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Californian Pleads Guilty In Multimillion Dollar Workers’ Comp Scheme

The Los Angeles County District Attorney’s Office recently announced that a Redondo Beach woman accused of participating in a $150 million workers’ compensation insurance fraud scheme recently pleaded guilty.
August 1, 2017 Fraud Workers' Compensation California

Proposal Addresses Causation, Multiple Conditions In Workers Comp Claims

A bill presented to lawmakers in Texas on Wednesday aims to tackle the murky issue of causation in workers compensation.House Bill 233, sponsored by Rep. Nicole Collier, D-Fort Worth, calls for medical causation narrative reports to be paid for by insurers when they dispute a correlation between one condition and that which is directly related to the workplace injury.
July 24, 2017 Legislation & Regulation Workers' Compensation Texas

Biggest Challenge To Workers Comp Prescription Cost Reform: Profit Motive

States that enacted reforms to rein in the high cost of drugs dispensed by physicians to injured workers are facing an uphill battle as some doctors are finding ways around the regulations, meaning these costs remain stagnant or are rising in some states, experts say.
July 20, 2017 Legislation & Regulation Workers' Compensation California Illinois Maryland Pennsylvania

Study: Workers’ Comp Systems Lose Billions To Misdiagnoses

As much as a fifth of medical diagnoses in workers’ compensation claims involve errors that cost workers’ compensation systems billions, a 10-year study from a medical consulting service found.
July 11, 2017 Workers' Compensation

Roll With It? Hawaii Insurer Pulls Workers’ Comp Coverage From Medical Marijuana Dispensaries

Insurance company Hawaii Employers’ Mutual Insurance Company announced it will stop providing workers’ compensation insurance to seven of the eight businesses waiting for licenses to begin selling their product in dispensaries.
July 7, 2017 Workers' Compensation Hawaii

Man Who Filed Workers’ Comp Claim But Actually Hurt Himself Riding A Motorcycle Admits Felony

A state employee who said he got hurt at work and claimed disability from the state’s workers’ compensation insurer, but was actually injured riding a motorcycle at a Bozeman racetrack, has admitted to a felony and will pay a $3,000 fine. Boone Block, 34, of Clyde Park, pleaded guilty June 14 to false claim to a public agency.
July 6, 2017 Litigation Workers' Compensation Missouri

National Study Indicates Michigan Has Seen Largest Decrease in Workers’ Comp Opioid Prescriptions

According to a study by the Workers Compensation Research Institute (WCRI), Michigan boasted the country’s largest decrease in the amount of opioids prescribed for workers’ compensation claims between 2009 and 2015. In total, the amount fell by 37 percent, and the WCRI claims it is due to amendments of Workers’ Compensation Health Care Services rules and fee schedule.
July 5, 2017 Workers' Compensation Michigan

Gas Explosion Obliterates Pennsylvania Home, Kills Gas Worker

Authorities say a blast believed to have been a gas explosion leveled a Pennsylvania home, killing one utility worker and injuring at least one other employee.
July 3, 2017 Property Workers' Compensation Pennsylvania

Southern Florida Rebar Workers Struck By Lightning

One construction worker has died and another was hospitalized after being struck by lightning on Tuesday. According to fire rescue, the men were laying rebar for the new Pines City Center at 103rd Avenue and Pines Blvd. when they were hit at around 1:30 p.m.
June 29, 2017 Workers' Compensation Florida

2 CSX Rail Workers Killed By Amtrak Train In D.C.

Two CSX rail workers were struck and killed late Tuesday by an Amtrak passenger train in Washington, D.C., officials said. CSX issued a statement Wednesday that said the workers were on tracks near the intersection of Ninth Street and New York Avenue when they were struck just before midnight.
June 28, 2017 Workers' Compensation District Of Columbia

Pennsylvania Supreme Court Ruling Eliminates Benefits Cap For Severely Injured Workers

Thousands of injured workers statewide could receive more benefits after the Pennsylvania Supreme Court struck down a key part of the workers’ compensation law that has governed how the state assesses workplace injuries for the past 20 years.
June 27, 2017 Litigation Workers' Compensation Pennsylvania

Up To 18% Of Injured Workers Not Returning To Work After One Year

Between 11% and 18% of injured workers in 15 states do not return to work within a year of their accident, a range that is in line with previous studies, according to reports released Tuesday by the Workers Compensation Research Institute.
June 23, 2017 Workers' Compensation Indiana Massachusetts Michigan North Carolina Virginia

State Push To Adopt Workers Comp Formularies Sees Mixed Results

Recent state efforts to adopt drug formularies in workers compensation have experienced obstacles despite evidence that they can produce good results for states grappling with opioid addiction and reduce prescription costs, according to experts.
June 23, 2017 Legislation & Regulation Workers' Compensation California Louisiana New York Pennsylvania

Insurer Battles Adult Actors’ HIV Claims

The California State Compensation Insurance Fund claims that it has no obligation to cover an adult movie studio that is defending lawsuits from John Doe, Cameron Adams, and Joshua Rodgers, three performers who claim that they contracted HIV during video shoots.
June 16, 2017 Liability Litigation Workers' Compensation California

Louisiana Governor Signs Opioid Legislation That Limits Prescriptions

Louisiana Gov. John Bel Edwards signed into law legislation that limits the number of days a first-fill prescription for opioids can be prescribed in the state and strengthens rules the require doctors to access a drug monitoring database before prescribing.
June 15, 2017 Legislation & Regulation Workers' Compensation Louisiana
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