LexisNexis® Legal Newsroom
Workers’ Compensation in a Medically Overtreated Society

Workers’ compensation is no stranger to controversy. In 2009 the well-respected physician Nortin M. Hadler, MD, attacked workers’ compensation as an “evil, wrong-minded, illness-inducing maze that masquerades as social insurance”. You can read all about it in his book Stabbed...

Work Loss Data Institute Warns of Fox Guarding the Hen House in State Treatment Guidelines

By John Stahl, Esq. Phil LeFevre, who is a Senior Account Executive, with the Work Loss Data Institute (WLDI) spent much of a recent webinar entitled “Emerging Trends in Workers’ Comp Treatment Guidelines by State: Has the Fox Been Left to Guard the Hen House” comparing the Official...

Experts Offer Guidance on Opioid Management Strategies

By John Stahl, Esq. The double-edged sword regarding using opioids to relieve pain associated with compensable harm is that the workers’ compensation claimants benefit from the effects of feeling little or no pain and health-care practitioners value the profitable and quick-fix aspects of this...

National and State-by-State Workers' Comp News Roundup Powered by Larson's (6/10/2013)

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: Sedgwick Releases White Paper on Oklahoma Opt Out Laws . ODG Posts Guide on Opioid Management Using...

Evidence-Based Medicine Can Be Hazardous to Your Health

By Robert G. Rassp, Esq. The current trend across the country is to require evidence-based medicine for treatment of employees who are injured on the job. Statutory and regulatory mandates are emerging on a state-by-state basis. Stakeholders within the workers’ compensation community are not...

New CWCI Study Looks at California Workers’ Comp Medical Dispute Resolution

A new study by the California Workers’ Compensation Institute estimates that workers’ compensation payors’ utilization review (UR) programs, which rely on evidence-based medicine, combined with the new Independent Medical Review (IMR) medical dispute resolution process, approve more...

Independent Medical Review: A New Wave of Litigation in California

Recent noteworthy panel decisions show that the applicant would be wise to present all relevant medical reports and records, and citations to the MTUS, ACOEM, ODG, or other nationally accepted medical standards to the IMR reviewer, and that when a material mistake of fact occurs during the IMR process...

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’...

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’...

Opioids – The Grand Debate

An examination of ACOEM’s newly revised opioid practice guidelines for treatment of pain By Robert G. Rassp, Esq. We hate statistics but policymakers can’t live without them. For example, 100 million residents of the United States have chronic pain according to a 2011 report from...

California: Utilization Review and Independent Medical Review Best Practices

Loosening the rope on the UR/IMR Gordian Knot Karen C. Yotis, Esq., Feature Resident Columnist of the LexisNexis Workers’ Compensation eNewsletter , provides insights into workplace issues and the nuts and bolts of the workers' comp world. While UR and IMR continue to generate controversy...

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...

CWCI Study on Independent Medical Review Outcomes in California: Smoke and Mirrors

There are five kinds of lies—fibs, excuses, lies, damn lies, and statistics. The CWCI "study"from a political standpoint has to say that the UR/IMR process is a "success." A great deal of energy was put into the political process of the members of CWCI and other organizations...

Medical Expert Says U.S. Health Industry Often Guilty of “Overkill”

Significant percentage of medical care procedures is unnecessary Much has been written about the explosion of health care costs in the workers’ compensation system. Indeed, most experts agree that medical care expenses now represent more than 60 cents out of every benefit dollar provided to...

JOEM Study Supports Contention that EBM Guidelines Result in Better Outcomes for Injured Workers and Reduced Costs for Employers

First Comprehensive Study Evaluating EBM Guidelines in Comp Setting In recent years within the workers’ compensation (WC) arena, proponents of evidence-based medicine (EBM) have contended that managing an injured worker’s care according to established practice and treatment guidelines...