May 16, 2018

PCI: AZ Governor Ducey Approves Important Bill Preventing Over Prescription of Opioids in Workers’ Comp

Phoenix, AZ – Arizona Governor Doug Ducey recently approved significant legislation (SB 1111) last week that will protect injured workers from being over prescribed addictive opioids and help control escalating medical costs in the workers compensation system, says the Property Casualty Insurers Association of America (PCI). The bill will take effect in 90 days. During January’s special legislative session, Gov. Ducey and the Legislature enacted the Arizona Opioid Epidemic Act, and SB 1111 ensures…[Continue Reading]

CA DWC Suspends Eight Medical Providers for Fraud or Loss of License

San Francisco, CA – The Division of Workers’ Compensation (DWC) recently suspended eight more medical providers from participating in California’s workers’ compensation system, bringing the total number of providers suspended to 242. DWC Administrative Director George Parisotto issued suspension orders against the following providers: The following five providers worked as substance abuse recovery counselors at Atlantic Health Services of Long Beach, a drug and alcohol recovery program…[Continue Reading]

TDI-DWC Workers’ Comp Research and Evaluation Group Adopts FY 2018 Research Agenda

Austin, TX – The commissioner of workers’ compensation recently announced that the Workers’ Compensation Research and Evaluation Group (REG) has adopted the following FY 2018 Research Agenda: 1. Completion and publication of the twelfth edition of the Workers’ Compensation Health Care Network Report Card (required under Insurance Code §1305.502(a)-(d) and Labor Code §405.0025(b)). 2. An update of the 2016 “Setting the Standard,” biennial report on the impact of the HB 7…[Continue Reading]

AR Insurance Commissioner Announces Lower Workers’ Compensation Insurance Rates

Little Rock, AR – Arkansas Insurance Commissioner Allen Kerr recently released the following statement after approving a decrease in workers’ compensation cost of 15.4% in overall loss in the voluntary market and a 14.9% rate decrease in overall average assigned risk, effective July 1: “The significant rate reduction shows that policies in Arkansas are making it a welcome place for business and new employment opportunities. It is important to also thank our state’s employers and workers who mind workplace…[Continue Reading]

CA DWC Suspends 27 Medical Providers for Fraud or Loss of License

The Division of Workers’ Compensation (DWC) has suspended 27 more medical providers from participating in California’s workers’ compensation system, bringing the total number of providers suspended to 234. DWC Administrative Director George Parisotto issued suspension orders against the following providers: The following ten providers participated in an illegal scheme to defraud the Drug MediCal program at Atlantic Health Services of Long Beach, a drug and alcohol recovery program serving…[Continue Reading]

CA DIR Issues Progress Report on Anti-Fraud Activity in Workers’ Comp System

San Francisco, CA – The Department of Industrial Relations (DIR) recently issued a progress report on its anti-fraud efforts, including updates on the suspension of 227 medical providers from treating California’s injured workers and the dismissal of 292,000 illegitimate liens with claims valued at over $2.5 billion. “DIR’s anti-fraud efforts have allowed us to remove fraudulent providers and their claims for payment from the system, with the aim to improve services and reduce premium costs,” said DIR Director…[Continue Reading]

PCI: Kentucky Sends First Workers’ Comp Reforms to Governor Since 1996

Frankfort, KY – The Property Casualty Insurers Association of America (PCI) recently noted that workers’ compensation legislation (HB 2) in Kentucky, which had broad support from the business community is headed to the governor. The Kentucky House has agreed to amendments made in the Senate to HB 2 and passed the bill. It will now be sent to the governor who is expected to sign the bill. “House Bill 2 is designed to help contain underlying costs and improve the state’s workers compensation…[Continue Reading]

DEA Adds 250 More Task Force Officers for Addressing Opioid Crisis

Washington, DC – The Drug Enforcement Administration recently announced that it will add 250 task force officers and dozens of additional analysts to areas across America where the opioid crisis is at its worst. DEA task forces act as a force multiplier in carrying out DEA’s mission through coordination and cooperation with federal, state, and local law enforcement agencies in the U.S. Historically, DEA task force officers have been some of the most essential and effective partners in building cases against drug trafficking…[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]

MA AG: Walgreens to Pay $5.5 Million Over Alleged Overcharges for Prescription Drugs in Workers’ Comp

Boston, MA – Attorney General Maura Healey recently announced that Walgreens Co. has agreed to pay $5.5 million after allegedly overcharging for prescription drugs covered by the state workers’ compensation insurance system. “Our office found that over many years, Walgreens overcharged workers for various legitimate prescriptions,” said AG Healey. “This settlement ensures that Walgreens does not profit from those transactions and will help our state’s ongoing efforts to combat the opioid epidemic…[Continue Reading]

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