Insight, analysis & opinion from Joe Paduda
Is getting a lot better, a lot faster than the rest of the world’s. thanks to you. I’m in the midst of conducting the 14th Annual Survey of Prescription Drug Management in Workers’ Comp, a project I began way back … Continue reading Work comp’s drug problem
Read More...Is not the occasional worker cashing checks s/he shouldn’t, or bowling while fully disabled, or double dipping. No, it’s: employers going without insurance coverage so workers and taxpayers foot the bill, providers scamming the system to make millions, and a … Continue reading The real fraud in workers’ comp
Read More...Crazy busy here at the intergalactic HQ of Health Strategy Associates, so I’ve been slacking on my blogging duties… here’s what came across the virtual desktop of late. Blockchain! several articles of note – save them, file them, read them. … Continue reading Quick takes…
Read More...I (virtually) sat down with WCRI CEO John Ruser PhD last week to catch up on his first year at the Institute and get a preview of next month’s WCRI Conference. (Registration is here) MCM – Talk about the last … Continue reading Four questions for WCRI’s Dr John Ruser
Read More...A comment by David Deitz MD on last week’s post is well worth your read. Referring to ProPublica, Dr Deitz said: describing the use of guidelines and other evidence-based tools as a cut in benefits is not just misleading, it … Continue reading Workers’ comp: anecdote v data
Read More...Legislators in Oklahoma carefully crafted their Opt-Out legislation, seeking to address concerns about Constitution issues, fairness to workers, and redress, Despite that intent, the state Supreme Court ruled the law is unConstitutional. Therein lies a lesson for advocates and detractors … Continue reading Opt-Out – unneeded, unnecessary, and ill-conceived
Read More...How an investment firm can own a physician dispensing company and a work comp program administrator. ABRY has acquired a controlling interest in NSM, an insurance program administrator focused on, among other things, selling work comp to smaller employers. Yawn, right? … Continue reading Help me understand…
Read More...A bill before the US House and Senate would have required physicians and pharmacists to check state databases before prescribing or dispensing opioids. All available research shows this is the single most effective step to reduce opioid abuse and kill fewer … Continue reading You broke it, you own it.
Read More...That is the reason there’s been so much investor interest in workers’ comp – we are the epitome of the “yellow sticky” business… Workarounds abound, driven by individual adjuster’s requests, insurer system limitations, ever-changing state requirements, unrealistic-but-nonetheless-mandatory employer demands, and system … Continue reading Making work comp services more “efficient”
Read More...In response to my post on payers shifting medical management strategy decision-making from experts to non-experts, a long-time friend and colleague provided his perspective. With forty years in roles ranging from regulator to compliance consultant to operations exec for payers, states, … Continue reading What’s happened to work comp regulation?
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