San Diego, CA – Mitchell | Genex | Coventry recently announced it has finalized its acquisition of QualCare Alliance Networks Inc. (QANI), one of the largest managed care organizations serving the New Jersey, Pennsylvania and New York tri-state area. QANI was formerly a division of Cigna. The acquisition allows Mitchell | Genex |Coventry to strengthen… [Read more]
Claims, Legal, & Compliance News
NYS WCB Announces Return to More Regular Operations
Albany, NY – The New York State Workers’ Compensation Board recently announced that in light of the expiration of the State of Emergency necessitated by the COVID-19 pandemic, the Board began returning to more regular operations on June 29th. All of the guidance and modifications provided on the Board’s webpage relating to the State of… [Read more]
NCCI Releases Insights Report: COVID-19 and Workers’ Comp – What We Know Now
Boca Raton, FL – NCCI recently announced the release of a new Insights Report, COVID-19 and Workers Compensation – What We Know Now, which details COVID-19 claims data reported to NCCI so far and brings the ultimate impact the pandemic may have on WC costs more into focus. In early 2020, COVID-19 seemed like a… [Read more]
Safety National Webinar: Demystifying Musculoskeletal Disorders
St. Louis, MO – Safety National recently announced a new complimentary webinar, noting that musculoskeletal disorders (MSDs) are the most common workplace injuries, accounting for nearly one-third of all workers’ compensation claims. With a price tag of $45-54 billion annually, they are devastatingly expensive. So how can existing claims data assist in identifying high-risk areas… [Read more]
CVC Capital Partners VIII to Acquire Majority Interest in ExamWorks
New York, NY – CVC Capital Partners recently announced that it has signed a definitive agreement to acquire a majority interest in ExamWorks. The Company’s current owners, Leonard Green & Partners, L.P. and GIC, will retain significant equity stakes in the business alongside CVC and the ExamWorks senior management team, co-founders Richard Perlman and Jim… [Read more]
Seven in TX Charged for Roles in $110 Million Compound Drug Scheme
McAllen, TX – Acting U.S. Attorney Jennifer B. Lowery recently announced that a compound pharmacy owner, three marketers, a referring physician and two clinic office staff have been taken into custody in connection with a multi-million dollar health care fraud and kickback scheme. A federal grand jury sitting in McAllen returned a 15-count indictment charging… [Read more]
CWCI 2021 Case Law Update Program Now Available as On-Demand Webinar
Oakland, CA – On May 18, CWCI presented its 23rd Annual California Workers’ Compensation Case Law Seminar as a live, on-line event. The Institute recorded the 5-hour program and is now offering it as an on-demand webinar to its members and other stakeholders in the workers’ compensation community. The program, presented by veteran defense attorneys… [Read more]
Spear Technologies Announces Pacific Claims Management as First Customer
Corte Madera, CA – Spear Technologies recently announced its first customer, Pacific Claims Management, a third-party administrator (TPA) that serves the workers’ compensation market. Pacific Claims Management has selected SpearClaims for its cutting-edge technology platform, which will help the company streamline workflow, drive continual cost savings, and facilitate optimal claims outcomes. “We’re thrilled to be… [Read more]
MA AG Reaches Settlement with Law Group Over Illegal Kickback Scheme
Boston, MA – Attorney General Maura Healey recently announced a $300,000 settlement with a Massachusetts personal injury law firm that handles workers’ compensation cases, resolving claims that the law firm accepted tens of thousands of dollars in illegal kickbacks from a pharmacy in exchange for referring hundreds of its injured clients. In a consent judgment… [Read more]
Coventry Releases New Whitepaper on Outcomes Based Networks
Tucson, AZ – Coventry recently announced the release of a new whitepaper on Outcomes Based Networks (OBNs) entitled “Proven track records create a winning formula for injured workers’ recoveries.” The coronavirus pandemic has taught us much about disparities in health care. We know, more than ever, that access to robust care carries profound and, indeed,… [Read more]