workers’ compensation News

Work Comp Fraudster Must Repay $246K, Spend Seven Months in Prison

A Cleveland-area man was sentenced to seven months in prison Wednesday and ordered to repay nearly $246,000 in disability benefits he fraudulently received from the Ohio Bureau of Workers’ Compensation and the Social Security Administration, the BWC said Friday. Louis …

Attorney Turned Criminal Apologizes to Insurers for Giant Workers’ Comp Fraud

Sean Enrique O’Keefe said he started out as a “humanistic attorney,” but he became a mercenary and then a criminal who netted $700,000 a year by sending San Diego workers’ compensation claimants to dirty medical providers. O’Keefe on Wednesday morning …

Do High Health Plan Deductibles Lead to More Workers’ Compensation Claims?

Are employees injured at work more likely to file under workers’ compensation instead of group health insurance when their group health plan has a higher deductible? The Workers Compensation Research Institute (WCRI) found evidence they do in a new study …

Texas Eyes Penalties for Denying Responders’ Workers’ Compensation Claims

A bill recently filed in the Texas House of Representatives would penalize insurers that illegally deny Texas first responders access to medical treatment for line-of-duty injuries covered under state workers’ compensation laws. According to one of the authors of House …

The Art of Creating a Physician Peer Review Panel, Part II: Contracting and Training

This article is the second in a two-part series about best practices for building a physician peer review panel. Click here to read the first article in the series, The Art of Creating a Physician Peer Review Panel, Part I. …

North Dakota Bills Aim to Improve Medical Marijuana Access

As North Dakota’s Health Department enters the final stages of implementing a statewide distribution system for medical marijuana, state lawmakers are considering proposals that would make it easier for patients to get doctor approval for the drug. Medical marijuana advocates …

AI in Claims Operations: Lessons Culled from the Early Innings

While there are many different segments of the commercial insurance industry, they often share a similar story. From my vantage point, the workers’ compensation system was designed to help both injured workers and employers by guaranteeing care and compensation for …

The Power of Technology Integration: 6 Ways to Use Technology to Improve Claim Outcomes

Though the Property & Casualty (P&C) industry has made definitive inroads into technology adoption, there remain vast opportunities for the sector to reap the benefits of technology to achieve better, faster results. Insurers and claim organizations at large still have …

Research Finds Compounded Topical Pain Creams No Better Than Placebos

In an effort to reduce chronic pain, many people look for hope by paying $20 to thousands of dollars for a tube of prescription topical pain cream or gel. Now, results of a rigorous federally funded study mandated by Congress …

Study Finds Chronic Pain Drives Patients to Use Medical Marijuana

As of 2018, 33 states and the District of Columbia have approved the medical use of cannabis, while 10 states have legalized marijuana for recreational use. Despite this fact, at the federal level, marijuana remains a Schedule 1 drug under …