Category

Workers’ Compensation

States Reveal Impressive Drug Formulary Results

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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

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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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Who pays the highest rates for workers’ comp insurance in Illinois?

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Who are the most expensive workers to insure in Illinois? It’s not roofers or sawmill operators, coal miners or painters. Nor is it loggers, steelworkers or carnies. In 2018, oil and gas drillers paid the highest rates for workers’ compensation in the state. High risk for severe injury plus a tiny pool of industry players combine to generate rates of…

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

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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

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

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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

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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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Falls and Struck By Incidents Lead Work Related Deaths

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Falls and struck-by incidents continue to cause the largest number of work-related deaths statewide based on preliminary information released today by the state Department of Labor. Struck-by incidents accounted for the most work-related deaths with 19, while falls accounted for 12 deaths. The department’s Occupational Safety and Health Division inspected 48 work-related deaths last year. “Year after year, we see…

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Workers’ Comp Insurance Rate Pre-Approval Passes in Illinois

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The Illinois General Assembly at the end of May passed a bill that requires the pre-approval of workers’ compensation insurance rates by the Illinois Department of Insurance. The legislation also “permits sensible corporate restructuring for insurers and reinsurers,” according to the American Insurance Association. But, according to AIA’s Steve Schneider, vice president for state affairs, Midwest region, the group is…

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