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Vol. 4, Issue 24

Find Solutions & Strategies                             June 17, 2013

Pharmacy Caduceus iconGeneric Drug Pricing Transparency
 
Fighting the good fight
In This Issue
GENERIC DRUGS
-LARSON SPOTLIGHT: Fraud, Attorney's Fees, Retaliatory Discharge, Going and Coming
-WORKERS' COMP BLOGS: Due Diligence, Social Security Disability, Fraud
-NATIONAL NEWS
-STATE NEWS
-eNEWSLETTER ARCHIVES
A Note From the Editor
Robin Kobayashi 2010
Dear Work Comp Community:
  
To sign up for this free weekly eNewsletter, click here. 
 
To read past issues, access the archives.

 

Sincerely,
Robin E. Kobayashi, JD
LexisNexis Legal & Professional Operations
generic drugs

Pill Bottle MoneyGeneric Drug Pricing Transparency: Kentucky, North Dakota and Arkansas Fight the Good Fight. At the heart of the health care crisis in this country are rising drug costs. How do we control drug costs, particularly generic drugs that account for 80 percent of prescriptions? This year Kentucky became the first state in the nation to enact a generic drug pricing transparency bill that provides the state's 500+ independent community pharmacies information on how large corporate health plans or their agents--i.e., pharmacy benefit managers (PBMs)--calculate generic drug reimbursement payment levels (aka "maximum allowable costs" (MACs)) to retail pharmacies as well as timely updates to those payment levels to reflect market prices. The bill also establishes an appeals process when disputes occur over the payment levels. Read more.

larson's on fraud

Tom Robinson thumbnail

Disabled Officer Failed to Disclose Status as Horse Trainer, by Thomas A. Robinson, JD. A New York appellate court has affirmed a decision by the state's Workers' Compensation Board that found a claimant had knowingly committed fraud by claiming that his activities as a horse trainer were no more than a therapeutic hobby and, pursuant to Workers' Compensation Law § 114-a (1), permanently disqualified the claimant from receiving wage replacement benefits after April 2009. Read more about this case and other cases on attorney's fees, retaliatory discharge, and going and coming.

lexisnexis community blogs

CassandraSweet Caroline's Excellent Adventure.....and a Lack of Due Diligence in Delaware as It Relates to Section 2311 Liability, by Cassandra Roberts, Esq. Read it.

 

 

 

Robert Rassp grayCan a Social Security Disability Award Be Admissible in a Workers' Compensation Case? by Robert G. Rassp, Esq. Read it.

 

  

 

 

Fraud SignWorkers' Comp Fraud Blotter: Mail Carrier Charged With Working Multiple Jobs. Read it and other news items. 

national news
State news

CA: DWC Announces Changes to QME Panel Request Process.

CA: Assemblyman Calderon's Ties to Spinal Surgery Hospital Questioned.

CO: DWC Posts Changes to IME Process Effective August 7, 2013.

DC: Judge Denies Motion to Dismiss Ex-Soccer Player's Medical Negligence Claim.

FL: Governor Signs Law to Create Database to Cut Workers Comp Fraud.

FL: Governor Signs SB 662 Repackaged Drug Price Cap Bill.

FL: Police Officers' Work Comp RICO Lawsuit Against Miami Beach Voluntary Dismissed.

IL: IWCC Provides Pointers on Expediting Settlement Approval.

KS: Governor Announces Members of WC & Empl. Security Boards Nominating Committee.

ME: Governor Vetoes Bill Calling for WCB to Study orkplace Bullying.

ME: Dems Seek to Undo 10 Year Cap on Workers Comp Benefits.

MA: DIA Announces E-Filing of All FROIs Effective Jan. 1, 2014.

NH: LGC Lawsuit Against Its Own Insurers Delayed Until 2014.

NJ: LWC Provides Guidance on Video Conference Testimony.

NJ: S1469 Work Comp for Surviving Spouse of Deceased Police/Fire Worker Signed Into Law.

OH: Lawmaker Urges Action on SB 1 to Save Second Injury Fund.

RI: Court Says DLT Can Seek Fine From Tree Service in Workers Comp Case.

SD: Written Premium Increased Over 20 Percent Between 2010-2012.

TN: LWD Summarizes Workers' Comp Reform Legislation.

WA: Dem Lawmaker Warns Taxpayers re SB 5127 Work Comp Settlement Proposed Changes.

ENEWSLETTER ARCHIVES

ArchivesTake a deep dive into our past eNewsletters for 2013 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

June 10, 2013: Opioid Management Strategies.

June 3, 2013: Women on the Verge: Menopause Symptoms in the Workplace.

May 28, 2013: Union Carve Outs.

May 20, 2013: Update From the Benefits Review Board.

May 13, 2013: Killing Our Workers.

May 6, 2013: Oklahoma Opt Outs and ERISA.

Apr. 29, 2013: Arthur Larson and the Rule of Law.

Apr. 22, 2013: Proposed Tax on Workers' Comp Benefits.

Apr. 15, 2013: Legal Impairment: Legalized Marijuana in the Workplace.

Apr. 8, 2013: DBA/WHCA Procedures Clarified by Benefits Review Board.

Apr. 1, 2013: Successes and Failures of Fee Schedules.

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