Leaders Speak

By Mike Bishop, VP of Product and Technology Even without realizing we are doing so, we make predictions all the time. How much time is it going to take to get to work this morning? How will my friends react to my dinner cancellation? Which team is going to win the World Cup this year?… [Read more]

By Mike Bishop, VP of Product and Technology In the age of in-home voice assistants and self-driving cars, it can seem like the robot takeover that childhood movies and comics predicted is quickly approaching. Everywhere we turn, articles tout the advancements of artificial intelligence and machine learning, while companies scramble to develop these capabilities. We… [Read more]

By MaryRose Cusimano-Reaston, Ph.D., Co-Founder, Chief Science Officer, Emerge Diagnostics Soft tissue injuries can be the bane of existence for many a workers’ compensation stakeholder. They are difficult to diagnose and treat, as they are often elusive. Treating them is also often extremely expensive. The inability to accurately pinpoint the problem may result in multiple… [Read more]

By About MaryRose Cusimano-Reaston, Ph.D., Co-Founder, Chief Science Officer, Emerge Diagnostics Telemedicine has truly revolutionized the healthcare industry. Not only has it increased access to care exponentially, but in some cases it’s actually resulting in better diagnosis and treatment than an in-office visit could. A case in point is the remote capability of bringing the… [Read more]

By Bridget L. Smith, Partner, Pittsburgh office of Gordon & Rees, Medicare Compliance Practice Group The path from submission of a Medicare Set-Aside (MSA) to final approval can be riddled with many twists, turns and roadblocks along the way. Legislation has been introduced in the last several years to reform this process, but has failed… [Read more]

A company that’s been wreaking havoc with insurance carriers is getting its comeuppance. Not only did the Miami-based legal group MSP Recovery LLC fail in its latest effort to collect big money to reimburse Medicare Advantage Organizations, it and three of its attorneys were instead ordered to pay $5,000 each in sanctions, totaling $20,000. The decision was…[Continue Reading]

Addressing the education deficit in workers’ comp was a laborious task in the early years of The MEMIC Group. As I noted previously, we were facing a significant skills gap in the early days of MEMIC, and the in-house training and development programs we created would only take us so far. Running our formalized education reimbursement program was a time-consuming task…[Continue Reading]

Every entrepreneur starts his or her company with a desire to build the perfect business. Operations will be fluid. The bottom line will consistently be in the black. Each employee will join the company as a master of his or her craft fully prepared to handle the day-to-day responsibilities of the job. Unfortunately, this utopian business structure does not exist – especially in…[Continue Reading]

In our last article, we explored some of the issues that state-mandated formularies are helping to address in workers’ compensation. One of the biggest issues we are facing today is opioid abuse and overdoses. As we addressed, opioid-related overdoses and deaths have hit some states particularly hard; West Virginia’s death rate from prescription opioids is…[Continue Reading]

The flurry of state legislation in the first half of 2018 has shed light on how ubiquitous workers’ compensation issues are becoming. Opioid-related overdoses and deaths have hit some states particularly hard; West Virginia’s death rate from prescription opioids is 37.7 per 100,000 citizens (based on 2016 data). In response, West Virginia passed passed comprehensive opioid prescribing…[Continue Reading]