Vol. 4, Issue 29

Find Solutions & Strategies July 22, 2013

New Study Analyzes Premiums Charged by Hospitals for Treating Workers' Comp Claimants

In This Issue

-HOSPITAL PREMIUMS

-MARYLAND EMPLOYERS

-LARSON SPOTLIGHT: AMA Sixth, Bad Faith, Light Work, Wrongful Death

-NEWSROOM BLOGS

-LAW360 HEADLINES

-NATIONAL, STATE-BY-STATE NEWS

-eNEWSLETTER ARCHIVES

A Note From the Editor

Dear Work Comp Community:

We thank WCRI for allowing us to read their latest study on hospital premiums charged to the workers' comp system.

This week's issue also spotlights controversial rules issued by the Maryland WCC.

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

robin.e.kobayashi@lexisnexis.com

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premiums charged by hospitals

Premiums Charged by Hospitals for Treating Workers' Comp Claimants: Study Verifies Different Costs in General Healthcare and Workers' Compensation Systems, by John Stahl, Esq. A recent report titled "Comparing Workers' Compensation and Group Health Hospital Outpatient Payments" from the Workers' Compensation Research Institute documented the premiums that hospitals charged workers' compensation systems for outpatient procedures. Read more.

an ominous portent for employers

An Ominous Portent for Maryland's Business Community: Workers' Compensation Commission Revises Procedural Regulations, by Lance Montour, Esq. It has been some time since the entirety of the regulations governing workers' compensation were reviewed and revised. For a number of years, the Maryland Workers' Compensation Commission has addressed concerns on an as needed basis....For the purpose of this commentary, I am going to highlight a few of the currently reworded or modified proposed regulations that should give pause to any employer and insurer which has employees in the State of Maryland. Read more.

larson's spotlight: ama sixth, bad faith, light work, wrongful death

Larson's Spotlight on Recent Cases, by Thomas A. Robinson, JD

Wyoming: Increase in PPI After Additional Surgery Denied Based on AMA Sixth. Illustrating a point argued by many claimants' attorneys--that the 6th Edition of the AMA Guides provides for significantly lower levels of permanent partial impairment than did the 5th Edition--the Supreme Court of Wyoming...read more.

Montana: No Bad Faith Action Allowed Despite Acquittal for Workers' Comp Fraud. The Montana Supreme Court recently held that...read more.

New York: Claimant's Undisclosed "Light" Work on Residential Renovation Was Not Fraud. A New York appellate court has affirmed a determination...read more.

Ohio: Wrongful Death Action Against Employer for Faulty Scaffolding Fails to Proceed. Construing the state's intentional tort exception to exclusivity...read more.

lexisnexis legal newsroom workers' comp blog posts

Drugstore Cowboy: DE Supreme Court Upholds Carrier's Right to Supply Medication Through a Preferred Vendor, by Cassandra Roberts, Esq. Read it.

California: Death Benefits for Minors. The new trend regarding "special" death benefits for dependent children. Read it.

Workers' Comp Fraud Blotter: Injured Truck Driver Double-Dipped as Taxi Driver. Read it and other news items.

law360 headline news

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UPS Loses Workers' Comp Malpractice Fight With Philly Firm.

Insurer Beats Workers Comp Claim Due to Wage Miscalculation.

Calif.'s Zurich Deal May Spur Insurance Arbitration Fights.

Highlights Of The Mass. Medical Marijuana Act.

FDA Urges Congress To Fix Compounding Oversight Issues.

Bayer To Pay $74M To Settle Cipro Pay-For-Delay Fight.

The Best Rule Of Reason For Pay-For-Delay.

Nabors Ducks Encana Subcontractor Claims In Appeals Court.

State Lawmakers Pile On To Terrorism Insurance Campaign.

Ex-AIG Chief Faces Uphill Battle In Spitzer Defamation Suit.

national & State news

National and State-by-State News on the Free Web:

Senate Confirms Thomas Perez as Secretary of Labor.

NIOSH Posts Information on Nail Gun Injury.

West Fertilizer Explosion Victims Sue Manufacturer CF Industries.

PCIA Applauds NCOIL Action on TRIA, Best Practices to Address Opioid Abuse.

AK: WCB Working Group to Discuss Cost Containment, ODG Guidelines on 7/26.

AR: WCC Mulls Closure of One Office Due to $135M Unfunded Liability in Trust Fund.

CA: Governor Signs SB 527 Public Safety Officer Benefits for San Diego Lifeguards.

CA: 4th DCA Denies Writ of Review in McKinley En Banc Decision.

CA: DWC Posts 2013 DWC Audit Unit Annual Report.

CA: DWC Posts Public Use Data File, Rev. RAND Paper, re Proposed OMFS Rulemaking.

CA: WCAB Extends Comment Period on Modified Proposed Rule Changes to Aug. 9.

CA: CEOs for 49ers, SF Giants Urge Lawmakers to Close Loophole in Workers Comp.

CA: WCIRB Classification & Rating Committee to Meet July 23.

CO: Pinnacol Assurance Posts 2012 Annual Report.

CO: DWC Posts 2013 Legislative Survey, Guidance on IME Process.

CT: WCC Revises Coverage Election Forms for Corporations, Partnerships.

FL: DWC Posts 1.23% Assessment Rate for Special Disability Trust Fund, CY2014.

FL: DWC Posts 1.61% Assessment Rate for WC Admin Trust Fund, CY 2014.

ID: IC Issues Temporary Rule to Increase Dispensing Fees for Pharmacies.

IN: ICRB Explains $2 Per Policy Fee Under House Enrolled Act 1320.

IN: ICRB Posts Actuarial Analysis of Impact of WC Costs Under House Enrolled Act 1320.

IA: Sheldon Gallner, Past Pres. of Iowa Assoc. of Workers Comp Lawyers Passes Away.

KS: Labor Group Files Ethics Complaint re WC Attorneys Nominating Judges.

KS: WC Attorney Resigns From Judge Nominating Committee.

MD: WCC Announces 2.1% Cost of Living Adjustment Eff. 1-1-2014.

MS: WCC Posts New Procedure to Advance Claims to Resolution.

MO: Dept of Insurance Names Maria Sheffield as New Captive Manager.

MT: DLI Adopts Rules re Treating Physicians, 2.7% Increase for Inpatient Facility Services.

NJ: Court Rejects Insurer's Appeal re WC Paid to Police Officers in Missing Man Search.

NJ: Governor Vetoes SB 1778 Public Safety Workers Bill.

NY: Dept of Financial Services OKs NYCIRB's Revised Loss Cost Filing.

NY: Court Interprets Reforms re Presumptively Necessary Medical Treatments.

NY: NYCIRB Says Policyholders to See 2.8% Increase in Workers Comp Costs.

OH: BWC Touts $55M in Savings by Uncovering WC Fraud.

OR: MAC to Discuss Spinal Cord Stimulator at July 19 Meeting.

OR: WCD Proposes Rule Change re Third Party Election Letter.

PA: Workers Comp Attorney Appointed to State Board of Law Examiners.

SD: High Court Denies WC When Employee Killed by Husband in Employer Parking Lot.

VA: WCC Posts Agenda for Oct. 2013 Attorneys Meeting.

VA: WCC Posts Session Topics for Sept. 2013 Adjusters Seminar.

ENEWSLETTER ARCHIVES

Take 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.

July 15, 2013: Tinnitus and Injury to the Ear.

July 8, 2013: Compound Drugs and Meningitis Outbreak.

July 1, 2013: Comparing Workers' Comp and General Healthcare Costs.

June 24, 2013: Ambulatory Surgical Centers.

June 17, 2013: Generic Drug Pricing Transparency.

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.

ACCESS 2010-2013 ARCHIVES AND ARTICLES LIST HERE.

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