Brooklyn, NY – A complaint was recently unsealed in federal court in Brooklyn charging Joseph Stephan, a chiropractor licensed by New York State, with health care fraud for submitting false claims to the U.S. Department of Labor’s (DOL) Office of Workers Compensation Programs (OWCP) for services that were not actually rendered. Stephan was arrested and… [Read more]
Top Stories
Marsh Releases Report on How COVID-19 Has Changed Workers’ Compensation So Far
New York, NY – Marsh recently released a new report noting that six months after COVID-19 was declared a pandemic, claims of COVID-19 exposure in the workplace have been outpaced by a decline in other types of reported occupational injuries. The workers’ compensation insurance market also remains competitive, with average premiums having renewed between -5%… [Read more]
Genex Chronicles Flight Paramedic’s Rise From a Deadly Helicopter Crash
Wayne, PA – How do specialized workers’ comp case managers positively affect claims outcomes? Data and analytics will tell you one side of the story, but those numbers often undervalue the vital human component these professionals add to the equation. For employees who survive catastrophic workplace injuries, a specialized case manager can be just as… [Read more]
Pie Insurance Highlights Growth, Surpasses $100M in Premium
Denver, CO – Pie Insurance recently announced it has exceeded $100 million in cumulative written premium and surpassed $100 million in annualized run rate premium. In less than 3.5 years since being founded, Pie Insurance has cemented its spot as the fastest insurtech company to hit these milestones. This monumental growth is evidence that small… [Read more]
CA Electrician Sentenced for Workers’ Compensation Insurance Fraud
San Mateo, CA – Michael Ray Williams of Daly City was recently sentenced to 60 days in county jail and three years formal probation after pleading no contest to two felony counts of insurance fraud after illegally working for multiple employers while simultaneously collecting over $85,000 in workers’ compensation benefits from two different insurers. Williams… [Read more]
Mitchell Releases Pharmacy Solutions 2020 Annual Clinical Review
San Diego, CA – Mitchell recently announced the release of the Mitchell Pharmacy Solutions 2020 Annual Clinical Review. The Clinical Review collects data from respected industry sources that provide crucial insights for Pharmacy Programs as they plan for the future. Among its many insights, the Clinical Review showed that despite opioid prescriptions falling by 37%… [Read more]
MI Gov Whitmer Signs COVID-19 Emergency Rules to Provide WC for Frontline Health Care Workers
Lansing, MI – Gov. Gretchen Whitmer recently signed emergency rules to clarify workers’ compensation coverage for health care employees and first responders who have tested positive for COVID-19. The emergency rules apply to workers in the medical industry, including hospitals, medical care facilities, and emergency medical services, as well as law enforcement, fire safety, and… [Read more]
SUNZ Insurance Hires Jeffrey Marshall as New Chief Financial Officer
Bradenton, FL – SUNZ Insurance CEO Steve Herrig recently announced that Jeffrey Marshall has joined the company as Executive Vice President and Chief Financial Officer (CFO). Marshall has been in the finance and accounting industry for over 35 years, and has significant experience serving in senior-level roles. Marshall was most recently with Ategrity Specialty Holdings… [Read more]
CA Trucking Co Owners Charged in Alleged $450,000 Workers’ Compensation Fraud Scheme
Sacramento, CA – Trucking company owners Hardip Singh and Amandeep Kaur were recently charged with multiple counts of insurance fraud after allegedly misclassifying employees as independent contractors in a scheme to underreport payroll by more than $1.4 million, resulting in a $234,000 loss to their insurer and a $220,000 loss to the Employment Development Department… [Read more]
CWCI Analyzes Impact of New Geographic Adjustment Factors in the OMFS
Oakland, CA – Switching from statewide to locality-specific geographic adjustment factors (GAFs) in the calculation of California workers’ comp physician and non-physician service fees has not resulted in a major shift in where the dollars go, and despite concerns, the switch does not appear to have generated inappropriate shifting of billing to higher reimbursed areas,… [Read more]