National Edition Banner March 2010
Vol 2, Issue 45

Find Solutions & Strategies                        November 7, 2011

Doctor Stethoscope 100 BillClaim Size Matters

 

NCCI attributes medical costs trends to claim categories

In This Issue
-MEDICAL COSTS TRENDS
-TOP 25 COMP BLOGS
-SPECIAL ACHIEVEMENT AWARD
-LARSON'S SPOTLIGHT: Retaliatory Discharge, Tort Action, Black Lung, Disqualification From Benefits, Wage Earning Capacity
-FREE eNEWSLETTER
-BLOGS @ LEXISNEXIS WORKERS' COMP COMMUNITY: Fraud, MO cases, TX news
-NATIONAL NEWS
-STATE NEWS
-eNEWSLETTER ARCHIVES
A Note From The Editor
Robin Kobayashi 2010

Dear WC Professionals: 

 

Congratulations to our Top 25 Blogs honorees and to the Work Comp Analysis Group on LinkedIn, our first recipient of the LexisNexis Special Achievement Award.

 

Sincerely,
Robin E. Kobayashi, JD
LexisNexis Legal & Professional Operations
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This offer ends 11/14/2011 or when the 2010 stock is depleted.

 

medical costs trends

Stahl, JohnSize Matters: NCCI Attributes Medical Costs Trends to Claim Categories, by John Stahl, Esq. Many studies have analyzed why the medical component of workers' compensation costs have risen rapidly the past several years despite the recession. Explanations for the higher costs have ranged from increased workers' compensation prescription drug costs to the decline in the Dow Jones Industrial Average.

 

A November 2011 National Council on Compensation Insurance, Inc. (NCCI) study entitled "Medical Services by Size of Claim - 2011 Update" addresses broad issues related to increased workers' compensation medical services costs. This research identifies trends related to claims of varying sizes. > Read more.

top 25 workers' comp blogs for 2011

Top 25 Blog Cut OutThe LexisNexis Workers' Compensation Law Community has selected its 2011 honorees for the Top 25 Blogs for Workers' Compensation and Workplace Issues. Congratulations to all the 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.

 

> View the complete list of honorees

special achievement award

Special Achievement Award 2011The LexisNexis Workers' Compensation Law Community is pleased to announce the recipient of its first Special Achievement Award. This year we would like to honor a social media phenomenon on LinkedIn - the Work Comp Analysis Group.  

In the fall of 2008, Mark Walls, an Assistant Vice President - Claims at Safety National, started a discussion group on LinkedIn, with "the hopes of creating a tool to dialogue with other industry professionals about workers' compensation issues". Three years later, the Work Comp Analysis Group, with 11,000+ members strong, continues to provide an active and engaged discussion group on issues that concern the workers' compensation world.

 

We want to recognize Mark Walls for his foresight in recognizing social media as a legitimate and vibrant platform to bring together industry professionals to discuss current topical ideas, concerns and solutions for the workers' compensation industry. > Read more

Larson's spotlight: 5 recent cases you should know about

Tom Robinson thumbnailLarson's Spotlight reports noteworthy workers' comp cases each week. This list was compiled by Thomas A. Robinson, a staff writer for Larson's Workers' Compensation Law, the nation's leading authority on workers' compensation law.  

 

Read the summaries & court decisions. 

  

1. US: Divided Tenth Circuit Affirms $600,000 Judgment on Jury Verdict In Retaliatory Discharge Case, But $2 Million in Punitives is Excessive

 

2. NE: Injured Worker's Tort Action Against Corporation Closely Related to Her Employer May Move Forward

 

3. US: Third Circuit Holds "Byrd Amendments" Related to Black Lung Act Contained in "ObamaCare" Legislation are Constitutional

 

4. LA: Injured Worker's Misstatements About Prior Back Condition Does Not Disqualify Her From Benefits

 

5. MD: Loss of Ability to Work Overtime Equates With Loss of Wage Earning Capacity 

free enewsletter
Email logoIf you haven't  subscibed yet to our free weekly eNewsletter, send your full name and email address, along with your request for the National edition, to:  robin.e.kobayashi@lexisnexis.com

 

 

 

blogS at the lexisnexis workers' comp law community
Fraud SignWorkers' Comp Fraud Blotter - Payroll Company Business Executive and Workers' Comp Attorney Facing Theft Charges, by LexisNexis Workers' Compensation Law Community Staff. Read it.  

 

 

Martin KlugMissouri: Is falling on the employer's lot in the morning enough to obtain benefits?, by Martin Klug, Esq. Read it.

 

  

 

Martin KlugMissouri: Toxic exposure from fumes hanging in the air, by Martin Klug, Esq. Read it.

 

  

 

 

Stuart ColburnTexas: City of Port Arthur v. Brown, by Stuart Colburn, Esq. Read it.

 

 

 

 

Stuart ColburnTexas: Performance Based Oversight, by Stuart Colburn, Esq. Read it.

 

 

 

 

Stuart ColburnTexas: TPCIGNA v. Brooks, by Stuart Colburn, Esq. Read it.

 

national news

US: Third Circuit Rules on Impact of PPACA on Black Lung Benefits Act.

US Bipartisan Senate Bill Unveiled for Postal Service, Reforms Federal Workers Comp System.

Federal Insurance Office Appoints 15 to Serve on Advisory Committee.

NAIC Elects 2012 Officers.

IAIABC Opposes Inclusion of Workers Comp in HIPAA Privacy, Data Security Requirements.

IAIABC Suggests CMS Update NGHP User Guide to Improve Reporting Experience.

IAIABC, ACOEM Give Insight Into Addressing Opioid Abuse in Workers Comp.

AIG Posts 3Q Net Loss of $4.1 Billion.

AMERISAFE Posts 3Q Earnings Results.

Employers Holdings, Inc. Reports 3Q Earnings.

The Hartford Reports 3Q Earnings.

OSHA Issues Interim Final Rule to Amend Whistleblower Protections.

state news

AK: WCD Says Governor Signed HB 13, Changes Made to Medical Fee Schedule.

AZ: IC Posts Notice of 2011 Legislative Stakeholders Meeting.

CA: Insurance Commissioner Approves Workers Comp Insurance Claims Cost Benchmark.

CA: ACIC Applauds Insurance Commissioner's Approval of Workers Comp Premium Rate.

CA: DWC Surveys Copy Services Users.

CA: San Francisco MTA to pay $2.5M for Workers Comp Fraud Investigations.

CA: CompWest Insurance Company Appoints Bogardus as President.

CA: Ninth Circuit to Rehear Pharmacy Benefit Manager Case.

CA: Columnist Says $20M Gift to California Courts a "Big Mistake".

CO: Governor's Advisory Panel to Review Proposal to Privatize Pinnacol.

DE: OWC Now on Facebook.

DE: Revised OWC Rules Effective 12/12/2011.

FL: House Panel Hears Testimony of Workers Comp Insurance Fraud.

FL: Former Attorney Suzanne Marie Himes Permanently Disbarred.

FL: GOP Lawmakers Seek Cap on Workers Comp-Related Prescription Drug Costs.

GA: Prominent Claimant's Attorney Charged With Theft, Forgery.

ID: Advisory Committee on Workers Comp Posts Agenda for Nov. 9 Meeting.

IL: Arbitrator Tobin Accepts Appointment as Judge With Seventh Judicial District.

KY: DWC Now Accepting Applications for Administrative Law Judges.

LA: LWC Says Initial Reports of Medical Treatment Guidelines Promising.

MD: WCC Announces Online Dockets Report Now Updated to Live Data Platform.

MD: IWIF Appoints Tim Michels as COO.

MI: Dem Lawmaker Criticizes GOP's Workers Comp Reform Bill.

MI: AIA Endorses House Passage of Workers Comp Reform.

MO: School Bus Driver Who Fell While Cleaning Bus, Wins $309K Workers Comp Settlement.

MO: Miner Injured in Airport Dynamite Explosion Settles Case for $2M.

MO: Editorial Urges Legislature to Fix Workers Comp.

MT: Montana State Fund Launches Work Heals Return to Work Program.

NE: WCC Announces Maximum Income Benefit Increase.

NE: Bellevue Fights $350K Workers Comp Award to Nurse Attacked by Mentally Ill Patient.

NH: Official Denies State Employee Unions' Request to Participate in LGC Hearings.

NM: WCA Requests Proposals for Adjusting Services for Uninsured Employer Fund.

NY: US Attorney Charges 11 Defendants With Pension Disability Fraud, Long Island Railroad.

NY: WCB Posts 2012 Guidelines for Permanent Impairment, Loss of Wage Earning Capacity.

NC: IC Announces Compromise Settlement Agreements, Forms Now Payable Online.

ND: Governor Convinces WSI to Reverse Denial of Death Benefits for Police Officer's Family.

OH: BWC Staffer Named Executive Director of Ohio Turnpike.

OH: Attorney Suspended for Mishandling of Client Funds Related to Workers Comp Fraud.

OK: Zaloudek Grain Claims CompSource Breached Workers Comp Insurance Contract.

OR: "Pioneer in Pain" Doctor Stirs Up Controversy Over Treatment of Chronic Pain Patients.

OR: Employers Feel Impact of Failed Workers Comp Trust.

PA: Court Orders Diocese to Pay 100 Percent of Acute Care Bills for Priest Injured in Fall.

PA: Governor Announces Confirmation of William Gabig to Workers Comp Appeals Board.

PA: BWC Posts Revised Utilization Review Request Form.

PA: Hydrofracking to Extract Natural Gas May Lead to Many Workplace Injuries.

SC: Workers Comp Attorney Stanford E. Lacey Named Lawyer of the Year.

SD: Workers Comp Advisory Council Posts 2011 Annual Report.

SD: Jeff G. Shultz Named Workers Comp Lawyer of the Year, Sioux Falls.

TX: New Pharmaceutical Utilization and Cost Study Released by TDI WC Research Group.

TX: TDI Workers Comp Research and Evaluation Group Posts 2012 FY Agenda.

TX: Rate of Texas Nonfatal Occupational Injuries and Illnesses Declined in 2010.

VT: Electronic Data Interchange Facilitates Filing First Reports of Injury.

WA: L&I Drafts Proposed Health Care Provider Network Rules.

WY: High Court Rules Wal-Mart Warehouse Not Involved in Extrahazardous Activity.

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View the honorees

ENEWSLETTER ARCHIVES

Take a deep dive into our past eNewsletters for 2011 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

October 31, 2011: Supremes Consider Outer Continental Shelf Lands Act.

October 24, 2011: Excess Loss Development.

October 17, 2011: Diligent Job Search or Diddling Around.

October 10, 2011: Workers Compensation Claim Frequency.

September 26, 2011: Student-Athlete Controversy.

September 19, 2011: Prescription Drug Costs.

September 12, 2011: MSP Reporting: AIA Seeks Another Delay.

September 6, 2011: Tenth Anniversary of 9/11: Workers' Comp Perspective.

August 29, 2011: Battle of the AMA Guides: 5th Edition vs. 6th Edition.

August 22, 2011: Average Weekly Wage & Concurrent Employment.

August 15, 2011: War Hazards Compensation Act: Reimbursement Claims.

August 8, 2011: The Stroke Belt and Implications for Workers' Compensation.

August 1, 2011: FECA Senate Hearing.

July 25, 2011: Spinal Cord and Nerve Root Injuries.

July 18, 2011: Hearing Loss Burden of Proof.

July 11, 2011: State Workers' Comp Ball of Confusion: AIA's Position on WC Issues.

July 5, 2011: Pulmonary Embolism and the Homebased Worker.

June 20, 2011: Out of Network Pharmacies; Home Office Injuries.

June 13, 2011: Off-Label Drugs.

June 6, 2011: Transgender Issues.

May 31, 2011: Cell Phone Distractions.

May 23, 2011: FECA Reform Proposals; Benefits Review Board Update.

May 16, 2011: Full Face Transplant; Medical Foods; P&C Industry Trends.

May 9, 2011: State of the Line; Workers Comp Trends.

May 2, 2011: Prescription Drug Abuse.

April 25, 2011: Radiation Exposure; Medical Fee Schedules.

April 18, 2011: FECA Reform.

April 11, 2011: NCCI's 2011 Workers' Comp Issues Report.

April 4, 2011: Workers' Comp Centennial.

March 28, 2011: Medicare Secondary Payer Reform Legislation; LHWCA Comp Rates.

March 21, 2011: Triangle Shirtwaist Factory Fire.

March 14, 2011: Medicare Set-Aside & Special Needs Trust; Union Battle.

March 7, 2011: 50 State Labor Law Ranking; Illegal Aliens & Workers Comp.

February 28, 2011: Union Battle.

February 21, 2011: Erectile Dysfunction in Workers Comp Claims.

February 14, 2011: Workers Comp Notable People 2010.

February 7, 2011: Workers Comp Centennial; NCCI's Gauging the Economy.

January 31, 2011: Medicare Set-Aside Allocations; Workers Comp Soft Market.

January 24, 2011: Sex, Lies & Videotape - Injured Worker.

January 17, 2011: FECA & Workers Comp Waste; Medical Residents; AMA Guides.

January 10, 2011: Top 10 Bizarre Cases for 2010.

January 3, 2011: Depression and Delayed Recovery.

 

ACCESS 2010 ARCHIVES AND ARTICLES LIST HERE.

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