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Showing posts with label WCRI. Show all posts
Showing posts with label WCRI. Show all posts

Thursday, March 22, 2018

Opioid Epidemic: Walgreens to Pay $5.5 Million Over Alleged Overcharges for Prescription Drugs

Walgreens Overcharged for Drugs Covered by State Workers’ Compensation System. A Settlement was entered into with Massachusetts Attorney General's’ Office to fund programs that address the Opioid Epidemic.

Friday, March 14, 2014

What I Learned About The ACA

Today’s post is authored by David Depaolo and appears on his blog daviddepaolo.com. As usual David hits “the nail on the head” with his objective analysis of the potential impact that the Affordable Care Act (ACA) will have upon the entire workers’ compensation system. There are certain trends that Dr. Gruber has identified, that in synergy with the ACA, have the potential of causing a dynamic shift in workers’ compensation insurance. As political and social adjustments are made to the ACA those uncertainties will certainly resolve.
One of the big draws for me at the Workers' Compensation Research Institute's annual meeting this year was to hear from one of the architects and authors of the Affordable Care Act, Dr. who is a professor of economics at Massachusetts Institute of Technology.
I just needed to learn. The ACA is so complex, so huge, so broad in its scope, that anyone who is not completely versed in the health care system (the vast majority of us) would have absolutely no understanding of the law, how it plays out, who it really affects, what is to come of various provisions, etc.
In fact, I am willing to bet that virtually all lawmakers, including our president himself, have little to no true understanding of the law.
Dr. Gruber is a health economics expert - meaning he has spent virtually all of his professional life studying health care systems and the economic underpinnings of health care.
It is...
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Saturday, October 12, 2013

Where's the New Jersey Conference?

Today's post was shared by WorkCompCentral and comes from daviddepaolo.blogspot.com


There's going to be lots of press surrounding the latest CompScope Benchmarks Study
released by the Workers' Compensation Research Institute, as there always is, and should be. After all, the WCRI is one of the top research groups in our industry and the leadership and staff there work hard to provide as complete and unbiased data as possible.

What is unique about the latest study of 16 states is one common theme - controlling costs has more to do with instituting price schedules for medical services than any other single factor.
The premier example is Illinois, which, after reducing medical fees by 30% across the board on Sept. 1, 2011, saw all medical payments for claims with seven days of lost time declined by 5% for injuries arising in 2011 and evaluated as of 2012. Prices paid for non-hospital services dropped by 24% between 2010 and 2012.

And Texas' claim costs, which ranked the highest in the nation prior to a set of reforms passed in 2005, are now typical of the states studied, according to WCRI , with medical costs per claim 17% lower than the 16-state median for 2009 claims evaluated in 2012. The Institute expects costs to decline further in Texas with the prescription drug formulary that became effective 9/1/2011.
The state's claim cost growth rate is also slowing. Claims costs in Texas grew by between 3% and 6% per year between 2006 and 2011. Costs per claim for the 2010/2012 study period were $5,829 – slightly higher than the $5,354 median.

The flip side is...
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