May 17, 2018

Dan Anders: Building a Better Relationship with your MSA Vendor

Dan Anders

Let’s face it. When you realize that settlement of a workers’ compensation claim will require a Medicare Set-Aside (MSA) you may let out an audible groan or even a choice profanity. An MSA will no doubt add cost and time to settlement of a claim. This is why it is so important to partner with a Medicare Secondary Payer (MSP) compliance vendor that can…[Continue Reading]

Dan Anders: Don’t Get Taken Advantage of by Medicare Advantage

Dan Anders

If the title of this article has drawn you in, then you likely are somehow touched by Medicare Secondary Payer (MSP) compliance, whether as an attorney representing a claimant or carrier or claims professional working with no-fault, workers’ compensation or liability claim. The question going through your mind is what has Medicare come up with now to make my job more difficult? [Continue Reading]

Dr. Marcos Iglesias: Worklessness May Be Dangerous To Your Health

Dr Marcos Iglesias

As a physician and claims professional, I have had the privilege of helping individuals and populations lead fulfilling lives at their job, society and home. Work is valuable, whether it occurs in an occupational, civic or domestic domain. On the other hand, worklessness can be deleterious to an individual’s health and wellbeing, as well as contributing to…[Continue Reading]

Melissa McGarry: Telemedicine in Workers’ Comp Offers Unique Ways to Face Unique Challenges

Melissa McGarry

The anywhere, anytime promise of telemedicine is helping propel its growth in group health. Now, that same shiny prospect of unprecedented flexibility is drawing attention in workers’ compensation as a means of meeting the unique challenges facing injured workers. In our last installment, we defined telemedicine and telehealth as connecting a patient with a health…[Continue Reading]

Tammy Bradly: In an On-Demand World, Telemedicine Can Be a Smart Call

Tammy Bradly

For many consumers, living the good life increasingly means living the on-demand life. We can do our banking or order up a car service in seconds with only our phones. Two-day delivery for goods, once the exception, is now commonplace. Music, books, and movies appear for our entertainment in an instant — no wait required. Simply put, speed equals success…[Continue Reading]

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]

Greg Moore: Making and Breaking the Cycle of Litigation in Workers’ Compensation

Greg Moore

I recently shared an article discussing the fact that the workers’ compensation system is not functioning as designed, with some key data points that show just how badly the industry is missing the mark with it comes to litigation. In a nutshell, workers’ comp was created to reduce the need for litigation, and yet it has become a highly litigious market. This translates to enormous…[Continue Reading]

Greg Moore: Should Workers’ Comp Be a Litigious Industry?

Greg Moore

Workers’ compensation was designed to reduce litigation by trading out the employee’s right to sue his or her employer for negligence in exchange for limited guarantee of care and compensation. This exclusive remedy “bargain” was the justification for why the system was first created a little more than 100 years ago. If we look at intent and where we are today…[Continue Reading]

Johnny Meyer: Life Post-Settlement: What Happens to Injured Workers After They Settle

Johnny Meyer

The workers’ compensation system has, for the most part, functioned successfully for more than 100 years. There are certainly controversies but the vast majority of injured workers get the medical treatment and the dollars they need to heal and return to productivity. But there is another segment of injured workers with quite different stories to tell. These are the injured workers who…[Continue Reading]

Johnny Meyer: Administration Experts Can Help Move Claims to Settlement

Johnny Meyer

Legacy cases may be the bane of your existence. You might have a case in particular where you know the injured worker is frustrated with the workers’ compensation system — the scrutiny, the providers, the delays, the denials — and yet he shows no interest in settling. You know because the adjuster asks him every few months. And yet, his claim continues for years…[Continue Reading]

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