December 6, 2017

Jeff Miller: Rx Utilization Management: Better Results for Both the Insurer and the Insured

Jeffrey Miller, COO, Paladin Managed Care Services

In the first of my two articles on Rx Utilization Management (July 31, 2012), I talked about the alarming rise of prescription narcotics and described how our industry is ill-equipped to help solve the problem. The current system of pharmacy benefit management (PBM) programs offering formularies, discounts, and so on are mainly designed to control costs… [Continue Reading]

CA DWC Posts Draft SB 863 Regulations for Independent Medical Review

CA Division of Workers' Compensation

Oakland, CA – The Division of Workers’ Compensation has posted to its online forum draft regulations implementing Senate Bill 863’s mandate to establish an independent medical review (IMR) program. This program will allow employees to obtain an expedient review of utilization review decisions that deny, delay, or modify a medical… [Continue Reading]

Company Nurse Announces Strategic Partnership with V3 Insurance Partners

Company Nurse

Scottsdale, AZ – Company Nurse, LLC announces its strategic alliance with V3 Insurance Partners LLC (“V3”), a specialty managing general underwriting agency. The partnership offers telephonic nurse triage services and extensive data reporting as a value-added addition to the companies’ V3iConnect Comp internet workers’… [Continue Reading]

OH Man Owes $25,000 for Illegally Collecting Workers’ Comp

Ohio BWC

Columbus, OH – An investigation conducted by the Ohio Bureau of Workers’ Compensation (BWC) Special Investigations Department (SID) revealed Empire (Jefferson County) resident Thomas Piatt III was illegally collecting workers’ compensation benefits. Piatt entered a guilty plea in a Franklin County courtroom last week and owes more than… [Continue Reading]

WorkCompRecap: Approve & Acquire!

Today’s edition of WorkCompRecap features some M&A news as Coventry has announced that its stockholders voted at a special meeting held last week to approve the previously announced merger agreement for Aetna’s acquisition of Coventry. Of the approximately 78% of Coventry’s total outstanding shares that voted, over 99% voted… [Continue Reading]

Coventry Health Care Announces Stockholder Approval of Merger with Aetna

Coventry Health Care

Bethesda, MD -(BusinessWire)- Coventry Health Care, Inc. (NYSE: CVH) recently announced that its stockholders voted at the stockholder special meeting held last week to approve the adoption of the previously announced merger agreement, dated as of August 19, 2012, as amended, providing for the acquisition of Coventry by Aetna… [Continue Reading]

KKR to Acquire Alliant Insurance Services, Inc. from Blackstone

KKR

New York, NY -(BusinessWire)- Leading global investment firm Kohlberg Kravis Roberts & Co. L.P. (NYSE: KKR) recently announced an agreement to acquire Alliant Insurance Services, Inc., the nation’s largest specialty insurance brokerage firm, from Blackstone (NYSE: BX). Terms of the transaction were not disclosed. Tom Corbett… [Continue Reading]

CWCI Begins Shipping California WC Posting Notices & Pamphlets With 2013 Updates

California Workers Compensation Institute (CWCI)

Oakland, CA – The California Workers’ Compensation Institute (CWCI) has begun shipping English and Spanish versions of its newly revised workers’ compensation posting notice (If A Work Injury Occurs…) and new hire pamphlet (Facts About Workers’ Compensation), which employers and claims administrators can use to… [Continue Reading]

TDI-DWC Issues Updates to Conversion Factors for Workers’ Comp Medical Fee Guidelines

Texas Dept of Insurance (TDI)

Austin, TX – The Texas Department of Insurance’s Division of Workers’ Compensation recently released the following update to inform workers’ compensation system participants of the annual change to the Medical Fee Guideline conversion factors as established in 28 Texas Administrative Code (TAC) §134.203. As directed… [Continue Reading]

CO Governor Announces Appointments to Workers’ Comp Self Insurer Special Funds Board

Colorado State Seal

Denver, CO – Gov. John Hickenlooper recently announced several appointments to the Special Funds Board for Workers’ Compensation Self Insurers distributes monies from the Workers’ Compensation Special Self-Insured Fund to assure prompt and complete payments to members of self-insured companies who are delayed or declare… [Continue Reading]

  • RSS
  • Twitter
  • LinkedIn