The Best Tidbits of News From the Workers Comp Community


 News From Gould & Lamb

Now more than ever, a competent and comprehensive prescription drug management program is invaluable. With legislation in constant flux, "pill mills" and the current opioid crisis, you need the highest quality certified professionals to provide cost-savings solutions that take the beneficiary's best interests and care into account.  Read more…
Gould & Lamb is proud to announce its 2013 launch of the National Institute for Medicare & Medicaid Education (NIMME).  After an extremely successful Jackpot! Conference Series in 2012, which focused on the various aspects of Medicare Secondary Payer Compliance and Mandatory Insurer Reporting (MMSEA Section 111), we have expanded our program to become a self-standing educational entity.  Read more…
The National Institute for Medicare & Medicaid Education will be hosting the first of four Medicare Secondary Payer (MSP) Compliance conferences at Harrah's Resort in New Orleans, February 25th & 26th.
Building off the success of 2012's Jackpot! Conference Series,  NIMME will be raising the bar for education and resources in the MSP arena. With an extensive panel of faculty, these conferences will continue to be invaluable to any professionals dealing with MSP Compliance and MMSEA Section 111 Mandatory Insurer Reporting. Read more..
News From Lexis Nexis
"The astronomical benefits-related costs, protracted dispute resolution process, and numerous other ills associated with workers' compensation that have prompted reforms have also increased support for the "opt-out" movement. Opting out initially requires that a state enact a law that allows employers that would otherwise have to provide workers' compensation coverage to offer employees alternative forms of reimbursement for compensable harm. A study titled "Workers' Compensation Opt-Out: Can Privatization Work", of which Peter Rousmaniere is the primary researcher, comprehensively examines why some employers favor opting out over lobbying for reform." Read more
"On January 10, 2013, the White House announced that President Obama signed the Strengthening Medicare and Repaying Taxpayers Act (SMART Act) into law. Insurance organizations, including the American Insurance Association, hailed the SMART Act as facilitating property-casualty insurers’ compliance with Medicare Secondary Payer (MSP) Act Section 111 reporting." To read the bill,click here.  
“The Eighth Circuit Court of Appeals recently affirmed a criminal sentence on a defendant's guilty plea to wire fraud in connection with his scheme to reduce his company's workers' compensation premiums. The defendant had challenged the district court's "sophisticated means" and "leadership-role" enhancements under U.S. Sentencing Guidelines Manual §§ 2B1.1(b)(10)(C), 3B1.1(a), as well as the court's failure to vary downward, and its restitution award. Defendant admitted he had shifted payroll to less expensive job classifications over several years, and that he had also created shell corporations with unwitting or uninvolved individuals as ostensible "owners."" 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.
©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.

Workers Comp News in Review April 1, 2012

LexisNexis Work Comp Community This Week In Review
The Workers Compensation Law Community Powered by Larsons on LexisNexis offers several great pieces this week:
First is this article by Roger Levy titled, “U.S. Supreme Court Issues Much Anticipated Decision in Roberts v. Sea-Land Services, Inc.” Levy explains the March U.S. Supreme Court decision answering the question of the meaning of LHWCA Sec. 6(c)'s "newly awarded compensation" clause in its decision in Roberts vs. Sea-Land Services, Inc. “Faced with two choices as to the meaning of the clause, the Court chose the one most favorable to employer/carriers and supported by the Director, Office of Workers Compensation Programs,” Levy writes.[WCx]
In “Work Loss Data Institute Warns of Fox Guarding the Hen House in State Treatment Guidelines,” by John Stahl, found here, Stahl explains that Phil LeFevre, a senior account executive at the Work Loss Data Institute, recently compared official disability guidelines (ODG) with other workers’ compensation treatment guidelines. “The overall theme was that the ODG provides more objective guidance than individual state systems that often reflect the self-interests of medical providers in that jurisdiction,” he writes.
Larson’s Spotlight this week narrows in on a recent case in which an injured worker is entitled to additional TTD benefits despite derogatory conduct. The Supreme Court of Arkansas decided in a case where a worker sustained a work-related injury, was placed on light duty for a period of time, and then fired for calling his supervisor an "insulting, derogatory, and vulgar name." Read more about this case and others in the spotlight here.
WCRI to Host Webinar April 10
The Workers Compensation Research Institute (WCRI) is hosting “Hospital outpatient Costs and the Impact of Fee Schedules” for those looking to control medical care costs for injured workers. The webinar will examine the WCRI study to help attendees make comparisons between “hospital outpatient costs across states, identify key cost drivers, and measure the impact of reforms over time.” The webinar will be from 1 to 2 p.m. EDT, Tuesday, April 10, 2012.
To learn more about the webinar or to register, go here.
Managed Care Advisors Asks if FECA Regulations Will Change
In the recent issue of The Advisor, MCA notes that two proposed pieces of legislation would alter the Federal Employees Compensation Act (FECA). “The less controversial of the two, the Federal Workers Compensation Modernization and Improvement Act (HR. 2465), was introduced in the House of Representatives in July of 2011 and is currently pending in the Senate Homeland Security and Governmental Affairs Committee. It includes measures to allow the Department of Labor to cross-match claimants' reported income to Social Security data. It also includes provisions to authorize physician assistants and nurse practitioners to certify traumatic injury and related disability,” the article says.
Read more here.
Study Shows Workers’ Compensation Medical Prices Were Higher without Fee Schedules
A Workers Compensation Research Institute (WCRI) study shows that WC med prices were higher and grew more rapidly in states without medical fee schedules.
The study, found here, shows prices paid for medical professional services for injured workers were higher and rising faster in states without fee schedules compared with states that have them in place. The information was “designed to help public policymakers and system stakeholders understand how prices paid for medical professional services for injured workers in their states compare with other states and know if prices in their state are rising rapidly or relatively slowly,” according to WCRI.[WCx]
Dr. Richard Victor, WCRI executive director, said, “In documenting the growing prices paid for the medical care received by injured workers, this unique study also shows the effectiveness of medical fee schedules in controlling those costs.”

Note: If your company has any developments you'd like to share, please send them to us at:



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:






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:

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