Medicare Secondary Payer Law: 2013 in Review

I have come to realize that there are no easy solutions for the MSP problems we face in claims because the MSP is not the problem. Our MSP issues are collateral damage of more systemic societal problems we face as a nation. We clearly do not know how to treat chronic pain properly and instead have essentially...

Obamacare Architect Estimates Three-Year Delay in Accurately Understanding Affordable Care Act Impact on Workers’ Compensation

The statement of economist Jonathan Gruber, Ph.D. , of the Massachusetts Institute of Technology in Cambridge, Massachusetts that a three-year news blackout regarding the Affordable Care Act (ACA) would have had merit was arguably the most memorable moment during the 2014 Annual Issues and Research Conference...

Quality "Continuum of Care" for Worst Case Lumbar Patients

Study shows return to work, work retention rates dramatically improve Measured by such yardsticks as return-to-work, work retention and reoperation rates, the success of lumbar surgeries in the Workers’ Compensation (“WC”) system could be fairly characterized as mixed. This, combined...

Workers Memorial Day: Honoring the Dead as We Fight for the Living

Karen C. Yotis, Esq., a Feature Resident Columnist for the LexisNexis Workers’ Compensation eNewsletter , provides insights into workplace issues and the nuts and bolts of the workers’ comp world. 25 Years of Speeches and Bells The key talking points for journalists and speechwriters...

Federal: Sixth Circuit Reiterates that RICO is Not Available to Workers’ Comp Claimants

Referring to its en banc decision in Jackson v. Sedgwick Claims Management Servs ., 731 F.3d 556 (6th Cir. 2013), cert. denied , 2014 U.S. LEXIS 3239 (May 5, 2014), the 6 th Circuit Court of Appeals has held that a worker’s alleged injury consisting of receiving less workers’ compensation...

The Aging Workforce: How to Manage Workers’ Comp Costs for the Silver Bunch

Karen C. Yotis, Esq., a Feature Resident Columnist for the LexisNexis Workers’ Compensation eNewsletter , provides insights into workplace issues and the nuts and bolts of the workers’ comp world. Here’s the story of an aging workforce that can’t afford to leave their jobs...

WCRI Identifies Trust in the Workplace as a Key "Predictor" of Outcomes Important to Injured Workers

Thomas A. Robinson, J.D., the Feature National Columnist of the LexisNexis Workers’ Compensation eNewsletter , is a leading commentator and expert on the law of workers' compensation State Workers’ Comp Acts: Are They Effective? How does a state legislature determine if its workers’...

Drug Formularies, Texas Style: Coming Soon to a State Near You?

Karen C. Yotis, Esq., a Feature Resident Columnist for the LexisNexis Workers’ Compensation eNewsletter , provides insights into workplace issues and the nuts and bolts of the workers’ comp world. As policymakers, risk managers, and insurers seek to contain medical expenditures in workers’...

Choosing an Effective Third Party Administrator - Do Your Homework!

A seasoned adjuster could be just as good as, or better, than “predictive analytics” In an effort to streamline costs and promote efficiencies, more and more companies are turning to Third Party Administrators (TPAs) to handle insurance matters or manage certain aspects of employee benefit...

National Workers’ Compensation and Disability Conference November 19-21, 2014

LexisNexis is once again partnering with the National Workers' Compensation and Disability Conference ® to provide top quality education and valuable insights on the industry’s hottest legal issues straight from your favorite LexisNexis contributors. Plus, you'll earn CLEs. And, all...

New Study Points to Significant Underreporting of Injuries to Bureau of Labor Statistics

90 percent of employers do not comply with OSHA recordkeeping regulations, resulting in underreporting by 38 percent of the surveyed employers Thomas A. Robinson, J.D., the Feature National Columnist for the LexisNexis Workers’ Compensation eNewsletter , is a leading commentator and expert on...

New Arthritis Study Shows O*Net Could Help Predict Chronic Disease

A recent study points to a positive and consistent relationship between O*NET ratings of physical job demands and the risk of contracting arthritis later in life. Importantly, the study also demonstrates the utility of using such O*NET job descriptors to estimate the long-term risks of contracting other...

New Study Shows Earnings Losses Persist Much Longer After Work-Related Injury, Even for Minor Injuries

Income benefits paid to workers through the workers’ compensation system replace a smaller fraction of lost income benefits than previously believed Thomas A. Robinson, J.D., the Feature National Columnist for the LexisNexis Workers’ Compensation eNewsletter , is a leading commentator...

WCRI Studies Show 75 Percent of Injured Workers Get Opioids, But Don’t Get Opioid Management Services

Two new studies published by Workers’ Compensation Research Institute (WCRI) show that on average three out of four injured workers in the United States receive opioid prescriptions for pain relief following workplace injuries and that generally, even when opioids are prescribed over an extended...

Temporary Workers and Their Unique Risks

Shining a risk manager’s analytical light on an evolving shadow industry Karen C. Yotis, Esq., a Feature Resident Columnist for the LexisNexis Workers’ Compensation eNewsletter , provides insights into workplace issues and the nuts and bolts of the workers’ comp world. Survival...

Healthcare Expert Warns of Patient Barriers to Effective Treatment and Recovery

Keep improving the efficiency and effectiveness of our healthcare delivery system and lower costs and better patient outcomes will automatically follow, right? That sentiment may echo conventional wisdom, but it may not be the case at all, says healthcare consultant Tim Kilpatrick. In a recent blog post...

2014 National Workers’ Compensation and Disability Conference

LexisNexis is once again partnering with the National Workers' Compensation and Disability Conference ® to provide top quality education and valuable insights on the industry’s hottest legal issues straight from your favorite LexisNexis contributors. Plus, you'll earn CLEs. And, all...

Employers/Insurers Who Treat Ebola as Occupational Disease Do So at Their Peril

Workers in any profession can show a work connection to ebola and need not prove that ebola is a risk peculiar to their job Thomas A. Robinson, J.D., the Feature National Columnist for the LexisNexis Workers’ Compensation eNewsletter , is a leading commentator and expert on the law of workers’...

Late-Term Compensation Care for Injured Workers

NCCI research analyzes decline in late-term medical costs as claimants age By Roger Rabb, Special Correspondent for the LexisNexis Workers’ Compensation eNewsletter When comparing the costs associated with providing medical treatment for injuries, even job-related injuries, the “common...

Workers’ Compensation System Slammed for Poor Quality Health Care and Failure to Innovate

Thomas A. Robinson, J.D., the Feature National Columnist for the LexisNexis Workers’ Compensation eNewsletter , is a leading commentator and expert on the law of workers’ compensation. An important, but overlooked element associated with the swelling group of Americans permanently removed...

2014 Workers’ Compensation Emerging Issues

The new edition of Workers’ Compensation Emerging Issues Analysis (LexisNexis) is a veritable cornucopia of expert analysis, provocative commentary, and a 50 state survey of workers’ compensation legislation in 2014 As with last year’s inaugural edition, the 2014 Larson Series Workers’...

Specialty Drugs: An Approaching Tsunami in Workers’ Compensation Costs?

Earlier this year, myMatrixx, a company specializing in pharmacy and ancillary services for workers’ compensation programs, forecast in a Webinar broadcast that drug treatment costs in these programs are poised to rise exponentially. Their projected acceleration of costs is attributed to acceleration...

Kids' Chance: Over $8M in Scholarships Awarded to Date

In 2013, there were 4,405 workplace fatalities in the United States. In 2011, there were more than 190,000 workers sustaining injuries that required more than thirty days of lost work time. In addition to the affected workers, the families are also impacted by these losses. Children in particular are...

Predictive Analytics and Big Data in the Workplace and Beyond: The Science Behind the Crystal Ball

Karen C. Yotis, Esq., a Feature Resident Columnist for the LexisNexis Workers’ Compensation eNewsletter , provides insights into workplace issues and the nuts and bolts of the workers’ comp world. An awful lot of ink has been devoted lately to Predictive Analytics and Big Data—two...

Missouri: Dependent Awarded Life-time Comp Benefits After His Father’s Cocaine-related Death

Agnew sustained catastrophic injuries when he was 22 years old after he fell from a roof in 1999. He sustained T9 paraplegia and required multiple spinal surgeries and psychiatric admissions. He received multiple treatment involving more than $2.2 million in care. In 2008 he was found dead in a Wal-mart...