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Expert Analysis

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

Using the WC-PMT(b) When Claimants Skip Medical Appointments 
Using the WC-PMT(b) When Claimants Skip Medical Appointments 

By Daniel Richardson  Introduction  Few situations are more frustrating than an injured worker who repeatedly fails to attend scheduled medical appointments while continuing to receive temporary total disability (TTD) benefits. When faced with this scenario, […]
How 6 Minutes Could Have Saved $58,000 
How 6 Minutes Could Have Saved $58,000 

Introduction In California’s Workers’ Compensation system, each page submitted to a Qualified Medical Evaluator (QME) carries a fixed financial weight. Under the state’s Medical-Legal Payment and Reimbursement Rules (MLPRR), providers are entitled to $3 per […]
NCCI Court Case Update — Florida, Texas, West Virginia
NCCI Court Case Update — Florida, Texas, West Virginia

Florida—Requirement to Seek Initial Relief Within the Workers Compensation System On June 13, 2025, the District Court of Appeal of Florida, Fifth District, in Steak 'N Shake, Inc. v. Spears, ruled that an employee may not […]
Strategies for Managing Asthma and Smoke Inhalation Injuries
Strategies for Managing Asthma and Smoke Inhalation Injuries

By: Cameron Hannum, Pharm.D., Sr. Clinical Account Pharmacist, Enlyte Asthma is a common chronic respiratory disease that leads to difficulty breathing due to the presence of inflammation and bronchoconstriction. It’s often triggered by allergens, irritants […]
Good Humans Doing Good Things in Our Industry: Lainey Haynes
Good Humans Doing Good Things in Our Industry: Lainey Haynes

Speaking with Lainey Haynes, Workers’ Compensation Representative at Saia Inc. Hearing the Perspective from an Employer in a Workers’ Compensation Claim "Communication leads to community, that is, to understanding, intimacy and mutual valuing." - Rollo May […]
Healing the Whole Worker: Why Inclusive, Holistic Care is the Future of Workers’ Compensation
Healing the Whole Worker: Why Inclusive, Holistic Care is the Future of Workers’ Compensation

Too often, our workers’ compensation systems are designed as one-way transactions: we identify an injury, authorize treatment, pay benefits, and try to return the worker to duty. We have been locked into this industrial-age thinking […]
6 Questions about Economy, Workers’ Compensation for NCCI’s Stephen Cooper
6 Questions about Economy, Workers’ Compensation for NCCI’s Stephen Cooper

The dynamically changing workforce and evolving economy are top of mind for workers compensation executives. NCCI’s latest Quarterly Economics Briefing (QEB) provides an in-depth perspective on recent economic developments and their impact on workers compensation. […]
Mind the Machine: The Potential Hidden Risks of Utilizing AI in Medicare Set-Asides
Mind the Machine: The Potential Hidden Risks of Utilizing AI in Medicare Set-Asides

By: Heather Sanderson As Artificial Intelligence (AI) becomes more embedded in daily life, particularly in healthcare and claims administration, the use of AI in Medicare Set-Aside (MSA) allocation preparation has been increasing. Many MSA vendors […]

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