Is CMS Overpricing Workers Comp Future Pharmacy Benefits? Does the CMS inflate Workers Comp future pharmacy payouts? A trend in Workers Comp claim settlements is slowly changing the landscape of closing out files. Many insurance carriers, TPA’s, Captives, etc. are rejecting the Center for Medicare/Medicaid Service’s (CMS) valuation of
WC Is A Zero Sum Game Of Sorts I often advise investment groups when they look to invest in the Workers Compensation market – namely ancillary services such as Medicare Set Asides, Physical Therapy (PT), PBM’s, etc. One motto I have stuck with over the years is the Workers Compensation is
Monopolistic vs Competitive State Funds All competitive state funds are a hybrid sort of insurance carrier. A few weeks ago, I posted on whether State Funds are necessary for Workers Compensation coverage. One of the blog readers posted a response which pointed out that State Funds should be analyzed by
Four Choices For A WC Premium Audit Bill Over the years, we have received the most communications from employers when a premium audit bill has hit their desk and the payment is now due. Often, the bill has been sitting for a few weeks and the insurance carrier is now
Workers Compensation Safety Programs – Best Way To Save $$$ Workers Compensation safety programs are always worth the expended funds. One of the areas that employers seem to sharply decrease their budgets during economic downturns is safety. As Treasurer of the NC Mid State Safety Council, I can attest
Top Four WC Success Measurements Easily Acquired The Top Four success measurements for self insureds are easy to find in your Workers Comp materials. In my last two posts, I covered how to measure the success (or failure) of a Workers Compensation program. I want to be fair to self insureds
Four Workers Compensation Measurements Of Success My last post had covered the four Workers Compensation measurements of success or failure. Instead of combining both voluntary market and self insureds into one post I thought it best to separate them into two posts. The four measurements of success for the voluntary
Workers Comp Success Bottom Line Measurements Workers Comp success (or failure) bottom line measurements are readily available for employers. I have read on a few blogs and received questions recently concerning how a Workers Compensation program can most easily measure its success or need for improvement. This is a very
Assigned Risk Pool E-Mod With A Low E-Mod The Assigned Risk Pool looks like a failure even with a low E-Mod. I recently received two calls on a very sore subject with certain groups of employers. One exact question was – How in the world can my company be placed
Important Upcoming Date For January 1 Policies Renewal Over the last few months, I had been covering a plan on how to reduce E-Mods. The important upcoming date for January 1 renewals is your Unit Stat date. The Total Incurred (Paid + Reserves) is tallied six months after your policy
Two Questions on EMR One of our readers had two good questions on EMR. I often see you write about the E-Mods or X-Mods in your blog. Is an EMR the same thing as the E-Mod? This was a good question from one of our newsletter readers. The Workers Compensation
Six Quick Methods To Lower Workers Comp Costs (Part I) The Six Workers Comp Costs reduction methods are listed in two articles. My last article post pointed out that there are six ways to save on Workers Comp costs. They are: 1. Filing First Reports of Injury (FROI) Timely
Three Ways To Penalize Your Company’s Experience Mods Actually, E-Mods (X-Mod, Ex-Mods) do not actually directly penalize your company’s Workers Compensation premiums. However, there are a few situations where your company’s E-Mod can experience a very sharp increase. I thought I would list three. There are others. Having numerous claims
The Experience Mod System’s Hidden Good Side The Experience Mod system can actually silently help your company. The Workers Compensation Experience Modification Factor (E-Mod/X-Mod/Ex-Mod) system can seem complicated and cause very high premiums at times. Three times over the last few weeks, I have heard or read different inaccurate comments
