Rousmaniere: What Does A Model Workers Comp Insurer Do?

• 11/06/19
• Peter Rousmaniere

I met Phil Kalin, CEO of Pinnacol Assurance, for an hour in his small corner office on the east side of Denver. Through a spacious, northwest facing window, we stood observing the impressive Front Range, ...
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Texas Innovation Series: Part 2 - Employee Advocacy

• 11/05/19
• ARAWC

This six-part series provides perspective and tells some of the stories behind how innovative injury benefit programs advance the same goals as workers’ compensation, and have helped make Texas the ...
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CMS Updates WCMSA Reference Guide

• 10/31/19
• Heather Schwartz Sanderson

CMS has released an updated WCMSA Reference Guide version 3.0. It can be found here. The two significant changes are 1) CMS extending the Amended Review period from 4 to 6 years (Section ...
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Texas Innovation Series: Part 1 - 30 Years of Innovation in Injured Worker Care

• 10/29/19
• ARAWC

This six-part series provides perspective and tells some of the stories behind how innovative injury benefit programs advance the same goals as workers’ compensation, and have helped make Texas the ...
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Ninth Circuit: Guaranty Fund Not Deemed a Primary Plan as Related to Non-Covered Claims; States No Obligation to Reimburse Medicare Conditional Payments on Subset of Claims

• 10/18/19
• Jean S. Goldstein

Last week, the Ninth Circuit United States Court of Appeals issued an important decision involving the Centers for Medicare & Medicaid Services, and the California Insurance Guaranty Fund (CIGA) in Cal. ...
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Rousmaniere: Presumption Laws: Sausage Making On Display

• 10/16/19
• Peter Rousmaniere

Half of the states have enacted so-called presumption laws, designed to ease access to workers’ compensation coverage for specific health conditions, passed usually on behalf of specific classes of ...
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9th Circuit Court of Appeal Rules that CIGA, a Guaranty Fund, is not Subject to Medicare Secondary Payer Act Obligations

• 10/14/19
• Heather Schwartz Sanderson

Franco Signor has been following the CIGA (California Insurance Guaranty Association) litigation filed against HHS/CMS for some time. CIGA is California’s largest workers’ compensation provider ...
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Addition of Open Debt Report Function to the Medicare Secondary Payer Recovery Portal and Two New Portal User Guides Issued

• 10/10/19
• Jean S. Goldstein

You may have seen our blog post on Friday, regarding an alert from the Centers for Medicare & Medicaid Services (CMS) regarding two upcoming webinars to highlight a new electronic attestation ...
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Back to the Future: Embryonic Gig Worker Benefit Programs Look Like Texas Injury Benefit Plans 30 Years Ago

• 10/07/19
• Bill Minick

You know or see them every day: that Uber driver that dropped you off, the maid that cleaned your friend’s home, the hair stylist who cuts your hair, the tech who just fixed your ...
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