peace Officer Presumption Claims

At the 2016 PARMA Conference, David Parker, an attorney with Parker, Kern, Nard & Wenzel, discussed the strategies around defending peace officer presumption claims in California. Under California law, certain “peace officers” and first responders as defined by the statutes receive a presumption of compensability for certain conditions. Defending such cases can be extremely challenging […]

Laying a Foundation for a Workers’ Compensation Drug Formulary

At the 2016 PARMA Annual Conference, Mark Pew from PRIUM talked about general guiding principles for developing workers’ compensation drug formularies and how this applies to current efforts in California. As has been widely reported, the misuse and abuse of opioids and other prescription drugs has reached epidemic proportions in this country. Between 1999 and […]

Total Worker Health Model

At the 2016 PARMA Conference, Doug McKibbin from Keenan presented a session looking at the Total Worker Health Model.  The Total Worker Health Model is based on creating a healthier workforce with increased productivity which should, in turn, reduce your worker’s compensation and healthcare costs. The session begin with a discussion of the rising healthcare […]

Root Cause Analysis with Workers’ Compensation Claims

At the 2016 PARMA Conference, Jeff Rush from California Joint Powers Insurance Authority (JPIA) and DeAnn Wagner from York Risk Services Group discussed how identifying the root cause of the workers’ compensation claims leads to a better approach with loss control measures, increased accountability and improved enactment of safety protocols and policies. Generally, there are […]

Workers’ Compensation and Disability Accommodation

At the 2016 PARMA Conference, a panel discussed the interaction between workers’ compensation and disability accommodation. Many of the facts in this presentation apply to California law on these issues.  The panel was: Anthony Carlton from Chula Vista Elementary School District Marc Liebowitz from Laughlin, Falbo, Levy & Moresi LLC Robert Cutbirth from Tucker Ellis […]

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