June 20, 2018

Dr. Silvia Sacalis: Value in Work Comp Shouldn’t Have to Wait

Dr Silvia Sacalis

The movement towards value-based care has been front-and-center in healthcare for the last several years. But while we can all agree that focusing care on patient outcomes is mutually beneficial to a number of healthcare stakeholders, moving from a fee-for-service to a fee-for-value system has been a challenging road. In workers’ compensation, we’ve barely begun…[Continue Reading]

Pinnacol Issues $50M in General Dividends to Colorado Employers

enver, CO – Pinnacol Assurance, Colorado’s leading workers’ compensation insurer, is distributing $50 million in workers’ compensation dividend checks this month to its policyholders. Nearly 53,000 employers throughout the state — roughly 94 percent of the company’s policyholders — will receive a dividend. Check amounts are calculated based on the policyholder’s premium size and performance. The average 2018 dividend check will be $944, and will be sent to employers in late March…[Continue Reading]

Church Mutual Reports Strong 2017 Results

Merrill, WI – Church Mutual Insurance Company recently announced strong 2017 results for its family of companies: Church Mutual, CM Regent Insurance Company, CM Regent Solutions, CM Vantage Specialty Insurance Company and CM Solutions Insurance Agency during its annual meeting at the company’s headquarters in Merrill. Church Mutual’s continued focus on protecting organizations that strive to support others helped drive another financially significant year for the company. Key highlights…[Continue Reading]

A.M. Best Revises Outlooks to Stable for Stonetrust Commercial Insurance Company

ldwick, NJ -(BusinessWire)- A.M. Best recently revised the outlooks to stable from negative and affirmed the Financial Strength Rating of B++ (Good) and the Long-Term Issuer Credit Rating of “bbb” of Stonetrust Commercial Insurance Company (Stonetrust) (headquartered in Baton Rouge, LA). The ratings reflect Stonetrust’s balance sheet strength, which A.M. Best categorizes as strong, as well as its adequate operating performance, limited business profile and appropriate enterprise risk management…[Continue Reading]

WorkCompRecap: Virtual Reality Ventures!

Today’s issue of WorkCompRecap features a cool announcement from Travelers that it is exploring the effectiveness of a digital pain-reduction kit that uses therapeutic virtual reality and wearable technology as a non-pharmacological supplement to managing pain associated with acute orthopaedic injuries of the lower back and extremities…[Continue Reading]

Travelers Partners with Cedars-Sinai, Samsung and More to Test Digital Tools in Treatment of Orthopaedic Injuries

Hartford, CT – The Travelers Companies, Inc. (NYSE: TRV) recently announced it is collaborating with Cedars-Sinai, Samsung Electronics America, Bayer and appliedVR to explore the effectiveness of a digital pain-reduction kit that uses therapeutic virtual reality (VR) and wearable technology as a non-pharmacological supplement to managing pain associated with acute orthopaedic injuries of the lower back and extremities. Cedars-Sinai’s Center for Outcomes Research and Education…[Continue Reading]

Data Dimensions Leverages Availity to Offer Multi-Payer Provider Engagement Portal

Janesville, WI – Data Dimensions, a provider of business process automation, and Availity, the nation’s largest real-time health information network, now offer the workers’ compensation market a new way to connect payers and providers by leveraging Availity’s Provider Engagement Portal as part of Data Dimensions’ Shared Services solution. This multi-payer platform serves as an entry point for providers who require secure access to their payers regarding clinical and administrative transactions…[Continue Reading]

Five Manhattan Doctors Indicted for Accepting Bribes and Kickbacks for Prescribing Fentanyl

New York, NY – Geoffrey S. Berman, the United States Attorney for the Southern District of New York, and William F. Sweeney Jr., the Assistant Director-in-Charge of the New York Field Office of the Federal Bureau of Investigation (“FBI”), recently announced the unsealing of an Indictment in Manhattan federal court charging five Manhattan doctors, GORDON FREEDMAN, JEFFREY GOLDSTEIN, TODD SCHLIFSTEIN, DIALECTI VOUDOURIS, and ALEXANDRU BURDUCEA, with participating in…[Continue Reading]

SC Workers’ Comp Commission Approves Changes to Medical Services Provider Manual

Columbia, SC – At the Business Meeting on March 19, 2018, the Commission approved changes to the Medical Services Provider Manual (MSPM). The changes included approving a Conversion Factor of $50 and adopting the 2018 CMS CPT/HCPCS codes. In August 2017 the Commission approved the annual update the MSPM approving a Conversion Factor of $50 and the use of the CMS 2017 CPT/HICPCS codes. At that time, the stakeholders recommended the MSPM be updated to utilize…[Continue Reading]

WorkCompRecap: Opioids & Overcharging!

Today’s issue of WorkCompRecap features the announcement from Massachusetts Attorney General Maura Healey that Walgreens has agreed to pay $5.5 million after allegedly overcharging for prescription drugs covered by the state’s workers’ compensation system. The settlement resolves allegations that between 2008 and…[Continue Reading]

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