National Edition Banner March 2010
Vol 2, Issue 47

Find Solutions & Strategies                        November 21, 2011

Pills Letter P

Prescription Drug Abuse: The "P" Stakeholders

 

Pharmaceutical companies, physicians, pharmacies, payers, and patients

In This Issue
-THE "P" STAKEHOLDERS
-LARSON'S SPOTLIGHT: Death Benefits to Nonresident Aliens, Accidental Injury, Third Party Settlement Proceeds, Work Order Violation, Prisoners
-WCRI'S ELEPHANT
-BLOGS @ LEXISNEXIS WORKERS' COMP COMMUNITY: Fraud, DE cases, MO case, NY case
-NATIONAL NEWS
-STATE NEWS
-eNEWSLETTER ARCHIVES
A Note From The Editor
Robin Kobayashi 2010

Dear WC Professionals: 

 

Thanks to Stuart Colburn, Esq. for sharing his presentation on the stakeholders for Prescription Drug Abuse in America.

 

To subscribe to this free eNewsletter, send me your full name & email address.

 

Sincerely,
Robin E. Kobayashi, JD
LexisNexis Legal & Professional Operations
Happy Thanksgiving
Thanksgiving Turkey Food

 

the "p" stakeholders

Stuart Colburn ColorPrescription Drug Abuse in America (Part Two): The "P" Stakeholders, by Stuart Colburn, Esq. The "P" stakeholders are pharmaceutical companies, physicians, pharmacies, payers, and patients. 

 

Pharmaceutical Companies. Unlike illegal drug manufacturers, the pharmaceutical industry includes Fortune 500 companies which are well-respected in their communities. Drug makers spend billions in research, development, and testing, and they truly make miracle drugs that save lives. Numerous pain management medications have also improved the quality of life for millions of Americans. Pharmaceutical companies must make a profit and create value for their shareholders. Like any good capitalist, they must create products people want. To reach their target audience and "hit their number", they market drugs to their potential customers first using attractive drug reps visiting doctors' offices and later directly to consumers. Profit motive leads to better drugs, but can also lead to some perversions. > Learn 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. AR: Award of Death Benefits to Nonresident Aliens Affirmed

 

2. NC: Nurse's Assistant Prevails on Injury Claim in Spite of State's Restrictive Definitional of "Accidental" Injury

 

3. NE: In Making "Fair and Equitable" Division of Third Party Settlement Proceeds, Trial Court Could Not Condition Carrier's Reimbursement on Whether Injured Worker Had Been "Made Whole"

 

4. PA: Paving Worker Strikes Bowling Ball With Sledgehammer, Loses Eye and Workers' Comp Claim

 

5. WY: Prisoner's Injuries from "Head-Butt" by Fellow Prisoner During Argument Over Kitchen Duties Was Not Compensable

 

wcri's elephant in the room

Elephant Sad

Last week, at WCRI's 28th Annual Issues & Research Conference, Dr Richard Victor explained that the elephant in the room is that 25 million people are competing for 3.5 million jobs, presenting challenges and difficulties for our workers' compensation system while the economy struggles to recover. We'll have more information on the "elephant" in the coming weeks.

blogS at the lexisnexis workers' comp law community
Fraud SignWorkers' Comp Fraud Blotter - Mum's the Word for Double-Dipping Florist Who Created Floral Arrangements While On Disability, by LexisNexis Workers' Compensation Law Community Staff. Read it.

 

 

 

CassandraTake This to the Bank: Carriers in Delaware Cannot Be Compelled to Use Direct Deposit, by Cassandra Roberts, Esq. Read it

 

 

 

 

CassandraTrusty Ruddy Does It Again -- and a Thanksgiving Salute to Partial Disability in Delaware, by Cassandra Roberts, Esq. Read it.

 

 

 

 

CassandraA Cat in a Pinafore...and a Little Bit About the Delaware Farm Exclusion, by Cassandra Roberts, Esq. Read it.

 

 

 

 

Martin KlugMissouri: "Special Errand" Costs Employer in Cross-Over Accident, by Martin Klug, Esq. Read it.

 

 

 

New York Court of Appeals Upholds ATF Deposit on PPD Cases, by Ronald Balter, Esq. Read it.

national news

US Supreme Court to Hear Health Care Reform Case.

New OxyContin More Difficult to Crush, Snort, Inject; Pushes Black Market Price Down.

NCCI Posts Research on Loss Cost Components and Industrial Structure.

Zurich Reaches Agreement With Patriot to Underwrite Workers Comp Insurance Through Agency Captive Platform.

state news

CA: Zenith Chief Executive, Stanley Zax, to Retire December 2011.

CA: SCIF Files RICO Claim Against Select Staffing.

CA: SCIF Audits, Fines 2 Employers Over Employment Status of Independent Reps.

CA: Columnist Sees New Battle Ahead for Workers Comp Reform.

CA: DWC Posts Updated Pharmaceutical Fee Schedule Data File.

FL: Workers Comp Insurance Panel Debates Physician Drug Dispensing.

FL: House Subcommittee Passes Bill to Change Process for Corporate Exemption.

IL: WCC Discontinues Use of Social Security Numbers.

IN: WCB Announces Second Injury Fund in the Black for 2011.

KY: Governor Reappoints Five ALJs at Dept of Worker Claims.

KY: Governor Appoints Lawrence F. Smith to Workers Comp Board.

KY: Governor Appoints Members of Prescription Advisory Council to Combat Prescription Drug Abuse.

KY: Roland Legal's OUCH Blog Wins LexisNexis Award for Fourth Consecutive Year.

LA: Governor Seeks to Renew Efforts for Workers Comp Reform.

LA: Governor Appoints LexisNexis Author Denis Paul Juge to Workers Comp Advisory Council.

LA: Governor Announces Appointments to Workers Compensation Advisory Council.

ME: Bureau of Insurance Approves 3.2% Decrease in Workers Comp Loss Costs.

MI: State AFL-CIO Head Decries Lawmakers' Plan for Workers Comp Reform.

MO: State Chamber of Commerce Pushes for Workers Comp Changes.

MT: DLI Announces Decline in Montana's Workplace Injuries, Illnesses.

NH: Another State Official Urges Placing LGC Into Receivership.

NH: House Committee Proposes Study on Workers Comp Benefits for Illegal Aliens.

NJ: NJCRIB Posts Amendments to NJ Statistical Plan.

NJ: NJCRIB Posts Information on 6.9% Rate Increase.

NY: WCB Releases Free Web Training on 2012 Impairment Guidelines.

NC: Matt Harbin Delivers Presentation on Undocumented Workers at NCIC Conference.

OH: Governor Places Workers Comp Reform on Back Burner.

OH: Sheriff Seeks Government Support to Curb Employment of Illegal Workers.

OH: BWC Proposes New Rating Plan to Protect Workers, Encourage Return to Work.

OK: WCC Invites Public Input on Proposed Changes to Court Rules.

OK: Ethics Panel OK's Governor's Spouse to Provide Legal Services for CompSource.

OR: WCD Offering Free Training on Return to Work Issues.

OR: WCD Issues Notice on Workers' Right to Choose Health Care Provider.

OR: Oregon Insurance Administrator Accepts Federal Position.

PA: Court Denied Workers Comp to Man Who Lost Eye After Ignoring Manager's Directions.

SC: Commissioner David Huffstetler Resigns, Denies Wrongdoing Amidst "Grave" Allegations.

SC: Pilot Program to Resolve Backlog of Workers Comp Appeals Takes Effect.

SC: Advisory Committee Recommends Limit on Reimbursement for Repackaged Medication (see p. 52).

TX: DWC Adopts Rule Changes for Benefits Review Conferences Effective 11/20/11.

TX: DWC Posts Notice of Annual Change to Medical Fee Guideline Conversion Factors.

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Top 25 Blogs 2011

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.

November 14, 2011: Prescription Drug Abuse in America (Part One): The Problem.

November 7, 2011: Medical Costs Trends: Claim Size Matters.

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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