Insight, analysis & opinion from Joe Paduda
Here in no particular order is a list of concerns/issues/problems that have recently come up in conversations with work comp insurers large and small. 1. Repackaging and physician dispensing of drugs – I’m still getting calls from payers (first came … Continue reading What’s bugging comp insurers
Read More...Mike Whitely of WorkCompCentral’s article [sub req] on Florida Governor Charlie Crist’s veto of the bill limiting reimbursement for physician-dispensed repackaged drugs illustrates just how confusing the weird world of work comp can be to the uninitiated – like Mr … Continue reading Florida’s (repackaged) drug problem
Read More...To no one’s surprise. work comp medical costs appear to be on their way up, and at a rate significantly higher than the medical CPI. First the what, then the why. The latest data from NCCI indicate comp medical inflation … Continue reading Work comp medical costs – heading up…
Read More...No one knows just yet, not even the regulators and legislators who are the ones tasked with coming up with a mechanism to replace AWP – which is going away in less than eighteen months. More accurately, the First Databank/Medispan … Continue reading Work comp drug fee schedules – what’s going to happen?
Read More...My post on the efforts by WCPA and others to roll back parts of the NY workers comp reforms has generated a lot of criticism by individuals who appear to consider themselves advocates for the injured worker. My motives, intelligence, … Continue reading PBMs and retail pharmacies
Read More...My firm’s third annual survey of prescription drug management in workers comp has been completed, and here are a few of the findings. 1. Drug costs increased slightly more than 10% last year, a “decrease in the rate of increase” … Continue reading Drugs in Workers Comp – Survey Report
Read More...If only Florida (‘s commitment to patient safety and responsible prescribing and good workers’ comp medical care) was like California. But…no. The Sunshine State’s work comp regulators and legislators don’t seem to care about patient safety or employer/taxpayer costs – … Continue reading If only Florida was like California
Read More...I spend a lot of time in the weeds, digging into facility reimbursement details, evaluating COVID infection rate studies, identifying new work comp scams, figuring out if WC claims will increase, railing at insurers and TPAs that aren’t doing what … Continue reading What’s the state of work comp “managed care”?
Read More...The hammer is starting to fall on the opioid industry and the repercussions are echoing thru the comp industry. J&J owes Oklahoma $573 million after losing its case in the state Purdue Pharma’s owners are trying to settle all suits … Continue reading Chronic pain, opioids, and workers’ comp
Read More...Here’s what happened last week… People who enroll in exchange programs in red states pay 3.2 percent more for their health insurance than folks in purple or blue states. Research indicates it is because fewer folks in red states sign … Continue reading Monday update – healthcare costs, guidelines, what docs want, and market consolidation
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