Workers' Compensation

Recent Posts

United States: California’s Guaranty Fund For Insolvent Carriers Need Not Reim-burse CMS
Posted on 24 Oct 2019 by Thomas A. Robinson

Reversing a decision by a federal district court sitting in California, the Ninth Circuit Court of Appeals found that the California Insurance Guarantee Association (“CIGA”) need not reimburse Medicare for conditional payments Medicare had... Read More

Workers Comp and the Affordable Healthcare Act
Posted on 3 Jul 2012 by Julius Young

Assuming that Obamacare isn't grievously wounded by Congressional de-funding and that a Romney win in the election doesn't result in repeal of the law, what effect will it have on workers' comp? I've already received several client e... Read More

Trends to Watch in Workers’ Compensation Law
Posted on 7 Feb 2017 by LexisNexis Workers' Comp Law Newsroom Staff

At the National Workers’ Compensation & Disability Conference last November, Brad Bleakney, a partner with Bleakney & Troiani, and Lora Northen, a Shareholder with Capehart Scatchard, led a seminar on recent trends in workers’ compensation... Read More

California Workers’ Comp Case Roundup (4/29/2016)
Posted on 29 Apr 2016 by California Compensation Cases Staff

CALIFORNIA COMPENSATION CASES Vol. 81 No. 4 April 2016 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... Read More

Ambulatory Surgery Centers: Rapid Growth and Lack of Oversight in California
Posted on 24 Jun 2013 by John Stahl

By John Stahl, Esq. Concern regarding the relatively little public information about heavily utilized ambulatory surgery centers (ASCs) in California prompted the California HealthCare Foundation (Foundation) to research ownership statistics and other... Read More

Workers’ Compensation and Its Secondary Payers: Medicare and Medicaid
Posted on 13 Feb 2015 by Vernon R. Sumwalt

Last November I had the pleasure of participating in a panel with two more eminently qualified folks—Jennifer C. Jordan of MEDVAL, LLC and Tim Nay at Nay & Friedenberg —about Medicare Secondary Payer (MSP) compliance at the 23rd Annual... Read More

Thank Heaven for Little Girls….. and “Clean Claims” in Delaware
Posted on 23 Oct 2014 by Cassandra Roberts

This comes to us from Christopher Logullo of Chrissinger & Baumberger, also known as in-house counsel for Liberty Mutual. I had commented recently about how I love hearing from counsel regarding their cases and more importantly, their take on the... Read More

Settlement Not Binding When CMS Never Approved Medicare Set-Aside: Cal. Comp. Cases October Advanced Postings (9/24/2015)
Posted on 24 Sep 2015 by California Compensation Cases Staff

Here’s the latest batch of advanced postings for the October 2015 issue of Cal. Comp. Cases. Lexis.com and Lexis Advance subscribers can link to the case to read the complete headnotes and summaries. © Copyright 2015 LexisNexis. All rights... Read More

California Workers' Comp Case Roundup (2/5/2017)
Posted on 5 Feb 2017 by California Compensation Cases Staff

CALIFORNIA COMPENSATION CASES Vol. 82 No. 1 Jan 2017 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... Read More

Pennsylvania: Claimant Retires and Moves to Nevada, but Court Says No Evidence She Withdrew From Workforce
Posted on 23 Nov 2015 by Larson's Spotlight

A Pennsylvania appellate court held that it was error to suspend a claimant’s benefits solely because she received a disability pension and had moved to Nevada for its warmer climate; there was no evidence that she had permanently removed herself... Read More

Here’s Why You Shouldn’t Miss the WCRI 32nd Annual Conference
Posted on 26 Feb 2016 by LexisNexis Workers' Comp Law Newsroom Staff

Anyone familiar with the Workers Compensation Research Institute’s 32-year history of providing the data and analysis that industry mavericks rely upon to understand, manage and effect real change have come to expect WCRI conferences to provide... Read More

Cost-Shifting of Workers’ Compensation Expenses: Study Says Third Parties Pick Up Most of the Bill
Posted on 20 Jul 2012 by John Stahl

By John Stahl, Esq. A study that J. Paul Leigh, Ph.D. , and James P. Marcin, MD, MPH conducted addressed cost shifting that occurred when the workers’ compensation system did not absorb the entire cost of a compensable incident. They reported... Read More

California: Does a Home Care Assessment Constitute “Treatment” Subject to Utilization Review?
Posted on 17 Feb 2017 by Brad Wixen

Fine Lines and a Glimpse at the Future In Rodriguez v. Simi Valley Unified School District, 2016 Cal. Wrk. Comp. P.D. LEXIS 671 , applicant, a custodian, sustained injury at her employer. The injury was sufficiently serious that her treating physician... Read More

California Official Medical Fee Schedule: The Death of the Extraordinary Circumstances Exception Post-2004
Posted on 28 Mar 2015 by Calif. WCAB Noteworthy Panel Decisions Reporter

In what appears to be a case of first impression, the WCAB panel in Jaime Torres Tavera v. T and P Farms, Zenith Insurance Company , 2015 Cal. Wrk. Comp. P.D. LEXIS --, reversed the WCJ’s finding and held instead that the extraordinary circumstances... Read More

CWCI Finds Use of Compounded Drugs in California Workers’ Comp Are Down, But Payments Are Up
Posted on 5 Feb 2013 by California Workers' Compensation Institute

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... Read More