March 19, 2018

NCCI Releases Update on Alternative Workers Compensation Mechanisms/Opt-Out

oca Raton, FL – NCCI recently announced the release of a new update Alternative Workers Compensation Mechanisms, or “What’s Happening With Opt-Out?” Workers compensation was created more than a century ago to protect injured employees, and their employers, from lengthy and expensive litigation resulting from workplace injuries, with a focus on return-to-work and defined benefits. Supporters of the state-based system say it continues to work as intended, fulfilling…[Continue Reading]

Illinois DOI Director Hammer Named Chair of NAIC Property & Casualty Insurance Committee

Springfield, IL – The National Association of Insurance Commissioners (NAIC) recently named Illinois Department of Insurance Director (IDOI) Jennifer Hammer the Chairman of the NAIC Property and Casualty Insurance (C) Committee. This chairmanship provides Illinois the highest level of leadership it has had in decades on national property and casualty policy issues. Director Hammer is dedicated to advocating on behalf of insurers and consumers regarding property and casualty issues at the…[Continue Reading]

PA Governor Wolf Declares Heroin and Opioid Epidemic a Statewide Disaster Emergency

Harrisburg, PA – Governor Tom Wolf recently took another step forward in bolstering the fight against heroin and opioid addiction by signing a statewide disaster declaration to enhance state response, increase access to treatment, and save lives. The declaration is the first-of-its-kind for a public health emergency in Pennsylvania and will utilize a command center at the Pennsylvania Emergency Management Agency to track progress and enhance coordination of health and public safety agencies…[Continue Reading]

NC Industrial Commission Publishes Notice of Rulemaking to Address the Opioid Epidemic in Workers’ Comp Cases

Raleigh, NC – Chairman Charlton L. Allen of the North Carolina Industrial Commission recently announced an update in the process to adopt rules for the workers’ compensation system addressing the opioid crisis. The proposed rules and information related to the rulemaking process were published January 16, 2018, in Volume 32 Issue 14 of the North Carolina Register. These rules for the utilization of opioids, related prescriptions, and pain management treatment are proactive measures aimed at…[Continue Reading]

TDI-DWC Rule to Address Compounded Drugs; Public Comment Period Open

Austin, TX – When a Texas House committee asked the Division of Workers’ Compensation to look at compounded drug prescriptions for injured employees, the division turned to its data on pharmacy billing and an ongoing audit of doctors’ practices for answers. It found that the cost of compounded drugs doubled from 2010-2014, and the average cost per prescription had risen to $829 in 2016. The numbers were concerning because compounded drugs aren’t recommended…[Continue Reading]

TDI-DWC Accepting Public Comments on Compound Drug Rules

Austin, TX – The Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) is accepting public comments on proposed rules to amend 28 Texas Administrative Code (TAC) §§134.500, 134.530, and 134.540. Proposed amendments to §134.500 will exclude from the closed formulary all prescription drugs created through compounding. Proposed amendments to §§134.530 and 134.540 will require preauthorization of these drugs for claims subject to and not subject to certified networks…[Continue Reading]

NE DHHS Launches Additional Enhancements to Prescription Drug Monitoring Program

Lincoln, NE – The Nebraska Department of Health and Human Services in conjunction with the Nebraska Health Information Initiative launched additional enhancements to the state’s prescription drug monitoring program for health care professionals who prescribe and dispense medications. The PDMP is an effective tool that is used to make a more informed decision for patient care. As of Jan. 1, Nebraska was the first state to require reporting of all dispensed prescription drugs to the PDMP…[Continue Reading]

MI Gov. Rick Snyder Appoints Sims to Workers’ Compensation Board of Magistrates

Lansing, MI – Gov. Rick Snyder recently announced the appointment of John Sims of Marshall to the Workers’ Compensation Board of Magistrates. The 17-member board hears administrative claims for benefits and resolve disputes arising under the Workers’ Disability Compensation Act. “I thank John for his commitment to this board and to fairly and effectively serving the people of Michigan,” said Snyder. Sims is the president and an attorney for the law office of Sims and Stern P.C. He has been an active…[Continue Reading]

NAMSAP Urges CMS to Align Opioid Allocation Policy with Evidence-Based Medicine

Elmhurst, IL – Members of the National Alliance of Medicare Set-Aside Professionals’ Evidence-Based Medicine Committee recently urged CMS representatives to use more sensible pharmacy allocations in Workers’ Compensation MSAs (WCMSAs) that have chronic opioid prescriptions. CMS’s policy is to allocate the cost of opioids over the full life expectancy of the beneficiary at the same dosage and frequency that have been prescribed in the six to 12 months prior to MSA submission…[Continue Reading]

AAPAN to Expand Workers’ Compensation PBM Advocacy in 2018

Washington, DC – The American Association of Payers, Administrators and Networks (AAPAN) recently announced that it will significantly increase its advocacy efforts in 2018 to ensure that state legislators and regulators better understand the value workers’ compensation pharmacy benefits management (PBM) entities provide. Those advocacy efforts will be guided by the association’s Workers’ Compensation PBM Counsel. Counsel participants include Express Scripts, Mitchell International…[Continue Reading]

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