New Braunfels, TX – NAIRO, National Association of Independent Review Organization, announced this week that they have rounded off their 2018 speaker line-up to include a breakout session dedicated to the landmark case of King v. CompPartners. Elise Klein, partner at Lewis Brisbois and Chair of the Life Health Disability & ERISA Practice, participated on… [Read more]
Claims, Legal, & Compliance News
The Carlyle Group to Become Majority Investor in Sedgwick in $6.7 Billion Transaction
Memphis, TN – Sedgwick, a global provider of technology-enabled risk, benefits and integrated business solutions, recently announced that affiliates of funds managed by The Carlyle Group (NASDAQ: CG) have agreed to become the majority owner of Sedgwick in a transaction valued at approximately $6.7 billion. Current majority shareholder KKR will fully exit its position following… [Read more]
CWCI Analysis Finds California Workers’ Comp IMR Volume Increased in 2018
Oakland, CA – The number of independent medical reviews (IMRs) used to resolve California workers’ compensation medical disputes rose 4.4 percent in the first half of 2018 compared to the first half of 2017, though once again in more than 90 percent of the cases the independent medical review physician upheld the utilization review physician’s… [Read more]
NCCI Releases Research Brief on Mega Claims in Workers’ Comp
Boca Raton, FL – There are claims, and then there are mega claims. These extraordinary occurrences exceed $10M and can have a significant impact on the workers compensation industry. What’s surprising is that the number of mega claims jumped in 2016. Whether this is a one-time blip, or a new trend, remains to be seen… [Read more]
Paradigm Announces Acquisition of Adva-Net
Walnut Creek, CA – Paradigm Outcomes, a manager of catastrophic and complex cases for the workers’ compensation industry recently announced it has acquired Adva-Net, an ancillary network for high-acuity workers’ compensation claims, providing services for comprehensive pain management, post-acute care management and addiction recovery. The acquisition will strengthen Paradigm’s specialty network footprint and capabilities, accelerate… [Read more]
EK Health Announces Acquisition of The Directions Group
San Jose, CA – EK Health Services, Inc. recently announced the acquisition of The Directions Group, Inc. Effective 9/1/2018, The Directions Group will become an integral subsidiary of EK Health and the two organizations will officially merge as one of the nation’s leading independent providers of managed care services to the workers’ compensation industry. EK… [Read more]
Athens Announces Expansion with Acquisition of 1-2-1 Claims, Inc.
Concord, CA – Athens Administrators has acquired 1-2-1 Claims, Inc., a San Antonio, Texas licensed third-party administrator (TPA) company specializing in liability, self-insured workers’ compensation and non-subscriber benefit plan claims administration. The combined companies will deliver an even wider range of services, pricing options and flexibility that will be unique to the risk management services… [Read more]
KS Attorney General State’s Supreme Court to Review Workers’ Comp Case
Topeka, KS – Kansas Attorney General Derek Schmidt recently asked the Kansas Supreme Court to review a decision by the Court of Appeals that overturned a 2013 state law on workers compensation. Although the state was not a party to the original case, the Kansas Supreme Court last week granted the attorney general’s motion to… [Read more]
CA Labor Enforcement Task Force Announces FY 2017-2018 Highlights
San Francisco, CA – The Labor Enforcement Task Force (LETF) continues to effectively target underground operators that violate laws designed to protect workers and California’s economy. LETF identifies bad actors and uncovers violations by matching data from various state agencies and using innovative targeting methods. During Fiscal Year 2017-2018, LETF found that 93% of the… [Read more]
Origami Risk Launches Compliance Solution for Insurers, Claims Administrators & Large Self-Insureds
Chicago, IL – Origami Risk, recently announced the launch of Origami Compliance, a suite of solutions that provides adjusters with automated access to forms, rates, rules, and regulations to streamline their adjudication process. Origami Compliance solutions are delivered via a web application programming interface (API) that operates behind the scenes to facilitate a reliable and… [Read more]