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Latest news on personal injury and workers’ compensation.

States Reveal Impressive Drug Formulary Results

Federal and state policymakers are implementing a variety of strategies to address inappropriate prescription use in the treatment of injured workers, and the damaging effects of increased opioid use for pain treatment. Inappropriate use of prescription drugs has a negative impact on patient health and returning to work. Patients often stay out of work longer than those with similar injuries…

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Bills to overhaul worker’s compensation in Illinois still alive despite vocal opposition

State Sen. Dale Righter (R-Mattoon), the National Association of Insurance and Financial Advisors (NAIFA) and others recently spoke out against two eerily familiar Democrat-sponsored bills that would overhaul worker’s compensation in Illinois. SB2863, which amends the Employer’s Liability Rates Article of the Illinois Insurance Code, along with HB4595, which amends the Illinois Insurance Code provision concerning the Illinois Workers’ Compensation…

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Are opioid education and state reforms affecting workers’ compensation claims?

Workers’ compensation is the third-largest line in property & casualty insurance, accounting for 9% of all P&C net premiums, according to a J.D. Power analysis of S&P Global Market Intelligence data. Four states comprise 37% of direct premiums written for workers’ compensation in the United States: California, New York, Florida and Illinois. Although the workers’ compensation line has been profitable…

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Topical medications jump 9.8% in unmanaged comp claims in 2017

The prescribing of topical pain-management creams rose in 2017 workers compensation claims that were not monitored by pharmacy benefits managers, according to a report released Wednesday by Coventry Workers Comp. The second in a series covering workers comp drugs trends, Downers Grove, Illinois-based Coventry compared its 2017 data on managed claims, representing 77.6% of total comp prescriptions, and unmanaged claims,…

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Illinois issues fireworks safety reminder

The Illinois Department of Natural Resources (IDNR) is reminding individuals and organizations sponsoring fireworks displays in Illinois to be sure their fireworks vendor has the required state licenses and certificates issued by the IDNR and the Office of the State Fire Marshal (OSFM) prior to their fireworks show. The Illinois Explosives Act requires that anyone who purchases, possesses, uses, transfers,…

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How Workers’ Compensation Outpatient Costs Compare Across States by Fee Regulation

Hospital outpatient payments were higher and growing faster in states with percent-of-charge-based fee regulations or no fee schedules, finds a study from the Workers Compensation Research Institute (WCRI) that compares 35 states. States with percent-of-charge-based fee regulations had substantially higher hospital outpatient payments per surgical episode than states with fixed-amount fee schedules—30 to 196 percent higher than the median of…

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Five Best Practices To Ensure the Injured Worker Comes First

By Dr. Laura Gardner, Vice President, Products, CLARA Analytics Putting the injured worker first is key to the “advocacy-based claims model,” which puts the worker at the center of all activity. “It focuses on improving the injured worker’s experience. Until now, most employers have focused on corporate outcomes. Goals such as cutting costs and reducing days lost. But experts now…

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