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Expert Analysis

Deep analysis and thought leadership from experts in everything related to workers’ compensation

Workers’ Compensation Fraud in Louisiana: How We Won at the Supreme Court
Workers’ Compensation Fraud in Louisiana: How We Won at the Supreme Court

Workers compensation fraud accusations are one of the most aggressive tactics insurance companies and employers use to avoid paying what they owe. This case is about exactly that. In April 2026, I argued a case […]
Panel of Physicians Posting Requirements for Construction and Off-Site Employees Post Lilienthal Ruling 
Panel of Physicians Posting Requirements for Construction and Off-Site Employees Post Lilienthal Ruling 

Maintaining control of medical treatment in a workers’ compensation case is key to mitigating ongoing exposure. To do so, employers and insurers must comply with the guidelines provided for in OCGA §§ 34-9-200 and 34-9-201, which requires […]
5 Signs of Medication-Related Fraud Work Comp Adjusters Should Watch For
5 Signs of Medication-Related Fraud Work Comp Adjusters Should Watch For

By Christina Klemm, Pharm.D., BCACP, Senior Pharmacist, Clinical Operations, Enlyte Pharmacy fraud represents one of the fastest-growing cost drivers in workers’ compensation claims. While most health care providers operate with integrity, fraudulent prescribing patterns can […]
New from NCCI
New from NCCI

Check out what’s new from NCCI: Artificial Intelligence and the Labor MarketLatest Quarterly Economics Briefing – Q2 2026 This report examines: What we know: The headline: It remains too early to draw firm conclusions about AI’s […]
This Month, Don’t Miss These 3 Key Updates in Workers’ Comp Pharmacy 
This Month, Don’t Miss These 3 Key Updates in Workers’ Comp Pharmacy 

June 2026  Three developments in June demand attention from anyone managing pharmacy programs in workers' compensation. One is a fresh Pennsylvania Supreme Court ruling that reshapes how physician self-referrals to pharmacies can be challenged. A […]
Managing Medical Device Warranties in Workers’ Compensation
Managing Medical Device Warranties in Workers’ Compensation

By Nicole Usher, Senior Director, Operations Not all durable medical equipment (DME) referrals are completed at purchase. Some include warranties that need to be monitored and maintained, including items like wheelchairs, respiratory equipment, prosthetics and […]
Don’t Miss These 3 Important Changes in Workers’ Comp Pharmacy This Month — May 2026 
Don’t Miss These 3 Important Changes in Workers’ Comp Pharmacy This Month — May 2026 

By Dennis M. Sponer, J.D., LL.M., MBA | May 2026  Three major developments in May warrant the attention of all workers’ compensation professionals overseeing pharmacy or PBM programs. Two have immediate operational impacts, while the […]
One Day Sooner 
One Day Sooner 

By Harvey Warren, Author, The Optimized Patient  When I was asked if optimizing patients for surgery or injury recovery was possible in workers’ compensation, I enthusiastically embraced the idea of helping injured workers get better faster and stay better longer.   What could go wrong?  The savings that […]