May 14, 2018

Unity Solutions Selects DataCare for Utilization Review Platform

San Jose, CA – Utilization Review takes on a strong outlook as Unity Solutions enters the market with a new approach, “Proactive Cost-Savings: Placing greater emphasis on reducing treatment costs, while improving patient outcomes”. While the cost of UR continues to increase, the requested treatment is often delayed, and cannot be delivered until authorized by UR. Meanwhile, the patient continues to suffer and wait for the approval of treatment. However, prior to sending a request over for a formal…[Continue Reading]

TX Insurance Commissioner Sullivan Names Slape Second-In-Command

Austin, TX – Insurance Commissioner Kent Sullivan recently promoted Doug Slape to second-in-command at the Texas Department of Insurance. Slape has been at the agency since 1988 and has served as deputy commissioner for the Financial Regulation Division the past three years. “Doug has been instrumental in making financial regulation in Texas among the strongest in the nation,” Sullivan said. “He has a unique ability to keep a watchful eye on both the state and global markets – both of which are essential…[Continue Reading]

CA Security Company Busted for $3.2 Million Workers’ Comp Premium Fraud

San Jose, CA – Security Code 3, Inc. owner Troy Carson, 55, of San Jose was arrested by Department of Insurance detectives for allegedly underreporting payroll by more than $12 million in an attempt to secure a lower workers’ compensation rate under false pretenses and cheating his insurer out of more than $3.2 million. Victoria Cruz, 46, Lanette Wiegand, 46, both from San Jose and Jaime Lugo, of La Crescenta also face charges in connection with the fraud scheme. In total, the quartet is…[Continue Reading]

WCRI: Average Total Cost per Workers’ Comp Claim in CA Stabilized after Major Reforms Took Effect in 2013

Cambridge, MA – The average total cost per workers’ compensation claim in California remained stable since the enactment of comprehensive reforms five years ago, according to a recent study by the Workers Compensation Research Institute (WCRI). “Indemnity benefits per claim grew while medical payments per claim decreased, consistent with the expected impact of the workers’ compensation system reform provisions,” said Ramona Tanabe, WCRI’s executive vice president and counsel. The system reforms were…[Continue Reading]

Texas Mutual Awards $1M in Annual Safety Education Grants to 10 Texas Colleges

Austin, TX – Texas Mutual Insurance Company recently announced that it is awarding $1 million in grants to 10 colleges across Texas to fund workplace safety courses for employers, workers and the general public. Since 1999, Texas Mutual—the state’s leading provider of workers’ compensation insurance—has awarded $6.6 million in safety education grants, and more than 30,000 students have attended free safety institutes offered at various colleges. These grants support risk management…[Continue Reading]

Amerisure Promotes Matt Ford to Vice President of Field Marketing & Underwriting

Farmington Hills, MI -(PRWeb)- Amerisure Insurance recently announced that Matt Ford has been promoted to Vice President of Field Marketing & Underwriting (FMU). Ford will bring a single leadership voice to Amerisure’s field underwriting operations in its four regions, unifying its agencies’ underwriting experience. He will continue reporting to Amerisure’s chief relationship officer, Todd Ruthruff. “I am confident of the impact Matt will make, and the positive influence he will have on the organization as…[Continue Reading]

Ohio BWC Gets 11 Workers’ Comp Fraud Convictions in April

Columbus, OH – An Ohio truck driver who worked for more than two years while collecting disability benefits could be ordered to pay more than $78,000 in restitution at his sentencing for workers’ compensation fraud June 14. Walter Lee, of Frazeysburg in Muskingum County, pleaded guilty to the fifth-degree felony April 25 in Franklin County Common Pleas Court. The judge ordered a pre-sentence investigation due to the large amount of restitution – $78,321 – owed to the Ohio Bureau of Workers’ Compensation…[Continue Reading]

CA WCIRB Releases Study on Impact of Affordable Care Act on California Workers’ Compensation

Oakland, CA – The WCIRB has released its Impact of the Affordable Care Act on California Workers’ Compensation study. This study utilized data from the WCIRB’s medical transactional and unit statistical report databases to gauge the impact from increased access to health care through the Affordable Care Act (ACA) on California’s workers’ compensation system. Specifically, the study examines injured workers’ access to care, fees for medical services, claim frequency in industries most affected by…[Continue Reading]

New MedRisk Whitepaper Examines Patient-Centered Approaches to PT, Impacts on Outcomes

King of Prussia, PA – Research shows that patient-centered treatment improves outcomes in physical medicine. MedRisk examines these findings in its new white paper, “Patient-centered Strategies for Better Outcomes.” The paper highlights several studies on patient-centered approaches to physical therapy and their positive impacts on clinical outcomes and patient experience. Evidence-based treatment guidelines that are detailed enough to account for severity, chronicity and comorbidities…[Continue Reading]

Valen Analytics Appoints Ex-Farmers Insurance Exec Donald Seibert to EVP of Applied Analytics

Denver, CO – Valen Analytics®, an Insurity company, has announced the appointment of Donald Seibert as Executive Vice President of Applied Analytics. In this role, Seibert will oversee the services and analytics team, providing strong leadership and experience and delivering consulting services to Valen’s customers to more effectively implement and utilize analytics across their organizations. “Valen has earned a tremendous reputation as a predictive analytics pioneer for the insurance industry…[Continue Reading]

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