June 12, 2018

CompLines: 4/23/13

CompLines is a daily set of pertinent links that we believe will be of interest to our readers. Are clinical factors good predictors? CID Review Workers’ Comp renewal rejected Times Union Managed care overutilization could drive workers comp cost increases Business Insurance Editor’s Note: These links lead to outside news sources. We check all links,… [Continue Reading]

Steven Cardinale: The Importance of Specialty Reviews

Steven Cardinale

Last week’s post discussed what elements of the utilization review (UR) process should be measured. If the process is properly done, it should help send only those cases that require a review to UR and, at the same time, avoid sending the wrong cases to UR. Now, we’ll look at the use of specialty reviews. A specialty review, or a specialty-matched… [Continue Reading]

PMSI Reports Decline in Narcotics, Increase in Generics Among Pharmacy Trends

PMSI

Tampa, FL -(PRWeb)- PMSI, one of the nation’s largest providers of specialty products, services and clinical services for the workers’ compensation industry, recently announced the release of its sixth Annual Drug Trends Report, which analyzes workers’ compensation pharmacy trends and metrics from millions of its retail and mail order… [Continue Reading]

WA L&I Proposes Changes to Pain Treatment for Injured Workers

WA Department of Labor and Industries

Tumwater, WA – The Department of Labor & Industries (L&I) is seeking public comment on new rules for prescribing opioids (narcotics) to treat pain in injured workers. Under the proposed rules, doctors who prescribe opioids for injured workers for more than six weeks must use best practices that include monitoring whether workers are recovering… [Continue Reading]

Ohio BWC Gets 10 Workers’ Comp Fraud Convictions in March

Ohio BWC

Columbus, OH – Ohio Bureau of Workers’ Compensation (BWC) Administrator/CEO Steve Buehrer recently announced 10 individuals were convicted of, or pleaded guilty to, charges related to defrauding Ohio’s workers’ compensation system in March. The court actions are the result of investigations conducted by BWC’s special investigations… [Continue Reading]

WorkCompRecap: Aaand Action!

Today’s issue of WorkCompRecap kicks off our week from RIMS in our backyard, sunny Los Angeles, with a guest post from Joe Noel, VP of Clinical Services at TechHealth on the need to actually follow Medical Treatment Guidelines (in the Physical Medicine domain in this example) in the workers’ comp field, rather than just be aware of them… [Continue Reading]

Guest Post: Guidelines Mandate Action, Not Chatter

TechHealth

Much has been said recently about the introduction of Medical Treatment Guidelines into the workers’ compensation paradigm. Given their value, that chatter will only increase and the volume around them as well. Good. This needs to happen. The system is, in some ways, very broken and in need of repair. The benefits of introducing… [Continue Reading]

Healthcare Solutions, Cox Enterprises and Broadspire to Present at RIMS 2013

Healthcare Solutions

Atlanta, GA – Healthcare Solutions, the parent company of Cypress Care, ScripNet and Procura Management, recently announced that Jim Andrews, R.Ph., executive vice president of pharmacy services for Healthcare Solutions, Rachel Azriel, SCLA, casualty claims manager for Cox Enterprises, and Jacob Lazarovic, M.D., FAAFP, senior vice… [Continue Reading]

CID Management Names David Dubrof Vice President of Sales

CID Management

Westlake Village, CA – David Dubrof has joined CID Management as vice president of sales. Dubrof oversees the sales and business development organization for the California-based company. CID Management is celebrating its 10th anniversary of providing the most reliable and sophisticated medical cost management solutions to… [Continue Reading]

Patriot National Appoints Paul Halter to Executive VP of Underwriting & Marketing

Patriot National

Fort Lauderdale, FL -(PRNewswire)- Patriot National Insurance Group, a provider of workers’ compensation insurance solutions recently announced the promotion of Paul Halter to Executive Vice President of Underwriting and Marketing. Mr. Halter was previously Regional Vice President of Patriot’s Southeast Region. As EVP, Mr. Halter will… [Continue Reading]

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