Workers' Compensation

Recent Posts

Just Say No! DE IAB Decision Affirming UR Denial of a Spinal Cord Stimulator Based on Addiction
Posted on 14 Dec 2012 by Cassandra Roberts

"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... Read More

Prescription Drug Trends for 2013 Include Hard Pills to Swallow
Posted on 11 Apr 2014 by John Stahl

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... Read More

Utilization Rates as Primary Drivers of Workers’ Compensation Prescription Drug Costs
Posted on 5 Oct 2013 by John Stahl

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... Read More

Alabama: Court Approves Award for Erectile Dysfunction Medication in Spite of Rule Limiting Such Awards
Posted on 11 Sep 2015 by Larson's Spotlight

An Alabama appellate court affirmed an award for a prescription medication in the form of a “time release” medication for erectile dysfunction that an employee contended was associated with his use of prescription narcotics to manage pain... Read More

Workers' Comp Fraud Blotter (12/8/2011) – Business Owner Not So Clean After Arrest For Insurance Fraud
Posted on 9 Dec 2011 by LexisNexis Workers' Comp Newsroom Fraud Team

Each week we'll be surveying what the media, state agencies, insurance companies, and others report in terms of workers' comp fraud. Just like a police blotter, our workers' comp fraud blotter lists recent arrests, charges, convictions and... Read More

Workers' Comp Fraud Blotter (8/25/2011) – Embezzled County Workers’ Compensation Funds Used For Playboy Mansion Visit to Meet Hugh Hefner
Posted on 26 Aug 2011 by LexisNexis Workers' Comp Newsroom Fraud Team

Each week we'll be surveying what the media, state agencies, insurance companies, and others report in terms of workers' comp fraud. Just like a police blotter, our workers' comp fraud blotter lists recent arrests, charges, convictions and... Read More

Just Say No! DE IAB Decision Affirming UR Denial of a Spinal Cord Stimulator Based on Addiction
Posted on 14 Dec 2012 by Cassandra Roberts

"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... Read More

Workers' Comp Fraud Blotter (12/8/2011) – Business Owner Not So Clean After Arrest For Insurance Fraud
Posted on 9 Dec 2011 by LexisNexis Workers' Comp Newsroom Fraud Team

Each week we'll be surveying what the media, state agencies, insurance companies, and others report in terms of workers' comp fraud. Just like a police blotter, our workers' comp fraud blotter lists recent arrests, charges, convictions and... Read More

Workers' Comp Fraud Blotter (8/18/2011) – Chiropractor Charged With Billing For Non-Existent Treatment While Patients Were Actually In Jail
Posted on 19 Aug 2011 by LexisNexis Workers' Comp Newsroom Fraud Team

Each week we'll be surveying what the media, state agencies, insurance companies, and others report in terms of workers' comp fraud. Just like a police blotter, our workers' comp fraud blotter lists recent arrests, charges, convictions and... Read More