Wilmington, MA – Ametros recently announced that in a first-of-its kind study, it found over 34,000 claims per year were denied to Medicare beneficiaries’ post-settlement because Workers’ Compensation Medicare Set Aside (WCMSA) funds were responsible for the payments. The Centers for Medicare and Medicaid Services (CMS) has long warned that it requires WCMSA funds to… [Read more]
Claims, Legal, & Compliance News
CA DWC Announces Return to Virtual Hearings
San Francisco, CA – The California Division of Workers’ Compensation (DWC) has announced that as of January 12, 2022, all hearings will be heard virtually. Until further notice, DWC will telephonically hear all trials, lien trials, expedited hearings, and special adjudication unit (SAU) trials. In addition, mandatory settlement conferences, priority conferences, status conferences, SAU conferences,… [Read more]
Harford Mutual Insurance Group Selects Origami Risk Claims Solution
Bel Air, MD – Origami Risk recently announced that Harford Mutual Insurance Group has selected its multi-tenant, software-as-a-service (SaaS) claims solution for claims adjudication, reporting, and the delivery of enhanced client services. “As Harford Mutual pursues accelerated growth, we are leveraging innovative technology to enhance service and drive efficiencies across all areas of our business,”… [Read more]
NCCI Releases New Report on Workers’ Comp Drug Formulary Implementations
Boca Raton, FL – NCCI recently announced the release of a new report, Drug Formulary Implementations – A Look at Impact on Workers Compensation Prescription Drug Experience. As more and more states look for opportunities to manage prescription drug utilization in their Workers Compensation (WC) systems, closed drug formularies continue to receive increased attention as… [Read more]
CLARA Analytics Launches Treatment Summary for Workers’ Comp Case Management
Santa Clara, CA – CLARA Analytics recently announced the release of Treatment Summary, which applies industry-leading AI technology to automate medical records transcription, extract and organize important case details, and make that information available to adjusters and nurse case managers (NCMs) on demand. CLARA’s Treatment Summary streamlines case management, enabling adjusters and NCMs to proactively… [Read more]
New WCRI Study Examines Use and Reimbursement of Telemedicine in Workers’ Comp
Cambridge, MA – With telemedicine rising as an important alternative for access to care during the pandemic, a new Workers Compensation Research Institute (WCRI) FlashReport examines the utilization patterns of telemedicine services and the prices paid for these services in workers’ compensation systems across states during the early stage of the COVID-19 pandemic. “Many anticipate… [Read more]
CWCI: Increase in Indemnity Claim Volume & Severity Drives Up CA Public Self-Insured WC Costs
Oakland, CA – In the midst of the pandemic, the total number of job injury claims reported by California public self-insured employers edged down slightly last year, but a growing number of lost-time claims and rising claim severity (average loss per claim) fueled by higher indemnity costs drove up total workers’ compensation paid and incurred… [Read more]
Sedgwick to Introduce New Global Productivity Solutions
Memphis, TN – Sedgwick recently announced it will launch new and enhanced productivity and benefits services in international markets throughout 2022. With this initiative, Sedgwick aims to sharpen its focus on advocacy and client support at both the local and global level in direct response to new challenges that companies, carriers and consumers have faced… [Read more]
CLARA Analytics Announces Launch of Major Upgrade to AI-Driven MSP Compliance Product
Santa Clara, CA – CLARA Analytics recently announced the release of MSP Compliance 2.0, a major upgrade to the company’s AI-driven offering that enables workers’ compensation carriers to generate CMS-approvable reports in just days instead of the usual four to six weeks. With CLARA’s solution, carriers can increase flexibility, agility and accuracy while eliminating their… [Read more]
CA WCIRB Releases 2021 Geo Study with Interactive Map
Oakland, CA – The Workers’ Compensation Insurance Rating Bureau of California (WCIRB) recently released the 2021 WCIRB Geo Study, which underscores regional differences in claim characteristics across California. The web-based interactive map allows you to quickly view key measures across regions. Key findings included: Even after controlling for regional differences in wages and industry mix,… [Read more]