Last week, the Centers for Medicare and Medicaid Services (CMS) issued a final rule, (CMS-4180-F) impacting Medicare Advantage Plans (MAP) and Part D programs. The rule aims to ensure that ... Read More
At its annual conference, held last week in Orlando, the National Council on Compensation Insurance showed, for the first time in my memory, a short profile of workers who had sustained severe work injuries. ... Read More
Claims payers are spending less on drugs. But some pharmacy benefit managers are still raking it in, by charging their customers in workers’ comp far more than would be the case were PBMs more ... Read More
Sadly, yet another high quality research study has shown that an employer’s workplace wellness program has been ineffective. That’s the bottom line of a randomized clinical trial recently ... Read More
There has been a fair amount of discussion about delegation in workers' compensation in recent years. Now come questions and considerations of states delegating authority to the federal government. This is a ... Read More
One of the oft-repeated challenges of legal analysis is burdens of proof. The concept is confounding to many, sometimes even lawyers. In American litigation, much depends upon the burden of proof. Those who ... Read More
Each year, the board of trustees of the Social Security Trust Fund and Medicare Trust Fund release reports to Congress providing an estimated projected financial outlook for the programs. Last week ... Read More
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