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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...

New CWCI Study Looks at Independent Medical Review Outcomes in California Workers’ Comp

A new analysis of independent medical review decisions issued in 2014 suggests that the medical dispute resolution process mandated by the workers’ compensation reform bill enacted in 2012 is working to assure that the treatment provided to California injured worker meets evidence-based medicine...

California Supreme Court Rules “Some Contribution” to Causation in Death Case Sufficient for Liability

The California Supreme Court has reversed a Court of Appeal decision which had in turn reversed a W.C.A.B. award of dependency benefits in South Coast Framing v. W.C.A.B. (Clark) .The Supreme Court decision reinstates the W.C.A.B. award of dependency benefits and explicitly rejected the Court of Appeals...

California: South Coast Framing

The recent California Supreme Court case, South Coast Framing Inc. v. WCAB (Jovelyn Clark) clarifies the standard of causation in a workers’ comp death case. In day to day workers’ comp practice the decision will probably be helpful to workers’ comp claimants who are litigating to...

Thomas A. Robinson on Prescription Drugs and Workers’ Compensation

Last week LexisNexis published an Emerging Issues Analysis article on prescription drugs and workers’ compensation written by Thomas A. Robinson, the co-author of Larson’s Workers’ Compensation Law . The article examines opioid use, medical marijuana, physician dispensing, generic drugs...

Drug Formulary: California Expects Substantial Savings But What About Cost Shifting and Provider Behavior?

By Thomas A. Robinson, J.D., co-author of Larson’s Workers’ Compensation Law Prescription drugs continue to be a significant contributor to the medical expenses segment of workers’ compensation claim costs, and drug formularies are increasingly being seen as not only a way to better...

Alabama: Court Approves Award for Erectile Dysfunction Medication in Spite of Rule Limiting Such Awards

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 in spite of a state Department of Labor rule [Rule...

California Workers’ Compensation: 2015 Year in Review

By Julius Young, Esq., Richard M. Jacobsmeyer, Esq., Barry D. Bloom, Co-Editors-in-Chief, Herlick, California Workers' Compensation Handbook This 2016 edition is the 35th edition of Herlick, California Workers’ Comp Handbook (hereinafter “Herlick”). The latest Herlick Handbook...

CWCI Models Formulary’s Impact on California Workers’ Comp Prescription Drugs

Oakland – A new California Workers’ Compensation Institute (CWCI) study uses data from 1.2 million drug prescriptions dispensed to California injured workers in 2014 to model the impact of the draft Medical Treatment Utilization Schedule (MTUS) Drug Formulary released by the Division of Workers’...