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Top Story: Friday, February 27, 2015
A New York appellate court ruled Thursday that the state Workers' Compensation Board can proceed with its claims for indemnification against the former trustees of the now-defunct Retail & Wholesale Industry Workers' Compensation Trust.
The trust went belly-up in 2008, leaving behind some $4.4 million in liabilities.
The board had filed suit against its… Read more »
Two private equity firms have sold pharmacy benefit management companies this month, marking the latest in a string of consolidations in the space.
Catamaran, the fourth-largest pharmacy benefit manager in the nation, has agreed to purchase HealthCare Solutions for $405 million in a deal that company executives hope to close in the second quarter of 2015, according to a Thursday press release.
The deal went public on the heels of an even larger transaction – on Feb. 11, Rite Aid announced that it was purchasing the PBM EnvisionRx for $2 billion.
Mark Thierer, chief executive officer of Catamaran, said in a conference call with investors Thursday that HealthCare Solutions is an existing client of… Read more »
A bill to bring a prescription drug-monitoring… Read more »
California lawmakers introduced bills before today's filing deadline that would… Read more »
The California Insurance Guarantee Association on Wednesday withdrew its petition for judicial review in one of two pending disputes over refusal to pay for workers' home modifications.
Last month, the 3rd DCA agreed to hear CIGA v. WCAB (Smith), and earlier this month, the 2nd DCA granted writ to CIGA v. WCAB (Mercado).
Both cases involve a question of whether a workers' compensation judge had the authority to decide whether… Read more »
A California appellate court ruled that an injured worker failed to raise a viable claim against his former attorney after his attorney negotiated a reduction in the amount of a subrogation lien against the worker's personal injury settlement and paid the lien.
Case: Lopez v. Waks, No. B248734, 02/25/2015, unpublished.
Facts: Guillermo Mendoza Lopez injured himself while working as a baggage handler for Delta Airlines in 2007. He then retained… Read more »
News: WEST
- CA CIGA Withdraws Petition for Review for Home-Modification Dispute Pending at 2nd DCA
- WA Court Says 'Lit Up' Doctrine Didn't Entitle Worker to Treatment for Arthritis in her Knee
- CA Court Rejects Worker's Malpractice Suit against Attorney for Paying Carrier's Lien
- CA Lien Claimant Can't Challenge Sanctions after Order Became final
News: NORTH
- CT Update to Hand, Wrist and Elbow Treatment Guidelines Effective April 1
- OH Claimant to Pay Restitution after Caught Working as a Substitute Teacher
- ME Reports: Falls and Chemical or Pathogen Exposures Cost more than $2M in 2 Years
- NJ Manufacturing Plant and Temporary Staffing Agency Face $53K for OSHA Violations
In the mid-1980s, workers' compensation underwent a management revolution. Until then, employers bought insurance policies, and when injuries occurred, they passed the baton to their carriers. Then they went back to making widgets, trusting that the… Read more »
A Southern California landscaper was sentenced to 30 days in jail after pleading guilty to one count of felony workers' compensation fraud, American Employer Defense said in a statement Thursday.
Ignacio Luna-Silva was arrested last October after investigators discovered he was operating his own landscaping business while collecting benefits for an alleged back injury sustained while working for another firm in August 2011.
Pursuant to a plea agreement, the Orange County Superior Court sentenced Luna-Silva to 30 days in jail and three years of felony probation. He was ordered to pay restitution in an amount to be determined by the Orange County Probation Department.
At the request of Hortica… Read more »
A California appellate court ruled that a lien claimant could not seek an order… Read more »
The attorney for a man sickened by leakage from… Read more »
The Washington Court of Appeals ruled that the "lit up" doctrine did not entitle a worker with preexisting osteoarthritis in her knee to additional medical treatment.
Case: Zavala v. Twin City Foods, No. 31854-1-III, 02/12/2015, published.
Facts: In September 2007, Ana Zavala, then age 52, injured her left knee in the course of her employment with Twin City Foods. The Department of Labor and Industries approved her claim and ordered Twin City Foods to pay all medical and time-loss compensation benefits for the injury.
The department closed her claim in August 2009, but Zavala protested. She averred that she needed a total knee replacement, and that… Read more »
Workers' compensation carriers in Nevada combined to write $309.3 million in written premium in calendar year… Read more »
An occupational disease presumption measure for firefighters has earned approval in the Kentucky… Read more »
The National Academy of Social Insurance has concluded that there is little evidence to support that integrated delivery networks – large, nonprofit health systems that include hospitals, independent physicians and post-acute care facilities – offer higher quality, more efficient… Read more »
Veterans who have both brain trauma and post-traumatic stress disorder might have worse outcomes than those with only one of those diagnoses, according to researchers from the University of Kentucky.
Walter High and others at the university are scheduled to publish a paper in the Journal of Neurotrauma… Read more »
The Florida firm of Henderson, Franklin, Starnes & Holt will hold its 23rd Annual HR Law & Solutions seminar on March 24 at the Sanibel Harbour Marriott Resort & Spa in Fort Myers, Henderson Franklin announced in a release.
The firm’s Employment Law Practice Group will host the seminar, which is… Read more »
Featured Video
Special Report
A new report by Peter Rousmaniere titled Seismic Shifts: An Essential Guide for Practitioners and CEOs in Workers’ Comp, investigates commercial opportunities in a shrinking workers’ comp industry.
David DePaolo presents Intro to Seismic Shifts in Workers’ Comp, a 4-part series of recorded webinars. Listen to David’s Intro FREE! Register today!
(Download report)
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Mar 3, 2015
Seismic Shifts Part 1/4
Part 1 of the 4-part Webinar series, "Seismic Shifts." Peter Rousmaniere discusses the bifurcation …
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Mar 4-5, 2015
SIIA Executive Forum
The SIIA Self-Insured Health Plan Executive Forum will deliver high quality educational content of …
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Mar 5-6, 2015
2015 WCRI Annual Issues and Re
The theme of the conference is "Resilience or Renovation." The workers' compensation system has ev …
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Mar 7, 2015
Liens: The View From the Oxnar
The California Workers' Compensation Appeals Board is moving lien claims to the Oxnard district of …