Combatting the Evils of Opioid Addiction And More News Tidbits

Businesswoman Lisa Firestone is a meticulous planner. When she approached her partners at an employee benefits consulting firm 15 years ago with a buyout offer in hand, she had a resignation letter in the other hand and four months of legal and financial strategizing behind her. Read more…
 
The light bulb has switched on for some organizations: risk management isn’t always done by someone with the title “risk manager.” The days of only hiring those with deep insurance, finance and compliance backgrounds are over — or at least they should be. Read more…
 
News From LexisNexis:
"The numerous ills associated with workers' compensation claimants abusing prescribed opioids is a perfect example of medical care professionals acting in haste in a manner that results in claimants and workers' compensation insurers repenting at leisure. High drug costs are a near certainty; addiction and a fatal overdose are additional significant risks." Read more…
 
“Wholesale pharmacies who contract with physicians to provide pharmaceuticals to them on a consignment basis for dispensing to their workers compensation patients, cannot seek payment for the pharmaceuticals directly from the employer/insurer underRebel Distributors Corp., Inc. d/b/a Physician Partner and Pharmacy Partner v. LUBA Workers' Comp., released by the Louisiana 3rd Circuit court of appeal on March 6, 2013.” Read more.
 
“The Los Angeles Times reports that drug manufacturers charge "wildly different prices for essentially the same generic medicine." Moreover, the average wholesale prices (AWP) are as "made up as the prices that come out of hospitals". Drugstores don't pay AWP for medicine, but rather negotiate "sweetheart deals" with drug manufacturers based on the volume of medicine retailed to customers. Pharmacies are not required to provide full disclosure to customers as to the prices for the same generics. Pharmacies are making more money on generics than name brands, and it's not to their advantage to help customers make informed decisions.” Read it
 
“Citing Larson's Workers' Compensation Law, the Court of Appeals of Oregon recently affirmed a finding that the subject truck drivers were employees of a frozen meat distributorship in spite of characterization within the contractor agreement's that the drivers were independent contractors. While the characterization carried some weight, there was direct evidence of the purported employer's right to control, and exercise of control over, the methods and details of the drivers' work. The court indicated that here the drivers provided their services; the distributor provided everything else. Read more about this case and other cases on Altercation, Substantial Deviation, and Abandonment of Employment.”
 

Author Michael B. Stack, CPA, Director of Operations, Amaxx Risk Solutions, Inc. is an expert in employer communication systems and part of the Amaxx team helping companies reduce their workers compensation costs by 20% to 50%. He is a writer, speaker, and website publisher.  www.reduceyourworkerscomp.com.  Contact: mstack@reduceyourworkerscomp.com.

 

©2013 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law.


Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker, attorney, or qualified professional about workers comp issues.

The Best Tidbits Of News From The Workers Comp Community

 

 
The United States House of Representatives today passed the Saving Medicare and Repaying Taxpayers (SMART) Act as part of a broader legislative effort. The SMART Bill was attached to House Bill 1845 Medicare IVIG Access Bill which provides for…Read More
 
 
 
Create a framework for your organization’s risk management program that aligns with its goals, sets roles and responsibilities for the team and provides communication strategies needed to report to senior management and other stakeholders.  Read more…
 
 
 
Broadspire, a Crawford Company (NYSE: CRDA; CRDB) and leading third-party administrator of workers compensation claims, liability claims and medical management services, announced today that it has been awarded continued accreditation for Case Management, Workers' Compensation Utilization Management, Health Utilization Management, and Independent Review Organization: Internal Review from URAC, a Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry. Read more…
 
 
 
From now thru Dec 2012, if you buy either the 2012 RIMS Benchmark Survey Book or the 2012 Workers Compensation Management Program Book, we’ll send you a second copy at no charge.
The RIMS Benchmark Survey Book and our Workers Comp Cost Reduction Book are the most popular books that we offer, and we're trying to set a sales record in December.
Now thru December 31, 2012 order one copy of either of two books below and receive a second copy of that book for FREE.  Read more…
 
 
 
Tallahassee, FL (WorkersCompensation.com) – The Florida Legislature passed and Governor Rick Scott has signed into law CS/HB 941, which amends sections 440.02(9) and 440.05, Florida Statutes. Effective July 1, 2013, the law changes to include Limited Liability Company (LLC) members as employees.  Read more…
 
 
Author Michael B. Stack, CPA, Director of Operations, Amaxx Risk Solutions, Inc. is an expert in employer communication systems and part of the Amaxx team helping companies reduce their workers compensation costs by 20% to 50%. He is a writer, speaker, and website publisher.  www.reduceyourworkerscomp.com
 
 
©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law.

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker, attorney, or qualified professional about workers comp issues.

Cavalcade of Risk #172

 

The Workers Comp Roundup is proud to be hosting the 172nd Cavalcade of Risk.  This bi-weekly blog is a collection of risk-related posts covering topics from finance, to insurance, to health. 
 
 
 
Blog: Risk Management Monitor, http://www.riskmanagementmonitor.com/
Author: Emily Holbrook
 
No matter how many company-wide memos are issued or how many training courses are thrust upon employees, as long as social media exists, there will be those that, whether intentionally or innocently, create a reputational or regulatory nightmare for their employer or another company. Reed Hastings<http://ir.netflix.com/management.cfm>, the CEO of Netflix, is one of them.
 

 

From the P&C Files: Marathon Insurance

 
Author: Henry Stern, LUTCF, CBC
 
"Special Event" insurance is nothing new, but the case of Superstorm Sandy vs the New York Marathon is a doozy, especially since the coverage was underwritten by fames Lloyd's of London.
 
 
 
Blog: Healthcare Economist, http://healthcare-economist.com/
Author: Jason Shafrin
 
Being a physician is inherently risky, especially when you own your own practice.  What share of physicians' salaries at Geisinger Health System is at risk if the under-perform expectations?  The Healthcare Economist investigates. 
 
 
 
Blog: Workers’ Comp Insider, http://www.workerscompinsider.com/
Author: Julie Ferguson
 
 Pop quiz: If you were building a large scale appliance manufacturing operation, would it be more cost effective to offshore production or keep it in the U.S.? For years, conventional wisdom has pointed to offshoring, but has the risk/reward of this approach paid off? At Workers’ Comp Insider, Julie Ferguson talks about the trend to “insourcing” and why many household name manufacturers are deciding to put their money back on the U.S.
 
 
 
Blog: National Nannies, http://www.nationalnannies.com/
Author: Diego Brown
 
While most states require the employers of domestic workers to carry worker’s compensation insurance to protect employees injured on the job, few states require those employers to take out disability policies.
 
 
 
Blog: Disease Management Care Blog, http://diseasemanagementcareblog.blogspot.com/
Author: Jaan Sidorov
 
In this post, Dr. Sidorov reviews a recent article from a prestigious medical journal that points out that Obamacare remains politically vulnerable. The most worrisome for insurers is the possibility that the fiscal cliff may force the Feds to cut their planned commercial insurance subsidies, resulting in a long-term drop in revenue. Welcome to doing business with Washington DC, eh?
 
 
 
Blog: Arbor Investment Planner, http://arborinvestmentplanner.com
Author: Ken Faulkenberry
 
The biggest risk of investing is losing your principal. This may seem intuitive, yet few investors have a risk management plan. Let's get started.
 
 
 
Blog: Good Financial Cents, http://www.goodfinancialcents.com
Author: Jeff Rose
 
The concept of losing a close friend and colleague can be very difficult for business partners to imagine, but they must do so if their plan is to continue operating the business after the death of an important partner. 
 
 
 
Blog: Rootfin Life Insurance Blog, http://www.rootfin.com/blog/
Author: Jeff Root  
 
A buy-sell agreement helps protect your business from the effects of unintended transfers of ownership – like death and disability.  Here's how businesses are using life insurance to fund this buy-sell agreement.
 
 
 
Blog: Health Business Blog, www.healthbusinessblog.com
Author: David E. Williams
 
Israel counteracted the threat of Gaza rockets with a missile defense system that was developed quickly and relatively cheaply. The General who led the effort "canceled all the unnecessary bureaucracy" to push through a program that the conservative military establishment thought to be too risky. Can any of these lessons be applied to US health care?
 
 
 
Author: Michael B. Stack
 
Sedentary work positions can be less strenuous than moving boxes of product.  However, even sedentary workers have risk.  Learn the different risks and ways to lessen the chance of injury.
 
 

The next Cavalcade of Risk will be hosted by Van Mayhall (http://www.insuranceregulatorylaw.com

 

Author Michael B. Stack, CPA, Director of Operations, Amaxx Risk Solutions, Inc. is an expert in employer communication systems and part of the Amaxx team helping companies reduce their workers compensation costs by 20% to 50%. He is a writer, speaker, and website publisher. www.reduceyourworkerscomp.com. Contact: mstack@reduceyourworkerscomp.com

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. 


Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker, attorney, or qualified professional about workers comp issues.

The Best Tidbits of News From the Workers Comp Community

 

News From Lexis Nexis:
 
 
 
“The LexisNexis Workers' Compensation Law Community has selected its 2012 honorees. These top blogsites contain some of the best writing out there on workers' compensation and workplace issues. They contain a wealth of information for the workers' compensation community with timely news items, practical information, expert analysis, practice tips, frequent postings, and helpful links to other sites. These blogsites also show us how workplace issues interact with politics and culture. Moreover, they demonstrate how bloggers can impact the world of workers' compensation and workplace issues. View the list of honorees.”
 
 
Deciphering Section 28(b) After Andrepont, by Paul B. Howell, Esq.
“In 1822, a sweaty scientist in a dimly-lit room looked at a rock from Egypt and discovered the key to decoding Egyptian hieroglyphics. 175 years later, a Fifth Circuit Court of Appeals judge with a cup of coffee inSee FMC Corp. v. Perez, 128 F.3d 908, 31 BRBS 162(CRT) (5th Cir. 1997). Read more.”
 
 
 
 
Thousands of federal government employees suffer work-related injuries each year, most of whom recover and return to their pre-injury jobs. There are however, a small percentage of employees who are unable to return to return to their pre-injury jobs due to long-term physical restrictions. Although placement with a federal agency is optimal, it is not always possible, especially at a time when government jobs are being eliminated. This leaves a significant number of individuals with transferable skills, unemployed and heading down a path towards a life of unnecessary long-term disability.  Read more…
 
 
 
 
With more visibility and vulnerability in today’s business landscape due to social media, online commerce and doing business through mobile devices, it only makes sense that there would be more potential risks to a company’s reputation and brand. In fact, now more than ever, executives are attempting to protect their brands from these security threats by being more proactive and looking for blind spots in their risk management program.  Read more…
 
 
 
Austin, TX – Texas recorded a six percent decrease in work-related fatalities in 2011, the second consecutive year of decrease and the lowest level in a decade.  There were 433 fatalities in 2011 compared to the 2010 total of 461 fatalities.  Nationally, there were a preliminary total of 4,609 fatal work injuries in 2011.  Read more…
 

Author Michael B. Stack, CPA, Director of Operations, Amaxx Risk Solutions, Inc. is an expert in employer communication systems and part of the Amaxx team helping companies reduce their workers compensation costs by 20% to 50%. He is a writer, speaker, and website publisher.  www.reduceyourworkerscomp.comContact mstack@reduceyourworkerscomp.com

 

 


WORKERS COMP MANAGEMENT MANUAL:  www.WCManual.com

VIEW SAMPLES PAGES

MODIFIED DUTY CALCULATOR:  www.LowerWC.com/transitional-duty-cost-calculator.php

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact us at: Info@ReduceYourWorkersComp.com.

Cavalcade of Risk, Number 168

Welcome everyone to the 168th edition of the Cavalcade of Risk. The Cavalcade of Risk (or Cav of Risk for short), as is implicated by the name, is a bi-weekly blog carnival that features the top articles regarding risk management. Several of the realms of risk management covered relate to finances, insurance, and health.

 

The Cavalcade this week is hosted and edited by My Personal Finance Journey.  



 Listed below are this week's Top 3 Editor's Picks! Enjoy!

1. 
Jeff Rose from Life Insurance by Jeff posted about Can You Get Life Insurance with a Depression History, saying, "When applying for life insurance, insurance companies take many things into consideration. One of the things they are most concerned about is the mortality rate of the applicant. What contributes to the mortality rate are the applicant’s lifestyle, health, pre-existing conditions, and mental health as well."


2. Insurance Coverage Law in Massachusetts posted about, Insurance as a kind of tax, and a foray into socialism and outside my area of expertise.


3. Jason Shafrin from the Healthcare Economist posted about, How does gaining Medicare coverage affect healthcare utilization?, saying, "Do the uninsured increase their utilization of health care services after becoming eligible for Medicare. The answer is yes, but not as much as you think."


Listed below are the rest of this week's submissions.


Emily Holbrook from Risk Management Monitor posted about, The Insurance Industry Needs More Dynamic Models, saying, "Simpler, but more dynamic capital models are what the insurance industry needs in order to avoid suffering some of the same problems it did during the financial crisis that began in 2008, according to the Willis Economic Capital Forum (WECF), a Georgia-State-University-based initiative from the academic and analysis arm of Willis Group."


Jeff Root from Root Life Insurance Blog posted about, Life Insurance with a DUI, saying, "Securing life insurance with a recent DUI on your record can be expensive. Here are some tips to find the most affordable life insurance with a DUI history."



Super Saver from My Wealth Builder posted about, My Health Insurance Premium is Up Again, saying, "Our health care insurance premiums have been up every year and are up 36.9% cumulatively since Obamacare passed. I wonder when I'll see the "lower costs" that President Obama promised."



Louise from the Colorado Health Insurance Insider posted about, Colorado Health Exchange Gets $43 Million Federal Grant, saying, "Senator Michael Bennet hailed the grant award and said that “Hundreds of thousands of Coloradans who now don’t have insurance or who have insurance in the unstable, high-cost individual market will have a range of more affordable options through the new exchange.” It will be great if the exchange results in far more Colorado residents with health insurance to offset the risk of catastrophic medical bills. The federal premium subsidies that will be provided via the exchange should definitely help with that. But as to whether or not the actual premiums charged (which will have to be paid in full by any individual who doesn’t qualify for the federal subsidies) will be significantly lower, I think it might still be too early to know."



Michael from Financial Ramblings posted about,  Life Insurance: How Much Coverage Do You Need, saying, "This post looks at factors to consider when deciding how much life insurance to buy. My advice: skip the arbitrary rules of thumb that advise buying a multiple of your income and give it some real thought."



Bob from Christian PF posted about How to buy personal health insurance saying, "With more people being self-employed or working for employers who don’t offer health insurance coverage, the ability to buy personal health insurance is more important than ever. Having the right health insurance coverage — at the best possible price — is one of the most important financial decisions we can make."



Rebecca Shafer from Workers Comp Roundup posted about, An Independent Claims Audit Can Be The Answer To Poor Claims Handling, saying, "Self-insured employers can have a good safety program, an established return-to-work program and knowledgeable nurse case managers, and still pay way too much on their workers’ compensation claims. Ineffective claims management can wipe out most or all of the cost savings achieved through your efforts to control cost. Whether you have your own claims office, or have a third party administrator (TPA) handling your workers’ compensation claims, poor claims handling will always result in higher claims costs."

 

Hank Stern of InsureBlog posted about, Long Term Care and Life Insurance, saying, "What do you get when you combine *two* risk management tools – life and long term care insurance? InsureBlog's guest blogger is an expert in Long Term Care insurance and explains the pros and cons."



David Excess Return posted about, Hedging Risk Exposure, saying, "When investors assume risk in an asset class that has a premium above a risk free rate of return, the investor could consider hedging the exposure when the returns are better than expected and lock in profits."



I posted on My Personal Finance Journey about Insurance Agents: Obsolete Relics of the Past or Critical Players on Your Personal Finance Team?, saying, "Following in the footsteps of travel agents, are insurance agents the next casualty of the Internet age? Is there still is a large demand for personal, local insurance agents? Also, do insurance agents add value to individuals' lives, or do they simply drive up the cost of insurance products/services and will soon befall a similar fate to their travel agent relatives? This post explores these questions and more."



Well – that concludes this edition. Thanks for tuning in!

Workers Compensation Around the U.S. This Week

Work Comp Roundup Wants to Meet You at RIMS Booth 1425
The Philadelphia RIMS 2012 Annual Conference & Exhibition will provide a unique opportunity to gather information and resources to help minimize workers comp costs. This year there are sessions for many experience levels and the exhibit hall will have US! Yes! Held at the Pennsylvania Convention Center located on 1101 Arch Street will be Amaxx and WorkCompRoundup at booth 1425.
 
 
“If anyone wants to stop by to say hello or chat about workers compensation issues, I welcome them to do that,” says Becki Shafer, CEO. “For companies struggling with high WC costs, the exhibit hall is a great place to see all the different solutions that are available in the marketplace and attend seminars. One of the best things I did when I began my career in workers compensation was attend RIMS in Atlanta, it was the first conference on Workers Comp I attended, and I was pleasantly shocked at everything that was available — it was like walking through a supermarket of ideas.”

[WCx]

 
 
Learn more about the convention here.
 
 
Keystone Case Management Could Give you a PINCH this Spring
Keystone Case Management is a young company in the Workers’ Compensation World, says owner and president, Kelly Haile, RN, CCM, WCCM. This team of nurses has developed PINCH, a solution that uses employer education and aggressive case management to help employers and injured workers
 
 
PINCH has resulted in a decrease in claim report numbers, out-of-work time and fewer litigated claims, Haile says. “The program has also shown increased satisfaction by injured employees, and employers are delighted at the clear, consistent and timely information that is provided,” she writes.
 
The company recently announced it is a finalist in Dorland Health’s Case In Point Platinum Awards for Workers’ Compensation Case Management and will be hosting a half-day educational workshop for employers April 4th, 2012 in Drexel Hill, PA. For more information contact info@KeystoneCaseManagement.com or (610) 469-NURSE.
 
 
LexisNexis Communities Offers This Week Work Comp In Review
The Workers Compensation Law Community Powered by Larsons on LexisNexis offers several great pieces this week:
 
 
  1. Larson’s Spotlight, found here, focuses on the following recent cases, compiled by Thomas A. Robinson, staff writer for Larson's Workers' Compensation Law:
 
TN: Truck Driver Deviated From Employment by Leaving Truck to Search for Object With Which to Assault Driving Partner
TN: Court Affirms Denial of Benefits Related to Unexplained Fall to Level Floor
OH: Physician's Opinion Was Not Equivocal Where Physician Modified Opinion in Light of Videotape Evidence of Injured Worker's Capabilities
FL: Judge May Not Sanction Homeless Claimant for Failure to Pay Prevailing Party Costs-Failure to Pay Was Not Willful
 
 
  1. Robin E. Kobayashi writes The Sticky Wicket That Is Home Health Care: Why It’s a Hotly Contested Issue in the Workers’ Compensation Arena
 
The article, found here, asks, “An injured employee’s entitlement to home health care is oftentimes a hotly contested issue in the workers’ compensation arena. Home health care issues can vary in nature. For instance, at what point does the marital obligation cease and the paid nursing services begin?”
 
 
The author looks into these types of issues in Nebraska, Iowa, Arkansas, and California.
 
 
  1. Lastly, the LN Community recommends these WC fraud blogs this week:
 
Workers' Comp Fraud Blotter: Mechanic Covered With Grease Claimed He Was Unemployed and Unable to Work,by LexisNexis Workers' Compensation Law Community Staff. Here.
 
“The Case of the Purple Robe … and a Little Motion Day Magic” in Delaware, by Cassandra Roberts, Esq. Here.
 
Missouri: Employer Penalized for Lapses in Prescription Payments, by Martin Klug, Esq. Found here.
 
 
Broadspire Combats Physician-Dispensed Drugs
In a recent release, Broadspire draws from the Workers Compensation Prescription Drug Study: 2011 Update by Barry Lipton, Chris Laws and Linda Li, National Council on Compensation Insurance, August 2011.
 
 
They write, “The price of physician dispensed drugs increased by 300 percent  between 2005 and 2009. In contrast, the average price of medications dispensed by pharmacies grew by only 23 percent during that same timeframe.”
 
 
The company goes on to say the percentage of workers compensation medical costs going toward physician dispensed prescriptions increased to 28 percent in 2009, up from 23 percent in 2008. “Physician dispensed medications have become prevalent in almost every state,” Broadspire concludes.
 
 
To combat this medical cost driver, Broadspire has created the following jurisdictionally specific strategies:
 
1. Through data mining, Broadspire identifies physicians who are dispensing prescriptions from their offices.
2. Targeted communications are sent to these physicians promoting the clinical safety and efficacy offered by Broadspire’s network of retail pharmacies.
3. Safety checks, through network pharmacies, help physicians ensure medications they prescribe are not duplicated by other physicians and that no adverse drug interactions are present.
4. Case managers visit and communicate with physicians to share the Broadspire message and support the use of network pharmacies.
5. Where jurisdictionally possible, Broadspire re-prices provider-dispensed medications to our network pharmacies contracted rate.
 
 
 
 
Texas Department of Insurance – DWC Seeks Public Comment on Amendment Proposals on MDR
The Texas Department of Insurance Division of Workers’ Compensation is accepting public comments on proposals to amend 28 TAC §§133.307, 133.308, 144.1–144.7 and 144.9–144.16 Regarding MDR of Fee Disputes, MDR by Independent Review Organizations, and Arbitration.
 
 
According to a release, the amendments relate to medical dispute resolution (MDR) activities conducted by the TDI-DWC. “The purpose of these amendments is to conform the rules to various statutory amendments that concern medical fee dispute resolution and the resolution of disputes of independent review organization (IRO) decisions by the TDI-DWC. Specifically, these proposed amendments are necessary to clarify existing rules and implement and enforce statutory provisions of House Bill (HB) 2605 and Senate Bill 809, enacted by the 82nd Legislature, Regular Session, that impact the appeal of medical fee dispute resolution cases and decisions issued by IROs,” it says. [WCx]
 
 
The proposals will publish in the March 23, 2012, issue of the Texas Register and may be viewed on the Secretary of State website at http://www.sos.state.tx.us/texreg/index.shtml once published. A courtesy copy of the proposals is currently available on the TDI website at http://www.tdi.texas.gov/wc/rules/proposedrules/index.html.
 
Note: If your company has any developments you'd like to share, please send them up us at: RShafer@ReduceYourWorkersComp.com

 

 

Author Rebecca Shafer, JD, President of Amaxx Risk Solutions, Inc. is a national expert in the field of workers compensation. She is a writer, speaker, and publisher. Her expertise is working with employers to reduce workers compensation costs, and her clients include airlines, healthcare, printing/publishing, pharmaceuticals, retail, hospitality, and manufacturing. She is the author of the #1 selling book on cost containment, Workers Compensation Management Program: Reduce Costs 20% to 50%. Contact: RShafer@ReduceYourWorkersComp.com.

 


WORKERS COMP MANAGEMENT MANUAL:  www.WCManual.com

VIEW SAMPLES PAGES
MODIFIED DUTY CALCULATOR:  
www.LowerWC.com/transitional-duty-cost-calculator.php

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact us at: Info@ReduceYourWorkersComp.com.

Soma No Prescription
Buy Cymbalta online
Buy Zithromax online

Broadspire Drug Abuse Summit and Other News from the Workers Comp Community

 
Broadspire Rx Summit
Danielle Lisenbey, chief operating officer for the Medical Management Services of Broadspire announced its first annual Rx Summit in Sunrise, FL March 22. As a leader in the industry, Broadspire's first Pharmacy Issues Summit should prove to be helpful. They write, “The purpose of the meeting will be to bring thought leaders from various organizations together to discuss relevant topics and issues surrounding pharmacy benefits in the workers compensation setting.

The intent is not to share the specifics of what various companies are doing, but rather to focus on the global industry issues themselves and what may be the possible trends and developments for the future. One key objective of the program will be to help to identify and define common threads that run through all components of the industry – across claimants, payors, employers and carriers.

Defining some of these commonalities will help the consumer to maneuver through the market. Each participant is invited to bring one operations executive and one clinical representative. This will be an opportunity to brainstorm and share ideas amongst industry peers that can help to influence positive impacts for all.”[WCx]

 
 
Email Mjaynes@choosebroadspire.com by March 15, 2012 for more information. The Summit is by invitation only.
 
 
Everything Business Corp! Magazine Tells how to Fuse Workplace Wellness Programs With Recovery
An article by Lisa Firestone addresses the way employers are continuing to struggle with a challenging economy. “Maximizing efficiency and productivity is no longer a goal to strive for, it is essential for continued growth and even survival,” she writes. “Recognizing this dynamic, it is not surprising that more and more employers are actively engaging in worksite wellness programs that have proven to be effective in lowering health care costs – in fact, according to American Journal of Health Promotion every $1 invested in a corporate wellness program returns $4 in reduced health care costs and $5 in reduced absenteeism over a period of three to five years.”
To read more on this topic, look here.
 
 
LexisNexis Communities Highlights Weekly WC Hot Stories
The Workers Compensation Law Community Powered by Larsons on LexisNexis offers this week three fascinating news articles:
 
1. The Defense of Intentional Self-Injury: Russian Roulette, Workplace Frustration, Accidental Drug Overdose, and More reviews Rashness Versus Intention in Self-Injury Cases, Impulsiveness Versus Intention in Self-Injury Cases and Suicide Test as Test for Self-Injury. It can be found here.
 
 
2. LHWCA: Responsible Employer Determination in Cases Involving Multiple Traumatic Injuries: Seeking Analytical Clarity is a thorough look at the same using relevant precedent, post-Albina board decisions, burden of proof; aggravation vs. natural progression: identifying the cause(s) of disability and sequential vs. simultaneous consideration of evidence. It can be found here.
 
 
3. Larson’s Spotlight on Recent Cases: Firefighter’s Rule Did Not Bar Tort Action against Homeowner examines the firefighters’ rule, an important exception to the usual third-party liability rules in which a firefighter (or other first responder) may not recover in tort from a landowner or occupier who has been negligent in starting or failing to curtail a fire. Read more here.
 
 
LexisNexis Editor Featured in Risk Management Magazine
Thomas A. Robinson, a contributing author and editor of LexisNexis resources including Larson's Workers Compensation Law and Workers Compensation: The Survival Guide for Business, wrote a fascinating article that was recently featured in the well-known RIMS magazine. Also a member of the LexisNexis National Workers Compensation Advisory Board, Robinson writes about 10 bizarre WC case that ended unexpectedly here.
 
The article is a great read and includes juicy stories such as what the courts decided when an obese employee broke a leg trying to get unstuck from a cafeteria booth, whether a construction worker who lost an eye trying to sledgehammer a found bowling ball on site and whether a fatal heart attack while holding a termination letter is still covered.
 
 
For more like it, sign up for the free weekly enewsletters in national and California editions by Robin Kobayashi here.
 
 
Need More, Faster WC Info? We have the Newsletter for You
Check out this LexisNexis newsletter that can keep you on top of what’s happening in our industry. Learn more here and sign up here.
 
 
Texas Department of Insurance Changes Pay Advance Form
The Texas Department of Insurance Division of Workers’ Compensation recently changed the form injured employees use to request pay advances on their WC settlement checks. The form, DWC Form-047, Employee’s Request for Advance of Benefits, and the DWC Form-053, Employee Request to Change Treating Doctor is for an injured employee to request an advance of his/her workers’ compensation income benefits. The DWC Form-053 is for an injured employee who is not part of a certified workers’ compensation health care network, and whose claim does not involve medical benefits provided through a political subdivision pursuant to §504.053(b)(2) of the Texas Labor Code, to request a change of treating doctor.[WCx]
 
 
Workers’ compensation system participants should use the revised DWC Form-047 or DWC Form-053 on and after March 7, 2012. Previous versions of the form will no longer be accepted after June 1, 2012. For more information, check here.

 

 

 

 

Author Rebecca Shafer, JD, President of Amaxx Risk Solutions, Inc. is a national expert in the field of workers compensation. She is a writer, speaker, and publisher. Her expertise is working with employers to reduce workers compensation costs, and her clients include airlines, healthcare, printing/publishing, pharmaceuticals, retail, hospitality, and manufacturing. She is the author of the #1 selling book on cost containment, Workers Compensation Management Program: Reduce Costs 20% to 50%. Contact: RShafer@ReduceYourWorkersComp.com.

 


WORKERS COMP MANAGEMENT MANUAL:  www.WCManual.com

VIEW SAMPLES PAGES

MODIFIED DUTY CALCULATOR:  www.LowerWC.com/transitional-duty-cost-calculator.php

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact us at: Info@ReduceYourWorkersComp.com.

Risk Management Magazine Selects The 10 Best Industry Blogs

Reprinted with Permission of Risk Management Monitor.
Bloggin’ ain’t easy. Doing it well takes commitment, research, accuracy, and regular postings. And, of course, a knack for writing. The staff of Risk Management has a few favorite blogs that we visit on a regular basis for their insight, knowledge, and timeliness. The following are 10 of our favorite risk management and insurance blogs:
1.     The Call: Foreign Policy magazine’s blog posts are authored by Ian Bremmer, president of the global risk research and consulting firm Eurasia Group. The blog uses political science to analyze the future of politics and the global economy. When it comes to industry blogs, this one is my personal favorite.
2.     Terms + Conditions: The Insurance Information Institute’s blog covers current disasters, risks, laws, regulations and market conditions, among other topics. Claire Wilkinson, vice president for global issues at III, has done a great job of posting timely articles first thing in the morning, and it seems she’s been joined recently by James Lynch, a veteran insurance professional and blogger.
3.     Clear Risk: The company itself works with organizations to help improve their risk management techniques and the blog, managed by Craig Rowe, covers the various aspects of risk management and insurance in a well-organized and easy to read manner.
4.     Schneier on Security: Bruce Schneier, a security technologist and author, manages this blog, which focuses on security and security technology. He has testified on security before the United States Congress and has written articles for some of the world’s biggest publications. Schneier, an opinionated tech man, knows what he’s talking about — and it shows in every post.
5.     Workers’ Comp Kit Blog: This blog covers (you guessed it) everything relating to the world of workers’ comp. It acts as a discussion forum for employers to learn about workers’ comp cost containment, techniques and strategies. The blog is managed by Rebecca Shafer, and attorney and risk consultant, and features posts by more than 30 other professionals. Though the format of the blog can be somewhat distracting (ads galore), the content is useful.
6.     GC Capital Ideas: The website, a part of reinsurance intermediary Guy Carpenter, refers to itself as more of a platform from which it disseminates information that has been published through reports, briefings and bylined articles. I refer to it as a blog and its information is has proved valuable to our team on more than one occasion.
7.     Calculated Risk: This blog offers a sophisticated analysis of economic data, from consumer sentiment to the mortgage and housing industry to the banking industry. Managed by Bill McBride, a full-time blogger with a background in finance and economics, Calculated Risk proves successful at turning complicated technical data into useful information for the masses. McBride publishes several posts per day.
8.     Political Risk Explored: Brian Hasbrouck, a man with a serious interest in the international political economy, manages this blog. PRE’s short and sweet posts pull from other publications or reports that the blog’s readers may have never come across on their own. The blog’s simple format makes it easy to navigate and read and the Twitter feed embedded on the right-hand side is an added bonus.
9.     Product Liability Monitor: This blog was created by attorneys in the Weil product liability practice and discusses key trends, developments, and events that have shaped and are shaping the product liability landscape. The blog’s clean format is something to be imitated.
10.The FCPA Blog: Its simple name leaves no guesses as to what it covers — news and views about the United States Foreign Corrupt Practices Act. Managed by Richard Cassin, the multiple daily posts gives readers a grim reminder of the oft-corrupt corporate world and analysis of the FCPA’s actions.
If you think we have left off an important blog related to the industry, please let us know in the comments section below.
 
Author: Emily Holbrook on February 25, 2011.
 
The Risk Management Monitor is the official blog of Risk Management magazine and provides daily stories, commentary, interviews, podcasts, and videos related to the world of risk management and insurance. The editors of the Risk Management Monitor are Jared Wade, Emily Holbrook, and Morgan O’Rourke. Learn more at: Risk Management Monitor.
 
Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.
 
©2011 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact Info@ReduceYourWorkersComp.com

Industry Survey Shows Employers Fall Short in Workers Comp Cost Control

Results of First Industry wide Survey at Best Practices for Post-Loss Cost Control

The first-ever  industry wide survey on best practices for post-loss workers' compensation cost control reveals that most employers are falling short, according to Advisen, which conducted the survey for the Risk & Insurance Management Society.

The 2009 RIMS Benchmark Survey    included for the first time a workers' comp best practices survey. Respondents included 1,127 organizations in the United States and Canada.  

The survey  included ten questions selected from the National Workers' Compensation Management Score assessment survey in the Workers' Comp Kit located at www.ReduceYourWorkersComp.com  from Amaxx Risk Solutions.

Each respondent  received a numerical score, with 26 representing the high possible score. The average score was 11.1.  Only 11%, or 127 respondents, scored in the top category (20 to 26 points) considered to be best-in-class, while 215 organizations scored 0 or below. The companies in the best practice classification represented a broad range of industries including retail, wholesale, healthcare, education, energy, finance, construction and shipyard/aerospace/defense, as well as public entities such as city and local governments. These top-scoring companies are headquartered in the U.S. and Canada; many have both domestic and international operations.

"The top scorers  consistently use nearly every type of resource and tool listed in the survey," said Dave Bradford, editor-in-chief  at Advisen.  "They perform onsite file reviews, have a post-injury response procedure that is consistently applied across all locations, and have return-to-work programs that are implemented at all locations."

Consumer discretionary  companies had the best average score, 13.5.  Financials scored lowest at 8.0.  Nonprofits (10.7) and materials companies (11.2) were in the mid-range among the 12 industry groups.  Several survey questions included: Has a representative of your company reviewed some of your workers' compensation claim files within the last 6 months?  Most companies (65.7%) did the review onsite, 10.6% did not perform file reviews, and the remainder did phone or online reviews.  File reviews are crucial in keeping control over cases, according to Rebecca Shafer, industry expert. How consistently does your company follow written "post-injury response" plans describing procedures within the first 24 hours after an injury?   

Some 60.4% of respondents said they followed a post injury procedure consistently; the remainder said only some locations had these procedures, and others indicated they have no written plans.  No workers' comp program can function well without following a written plan, Shafer said. How consistently does your company follow a return-to-work policy where an injured employee returns to work in a temporary position until they have recovered? 

Almost 60% (58.5%) said they followed a policy in all locations and 26.9% said they followed a policy in some locations. Thus, over 80% of companies have return-to-work policies, at least at some locations. Although this leaves room for improvement in this best practice area, it serves as a benchmark for companies without a return-to-work program, that the majority of companies have such a program. Do your operating units visit the medical facilities where your employees receive medical care for occupational injuries? 

Only 19.2% of respondents said they did so consistently, even though this is an excellent opportunity to establish rapport with the doctor, explain what the company does, and show the doctor the transitional duty jobs performed at your workplace. Additional survey  questions let companies know what others in the industry are doing to control workers' comp costs. The questions above are merely samples illustrating the valuable information inside the complete survey.

(workersxzcompxzkit) The 2009 RIMS Benchmark Survey  can be purchased from Advisen at http://corner.advisen.com  It is an opportunity to learn what other companies do to reduce their workers' compensation programs. For free workers' compensation tools go to: http://corner.advisen.com/wc_free_tools.html. For free workers' compensation cost containment podcasts, go to:  http://corner.advisen.com/wc_podcast.html

Podcast/Webcast: How To Prevent Fraudulent Workers' Compensation Claims Click here  http://www.workerscompkit.com/gallagher/podcast/Fraudulent_Workers_Compensation_Claims/index.php

 
Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers' comp issues.

©2009 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact Info@ReduceYourWorkersComp.com

Workers Comp Policy Differences in Canada and the US

RIMS: Canada and United States Have Different Employer Practice Liability Needs from Commercial Policies

The Canadian  commercial marketplace requires standard policy wording for Employer Practice Liability (EPL) policies very different from U.S. policies, according to the Canadian Underwriter and discussed by experts  taking part in a panel discussion at the RIMS Canada Conference in St. John’s, Newfoundland.

The Risk Management  Counsel of Canada presented a seminar, ‘Employer’s Dream: Insurer’s Nightmare! Employer’s Liability: The Need for a Canadian Model,’ at the conference.

Panel participants  noted EPL policies differ from Commercial General Liability (CGL) policies and Director & Officer (D&O) Liability policies, since EPL policy cover “intentional incidents”  such as harassment of one employee by another.

Elizabeth Forster, panel member and a partner at Toronto’s Blaney McMurtry, noted there is a breadth of issues relating to EPL policies. These include the fact “there are a huge number of different areas of liability an employer faces and, secondly, we [Canadians] don’t have consistent policy language.”  Panel member Jorge Segovia, a partner at Cox and Palmer in St. John’s, pointed out a pair of main differences between Canada and the United States showcasing the need for Canadian insurers to approach EPL coverage in a distinct manner.

First is the definition  of wrongful dismissal in Canada and in the United States, according to Segovia.  In the United States, a wrongful dismissal claim can take place if the termination involves some form of statutory breach such as discrimination.

In Canada, “wrongful dismissal is simply the fact a terminated employee has not been given reasonable notice or pay in lieu of notice, because our [employment] contracts, if it’s not built in, have an implied term requiring the reasonable notice or termination or payment in lieu of notice,” Segovia commented.  According to Segovia, “most Canadian EPL insurers will likely try to remove that coverage.”  (workersxzcompxzkit)

Segovia said  the other distinction has to do with punitive damages. “A lot of EPL claims involve claims for punitive damages. In the U.S., punitive damages are not covered by EPL policies because the size of the damages being awarded in the U.S. is quite high.”  In Canada,, where the awards are quite modest, most insurers agree to cover the damage awards.  Segovia noted that “It certainly would be useful over time to develop standard wording and clauses such as what we have for our CGL policies.”

Author Robert Elliott,executive vice president, Amaxx Risks Solutions, Inc. has worked successfully for 20 years with many industries to reduce Workers’ Compensation costs, including airlines, health care, manufacturing, printing/publishing, pharmaceuticals, retail, hospitality and manufacturing. He can be contacted at: Robert_Elliott@ReduceYourWorkersComp.com or 860-786-8286.

We are accepting articles, tips and hints* (300-600 words) on WC cost containment. Contact us at: Info@ReduceYourWorkersComp.com. *Non-compensable but we will post your link.

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker about workers’ comp issues.

©2009 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact Info@ReduceYourWorkersComp.com

Professional Development Resource

Learn How to Reduce Workers Comp Costs 20% to 50%"Workers Compensation Management Program: Reduce Costs 20% to 50%"
Lower your workers compensation expense by using the
guidebook from Advisen and the Workers Comp Resource Center.
Perfect for promotional distribution by brokers and agents!
Learn More

Please don't print this Website

Unnecessary printing not only means unnecessary cost of paper and inks, but also avoidable environmental impact on producing and shipping these supplies. Reducing printing can make a small but a significant impact.

Instead use the PDF download option, provided on the page you tried to print.

Powered by "Unprintable Blog" for Wordpress - www.greencp.de