National and State-by-State Workers' Comp News Roundup Powered by Larson's (8/27/2012)

Sign up here for our free workers' compensation enewsletters (National or California Edition) to receive weekly news items. Be sure to select the enewsletter of your choice. NATIONAL NEWS: Workers Comp State Legislative Battles to Watch . CMS Names New Chief to Implement Obamacare . Aetna...

The Back-to-School Post……and a Carrier Friendly Outcome in Delaware on the Use of Prescription Vendors

It seems this week that everyone is sending their little darlings back to school. Pictures all over Facebook of the ornery little so-and-so's waiting for the bus, sporting all manner of new duds, their gap-toothed little faces smiling for the cameras. As anyone who knows me well can tell you, I am...

Larson’s Spotlight on Recent Cases: Injured Worker Rebuts Intoxication Presumption

Larson's Spotlight on Intoxication Presumption, Heart Attack, Arising Out of Employment, and Death Benefits. 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...

Missouri: Court Dilutes Claimant’s Drug Cocktail

The Missouri court of appeals affirmed a decision to dilute a drug cocktail, but the decision came with a twist with a warning about attorney’s fees. In Noel v ABB Combustion Engineering , ED 98446 (Mo. App. 11-13-2012) the injured worker obtained a final award for permanent and total disability...

Just Say No! DE IAB Decision Affirming UR Denial of a Spinal Cord Stimulator Based on Addiction

"One drug is too many and a thousand not enough." (Anonymous) Luciana Gorum sent me today's decision because she thought I needed a good laugh. And while there is nothing funny about addiction, this case does prompt a chuckle over the comedy of missteps surrounding the injured worker...

Just Say No! DE IAB Decision Affirming UR Denial of a Spinal Cord Stimulator Based on Addiction

"One drug is too many and a thousand not enough." (Anonymous) Luciana Gorum sent me today's decision because she thought I needed a good laugh. And while there is nothing funny about addiction, this case does prompt a chuckle over the comedy of missteps surrounding the injured worker...

National and State-by-State Workers' Comp News Roundup Powered by Larson's (1/14/2013)

Sign up here for our free workers' compensation enewsletters (National or California Edition) to receive weekly news items. Be sure to select the enewsletter of your choice. NATIONAL NEWS: New Survey Posted on Prescription Drug Management in Workers’ Compensation . PCI Praises President...

CWCI Finds Use of Compounded Drugs in California Workers’ Comp Are Down, But Payments Are Up

New CWCI research shows that compounded drugs accounted for a declining share of California workers’ compensation prescriptions last year following reforms intended to contain the use and associated costs of these drugs and changes in how they are billed, but despite this decline, compound drug...

CWCI Finds Use of Compounded Drugs in California Workers’ Comp Are Down, But Payments Are Up

New CWCI research shows that compounded drugs accounted for a declining share of California workers’ compensation prescriptions last year following reforms intended to contain the use and associated costs of these drugs and changes in how they are billed, but despite this decline, compound drug...

National and State-by-State Workers' Comp News Roundup Powered by Larson's (4/1/2013)

Sign up here for our free workers' compensation enewsletters (National or California Edition) to receive weekly news items. Be sure to select the enewsletter of your choice. NATIONAL NEWS: 7th Circuit Rejects Liberty Mutual’s Challenge to AIG Class Action Settlement Order . NAIC Ranks...

CWCI Scorecard Examines California Workers’ Comp “Other Injury, Poisoning & Toxic Effect” Claims

A new California Workers’ Compensation Institute (CWCI) “Injury Scorecard” on job injury claims identified as “other injuries, poisonings and toxic effects” finds that these claims often involve non-specific or ill-defined diagnoses; are more likely than other claims to...

Impact of Florida Law Targeting Physician-Dispensed Opioids: Results Show More Reform Required

By John Stahl, Esq. The latest report on Florida from the Workers’ Compensation Research Institute (WCRI) is a trifecta in the sense that it addresses topics that arguably are the current “top three” workers’ compensation drug-related issues: · Overuse of opioids...

Impact of Reform on Prevalence/Costs of Physician-Dispensed Drugs - WCRI Study Shows Promising Results Overall of Amending Reimbursement Rates

By John Stahl, Esq. Enhancing the regulation of physician-dispensed drugs is one tactic that workers’ compensation jurisdictions use in the war against the opioid epidemic that is costing workers’ compensation systems millions of dollars. These methods include severely limiting the ability...

Utilization Rates as Primary Drivers of Workers’ Compensation Prescription Drug Costs

NCCI Study Analyzes Medical Benefits Expenses Knowing that high prescription drug costs are a large component of the current challenges related to curbing workers’ compensation expenses is of limited value. Finding feasible methods to reduce the overall cost of providing workers’ compensation...

California Workers' Comp Case Roundup (1/4/2014)

CALIFORNIA COMPENSATION CASES Vol. 78 No. 12 December 2013 A Report of En Banc and Significant Panel Decisions of the WCAB and Selected Court Opinions of Related Interest, With a Digest of WCAB Decisions Denied Judicial Review CONTENTS OF THIS ISSUE © Copyright 2013 LexisNexis. All rights...

Florida Reforms Effectively Addressing Opioid Plague

The topic of opioid abuse in workers’ compensation largely focuses on the causes and costs of that abuse to the effectiveness of the state-level reforms that address what some experts identify as a “plague.” Particularly alarming opioid-related statistics and the high cost of prescription...

Prescription Drug Trends for 2013 Include Hard Pills to Swallow

The recently released research from pharmacy benefit manager The Express Scripts Lab in the “2013 Workers’ Compensation Drug Trend Report” is equivalent to the State of the Union regarding prescription drug benefits for injured workers. These conclusions reflect data from workers’...

Prescription Drug Monitoring Programs: An Effective Front in the Prescription Drug Abuse War?

Over the past two decades, prescription drug abuse has been on the rise. The public health dangers associated with this disturbing trend are self-evident. In an ongoing effort to curb this abuse, most states have over the years adopted some form of electronic prescription drug monitoring programs, or...

The One-Two Punch of Benzodiazepines and Opioids on Workers’ Compensation Claim Costs

New study finds combined use of these drugs significantly increases workers’ comp costs 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. A group...

NCCI Research Brief on Medicare Set-Asides and Workers' Compensation

NCCI has recently examined the demographics related to MSAs (distributions of amounts of MSAs and total settlements that include MSAs; distributions of ages of claimants) and the aspects of the CMS review process (length of time from submission to CMS approval; relation between submitted and CMS-approved...

CWCI Study Examines Potential Impact of a Drug Formulary in California Workers’ Comp

A new California Workers’ Compensation Institute study shows that adopting a state-mandated workers’ comp prescription drug formulary such as those used in Texas and Washington State could reduce California workers’ compensation pharmacy payments by an estimated $124 million to $420...

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...

McCool

Can an insurer submit medication prescription requests to utilization review (UR) even where those medications have been repeatedly authorized before? That question has been hotly debated in California workers’ comp circles after a recent WCAB Significant Panel Decision, Patterson v. The Oaks...