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Vol. 5, Issue 24

Find Solutions & Strategies                                         June 16, 2014

Patients, Pills and Profits
   
Physician dispensing increases costs in Illinois workers' comp claims
In This Issue
-PATIENTS, PILLS & PROFITS
-LARSON'S SPOTLIGHT: Idiopathic Fall, Intoxication, Going and Coming, Duration of Benefits
-NATIONAL & STATE NEWS
-eNEWSLETTER ARCHIVES
A Note From the Editor
   

 

Dear Work Comp Community:

 

In this week's issue we highlight physician dispensing in Illinois, with commentary from Kenneth F. Werts, Esq. and Stuart Colburn, Esq.

 

Join our community today. Sign up here for our free eNewsletter.

 

Robin E. Kobayashi, JD
LexisNexis Legal & Professional Operations

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patients, pills and profits
Physician dispensing increases costs in Illinois workers' comp claims
 
Karen C. Yotis, Esq., our Feature Resident Columnist, provides insights into workplace issues and the nuts and bolts of the workers' comp world.

 

With workers' compensation costs on the rise across the nation, studies that uncover the specific drivers of those rising costs educate the risk managers, physicians, and workers' advocates who are under constant pressure to keep a close eye on the bottom line. A recent example that makes some provocative conclusions about the relationship these rising workers' compensation costs and the manner in which injured workers receive their prescribed medications is a study titled Effect of Physician-Dispensed Medication on Workers' Compensation Claim Outcomes in the State of Illinois, published in the May 2014 edition of the Journal of Occupational and Environmental Medicine. The study, which concluded that claims where physicians dispensed medications were ...read more.

LARSON'S SPOTLIGHT ON RECENT CASES

Thomas A. Robinson, J.D., our Feature National Columnist, is a leading commentator and expert on the law of workers' compensation.

 

Tom Robinson thumbnailSouth Carolina: Nurse Anesthetist's Fall Was Not Idiopathic; Benefits Should Be Awarded. A fall by a certified registered nurse anesthetist in an operating room was not idiopathic and arose out of and in the course of her employment in spite of the fact that the exact cause of her fall was not known...read more.

 

Texas: Worker Was Not Intoxicated From Cocaine in Spite of "Doing Two Lines" Several Days Prior to Accident. An injured worker was not intoxicated when he sustained injuries in an electrical explosion in spite of the fact that a urine sample taken at a nearby hospital tested positive for benzoylecgonine, a cocaine byproduct...read more.

 

Kansas: Court of Appeals Errs in Finding Employee's Claim Barred, as Matter of Law, by Going and Coming Rule. Finding that the evidence on whether an injured employee was at work or leaving work at the time of his injury "was not amenable to only one factual finding," the Supreme Court of Kansas held...read more.

 

New Mexico: No Statutory Limitation on Duration of Temporary Total Disability Benefits. An injured employee's eligibility for TTD benefits is not limited to 500 or 700 weeks-depending upon the severity of the disability-as is the case for permanent partial disability benefits, but rather may continue until either...read more.

national & state news

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

 

US DOL Longshore Division Examines Need for First Payment Notification to District Director.

Social Security ALJ Defends 93.8% Allowance Rate for Social Security Disability Claims.

U.S. House Bill Would Extend TRIA for Five Years.

AK: Governor Appoints Union Rep to Workers' Compensation Board.

CA: DWC Announces Maximum/Minimum TTD Rates for 2015.

CA: WCIRB Submits Regulatory Filing.

CA: WCIRB Governing Committee Authorizes Regulatory Filing.

CA: WCIRB Posts Conference Presentation on Health of WC System.

CA: Senate Committee Passes AB 1634 Double Appeal Process for Workplace Safety Violations.

CA: Riverside County DA Announces Multi-Million Dollar Workers' Comp Fraud Bust.

CO: Governor Signs HB 1383 to Increase Doctor Choice for Injured Workers.

CO: DWC Adopts Emergency Rule re Lump Sum Payment of Award.

CT: Undocumented Worker Wins $4.5M Workers Comp Settlement.

FL: Governor Signs HB 271 Limiting Penalties for Workers Comp Insurance Coverage.

FL: Governor Signs HB 785 Oral Vitamins, Nutrients, Supplements, Medical Food Not Reimbursable.

FL: Governor Signs HB 785 Employer Negotiations of Retrospectively Rated Premiums.

FL: Governor Signs HB 7177 PDMP Confidentiality of Information.

FL: Governor Signs SB 1308 Providing Greater Solvency Tools, Regulatory Authority of OIR.

FL: Governor Signs HB 7077 Regulation of Nonresident Sterile Compounding Permits.

GA: High Court to Hear Oral Argument in Death Benefits Case.

IL: Dept. of Insurance Posts Workers Comp Insurance Oversight Report.

IN: WCB Posts Preliminary Guidelines for Employer Liability to Medical Service Facilities.

MN: Legislature Passes Bill Regulating Government Contractors.

MN: DLI Report Shows Continuing Trend of Big Drop in WC Claims.

NJ: Senate Passes Bill to Add Cost of Living Increases to WC Payments.

NM: High Court Rules TTD Benefits for Life Not Subject to Time Limits.

NY: WCB Posts New Maximum Weekly Benefit Rate.

NY: WCB Posts Latest Changes to Health Care Providers List.

NY: WCB Posts List of Newly Authorized Health Care Providers.

NC: IC Announces Policies to Promote Swifter Decisions.

OH: BWC Has Until June 30 to Appeal Decision Re Premium Overcharges.

OH: Report Finds Workers Comp Hearing Officers Gave Appearance of Impropriety.

OK: WCC Clarifies Procedures for Handling Claims Filed in Wrong Jurisdiction.

OR: WCD Updates Disability Calculators.

OR: WCD Adopts Temporary Rules to Postpone Adoption of Latest EDI Medical Bill Payments.

OR: SAIF President Fired After 3 Months on Job Considering Lawsuit Against SAIF.

TN: Prescription for Success Program Unveiled to Crack Down on Prescription Drug Abuse.

TX: DWC Commissioner Bordelon to Resign Effective August 1.

TX: TDI Files Petition to Adopt NCCI's Statistical Plan.

ENEWSLETTER ARCHIVES

ArchivesTake a deep dive into our past eNewsletters for 2014 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

June 9, 2014: Post-Hire Fitness Evaluation

June 2, 2014: The Aging Workforce: Managing Workers'  Comp Costs for the Silver Bunch

May 27, 2014: Prescription Drug Monitoring Programs: Effective or Not?

May 19, 2014: Sitting 9 to 5 in the Workplace: Could We Change That Sedentary Way of Living?

May 12, 2014: Employer-Provided Flu Shots; Benefits Review Board Update

May 5, 2014: Affordable Care Act: A New Body of Law With Lots of Moving Parts

ACCESS 2010-2014 ARCHIVES AND ARTICLES LIST HERE.

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