Memphis, TN – Sedgwick, a leading global provider of technology-enabled risk, benefits and integrated business solutions, has signed an agreement to acquire York Risk Services Group. Following the close of the transaction, the Sedgwick family will comprise nearly 27,000 colleagues. York is a premier provider of claims administration, managed care, specialized loss adjusting, pool administration… [Read more]
Claims, Legal, & Compliance News
Missouri Employers Mutual Partners with Valen Analytics on Claims Triage Solution
Denver, CO – Insurity company Valen Analytics recently announced that Missouri Employers Mutual (MEM), an insurer specializing in workers compensation, is leveraging Valen’s ClaimsRight® solution to develop a claims model that employs data science and predictive analytics to identify insurance claims with the potential to escalate in severity. The model generates a claims risk score… [Read more]
WCRI: Avg Total Cost of TX Workers’ Comp Claim Stable from 2012-17, Among Lowest in Study
Cambridge, MA – The average total cost of a Texas workers’ compensation claim remained stable from 2012 to 2017 and was among the lowest of 18 states analyzed, according to a recent study by the Workers Compensation Research Institute (WCRI). “The recent Texas trends in cost components for claims differed from trends in many other… [Read more]
TRISTAR Embraces Artificial Intelligence with CLARA analytics
Santa Clara, CA – CLARA analytics recently announced that third-party claims administrator TRISTAR has deployed CLARA’s entire suite to assist in workers’ comp claim management. In just the first four months of implementation, TRISTAR has already experienced a significant reduction in claims work, particularly when determining Medicare Set-Aside Arrangement (MSA) services, which can now be… [Read more]
Genex Announces 2019 Heart of Case Management Award Winners
Wayne, PA – A paramedic who survived a helicopter crash to become an RN. An airport ground worker who overcame a serious puncture wound to return to lead his crew. A proud veteran who regained use of his left arm after a devastating shoulder injury. Across the nation, case managers at Genex Services make life-changing… [Read more]
Chicago Mayor Announces Reforms to Workers’ Compensation Program
Chicago, IL – Mayor Lori E. Lightfoot recently announced sweeping reforms to the City of Chicago’s workers’ compensation program, designed to improve services for injured workers and to help prevent fraud, waste and abuse in the administration of claims. The reforms follow the completion of an independent audit of the program. The audit revealed that… [Read more]
NAMSAP to Host Annual Conference September 18-20 in Baltimore
Baton Rouge, LA – The National Alliance for Medicare Set-Aside Professionals recently announced that its 16th Annual Educational Conference, ALL IN, will be held September 18-20 in Baltimore. Designed for professionals who are involved in Medicare Secondary Payer compliance and Medicare Set-Aside allocation and preparation as well as insurance carriers, third party administrators, employers, attorneys,… [Read more]
Coventry Releases New White Paper on Disaster Planning & Workers’ Comp
Downers Grove, IL – Coventry recently announced the release of a new white paper entitled “Careful Planning Can Blunt Nature’s Impact on Workers’ Compensation.” In just the past few years, natural disasters have generated startling headlines and produced enormous challenges for many, including for workers’ compensation systems. In 2017, colossal hurricanes lashed the coasts of… [Read more]
CA AG Becerra Sues Purdue Pharma for Illegal Practices and Role in Opioid Crisis
Sacramento, CA – California Attorney General Xavier Becerra recently announced that California is suing Purdue Pharma L.P., Purdue Pharma Inc. (Purdue), certain of its affiliates, and Dr. Richard S. Sackler, former President and board member of Purdue, for unlawful practices in the marketing, sale, and distribution of opioids. The lawsuit alleges that Purdue’s illegal and… [Read more]
HHS: Pain Management Task Force Issues Final Report on Best Practices for Treatment
Washington, DC – The Pain Management Best Practices Inter-Agency Task Force, a federal advisory committee established by the Comprehensive Addiction and Recovery Act of 2016, recently released its final report on acute and chronic pain management best practices, calling for a balanced, individualized, patient-centered approach. To ensure best practices for the treatment of pain, the… [Read more]