Survey by Health Strategy Associates

Health Strategy Associates announced a 7.5% increase in drug cost inflation, a reversal of the previous year’s declines. The survey was sponsored by Cypress Care, a national workers’ compensation pharmacy benefit management (PBM) company. That company has since been purchased by Healthcare...

CWCI Scorecard Examines Restaurant Claims in the California Workers’ Comp System

The California Workers' Compensation Institute has issued its latest "Industry Scorecard" which provides detailed data on claims filed by restaurant workers in California for job injuries that occurred between January 2000 through the end of 2008. The new Scorecard is based on an analysis...

Texas Medical Economic Index Increases

Healthcare providers have alerted the Division of Workers' Compensation that several venders have not incorporated the recent MEI increases for medical bill reimbursement. According to the new fee schedule, the MEI may increase annually. Apparently, some vendors have not updated their software. ...

CWCI Scorecard Examines Job Injury Claims in the California Trucking Industry

The California Workers' Compensation Institute has released a new "Industry Scorecard" showing detailed data on accident year (AY) 2000 to 2008 work injury claims experience in the California trucking industry. The new Score Card, the eighth in a series of nine, is based on an analysis...

TX: Propose Changes to Pharmacy Closed Formulary and Interlocutory Orders

Austin, TX (CompNewsNetwork) - The Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) is accepting public comment on the proposal to amend 28 Texas Administrative Code (TAC) §134.500 and §134.506 and add new 28 TAC §§134.510, 134.520, 134.530, 134.540...

Five Recent Cases You Should Know About (4/1/2011)

Larson's Spotlight on Marijuana Use, Attorney’s Fee, Medical Benefits, Post-Injury Termination, and Inmate Injury. Larson's surveys the latest case developments that you need to know about. Thomas A. Robinson, the staff writer for Larson's Workers' Compensation Law , has compiled...

Texas: Performance Based Oversight (12/23/11 Update)

Beginning January 1, 2012, the Division of Workers’ Compensation (DWC) will begin its six month collection of data to assess insurance carriers for Performance Based Oversight (PBO). The PBO period will last until June 30, 2011. The PBO measures are as follows: Timely Initial Payment of Benefits...

CIGA Ordered to Administer Medical Care for Both Specific and Cumulative Trauma Injuries: Cal. Comp. Cases December Advanced Postings (12/23/2011)

Featured Case of the Week: CIGA ordered to administer medical care for both specific and cumulative trauma injuries California Insurance Guarantee Association (insurer for MB Painting), administered by Intercare Insurance Services, on behalf of Credit General Insurance Company, in liquidation, and...

Court Dismisses Suit Seeking to Hold Carrier Liable for Reimbursing Medicare Payments

By: Mark Popolizio, Esquire In Caldera v. Insurance Company of State of Pennsylvania , No. C-11-321, 2012 U.S. Dist. LEXIS 12888 (S.D. Texas February 2, 2012) a claimant filed a private cause of action claim against the workers’ compensation carrier seeking double damages under the Medicare Secondary...

Larson’s Spotlight on Recent Cases: Partially Disabled Claimant With Combined Injuries Should Not Receive More Payments Than a Quadriplegic Claimant

Larson's Spotlight on Scheduled Award, Average Weekly Wage, Medical Benefits (Pool Therapy), and Nose Disfigurement. Larson's surveys the latest case developments that you need to know about. Thomas A. Robinson, the staff writer for Larson's Workers' Compensation Law , has compiled the...

Louisiana Workers’ Compensation Law Changes 2012

By Denis Paul Juge, Esq., Juge, Napolitano, Guilbeau, Ruli, Frieman & Whiteley, djuge@wcdefense.com The following is a summary of the 2012 legislative amendments to the Louisiana Workers’ Compensation Act. The major law changes were at the urging of the business community. The OWC also sponsored...

Louisiana Workers’ Compensation Law Changes 2012

By Denis Paul Juge, Esq., Juge, Napolitano, Guilbeau, Ruli, Frieman & Whiteley, djuge@wcdefense.com The following is a summary of the 2012 legislative amendments to the Louisiana Workers’ Compensation Act. The major law changes were at the urging of the business community. The OWC also sponsored...

Slow Recovery Affects Workers’ Comp Benefits and Costs

Click here to read more about how and why the "Slow Recovery Affects Workers' Comp Benefits and Costs" and to download this latest report from the National Academy of Social Insurance .

The Case for Clear Guidelines for Nurse Case Managers

By Steven M. Birnbaum, Law Offices of Steven Birnbaum, San Rafael, California The cost of medical care has risen throughout our society and calls for cost control are no louder than in workers' compensation cases and Longshore cases are included in that. Thus, the insurance industry has tried a...

Delaware IAB Enforces MSA Commutation Where Surgery Is Proposed After the Fact...and a Cupcake

Today's post is a pretty dry discussion by Sassy Cassy standards. I stumbled across a recent Motion Day ruling that presents a potentially novel issue and has a little something to offer on the topic of enforceability of settlements. That and the whole spectrum of issues presented by commuting medicals...

Delaware IAB Enforces MSA Commutation Where Surgery Is Proposed After the Fact...and a Cupcake

Today's post is a pretty dry discussion by Sassy Cassy standards. I stumbled across a recent Motion Day ruling that presents a potentially novel issue and has a little something to offer on the topic of enforceability of settlements. That and the whole spectrum of issues presented by commuting medicals...

Larson’s Spotlight on Recent Cases: High Threshold Exists to Stay Payment of Future Medical Benefits

Larson's Spotlight on Future Medical Benefits, Employee Status, Retaliatory Discharge, and Disfigurement. Larson's surveys the latest case developments that you need to know about. Thomas A. Robinson, the staff writer for Larson's Workers' Compensation Law , has compiled the list below...

Nebraska: Failure to Follow Doctor’s Orders Defeats Otherwise Compensable Claim

A Nebraska appellate court has affirmed a decision by the state’s Workers’ Compensation Court that limited an injured employee’s medical benefits to the costs of his first medical appointment where it found that the employee thereafter failed to follow and comply with his physician’s...

Missouri: Court Rejects Independent Tort Claim For Not Paying Comp Awards

A worker who has a dispute about collecting a worker's compensation award must rely upon civil remedies and does not have an independent tort claim to recover punitive damages and pain and suffering, according to a new decision from the court of appeals. Deane v Missouri Employers Mutual Ins. Co...