Insight, analysis & opinion from Joe Paduda
The last session on Thursday focused on regulatory and legislative trends – primarily focused on state issues. There’s also a session on the impact of ACA on work comp; that’s something I’ve spent far too much time on – that … Continue reading NCCI – Work comp legislative and regulatory trends
Read More...I’m beginning to think this is a misnomer, as there’s so much going on these days it is impossible to “catch up”. We’ll try. I did not attend RIMS this year (or the last few). While the must-go for brokers … Continue reading Friday’s catch up
Read More...Opioids, ACOEM’s new guidelines, compounds, and, alas, physician dispensing. Here’s a quick guide to the top issues and sources for additional info. Opioids continue to plague the industry; while many PBMs and payers are having some success in reducing the use … Continue reading Drugs and work comp – top issues are…
Read More...Happy spring – hope the weather where you are is as great as it is in the northeast…we finally get to tell our friends in Florida that things are just fine, thank you. Off we go to catch you up … Continue reading Friday catch-up
Read More...Allstate Insurance filed suit against physician dispensing “technology” firms Infinite Strategic Innovations Inc (ISI) and Doctors Medical LLC earlier this week. This is the second in what may be an-ongoing series of legal actions by the giant insurer, and comes … Continue reading Another bomb drops on physician dispensers
Read More...Are all described in detail in Greg Jones’ terrific piece in this am’s WorkCompCentral. The 1,000 + word piece lays out the fraud perpetrated on California’s employers by the owner of Pacific Hospital, the complicity of two California legislators, and … Continue reading Fraud, huge profits, and long jail terms
Read More...It’s been a very busy week. Today Mitchell announced they’re going to buy specialty bill review firm FairPay Solutions. Makes sense for Mitchell, as FPS’ technology and expertise is unmatched in the business, and will add a lot of value … Continue reading Friday catch-up
Read More...In Maryland and Hawai’i, docs are claiming that they pay much more for drugs than retail pharmacies, therefore they are justified in getting paid a lot more than retail pharmacies. Bullshit. Now that I’ve got your attention, here’s the truth. … Continue reading How much do docs pay for repackaged drugs?
Read More...Physician dispensing – it’s not just for Americans any more! From the Harvard Business Review comes this item; Chinese docs prescribe waaaay too many antibiotics – because that’s how they make money. Antibiotics are often prescribed unnecessarily for colds in … Continue reading Friday catch-up and fast reads
Read More...I’m only aware of three major work comp insurers (Travelers, BWC-Ohio, Washington L&I) that have pharmacists on staff; the North Dakota State Fund does as well. With pharmacy costs accounting for somewhere around 15% of total medical spend, that seems … Continue reading Why don’t workers’ comp payers have pharmacists on staff?
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