WCRI 2025 Conference Thursday Sessions

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WCRI 2025 Conference Thursday Morning Sessions

I will try to post this using some of the slides and text.   The first presentation for the WCRI 2025 Conference Thursday morning covered the US Healthcare System very thoroughly and was very slide-driven along with a longer Q&A Session.  All slides in the first presentation are copyrighted by Dr. Chen and Stanford University.

Dr. Chen’s presentation had no political leanings.  His keynote presentation was great.  I included many of his slides as they were in-depth and descriptive.

WCRI 2025 Conference Thursday keynote title page

 

WCRI 2025 Conference Thursday - keynote - uninsured populations

 

WCRI 2025 Conference Thursday Morning Second Session

Changes in the Medical Workforce

Presenters –

Dr. Bogdan Savych and Dr. Olesya Fomenko 

Both of WCRI –

I had written on this study last month.  As usual Dr. Savych and Dr. Fomenko presented their study on the changing medical practitioner landscape well.  See my article here on their top-notch study.

graph WCRI workers comp treating physicians changing

WCRI 2025 Conference Thursday - Chart - Long Lasting Concerns of Medical Practitoners

WCRI 2025 Conference Thursday Morning Third Session

Impact of Comorbid Considerations

Donchung Wang and Dr. Randall Lea, both from WCRI

Due to the sensitive data being preliminary in scope, no charts were provided that could be published. 

 

WCRI 2025 Conference Thursday Sessions – Afternoon – First Session

Current Events in the California Workers Compensation System

Presenter – Alex Swedlow – California Workers Compensation Institute (CWCI)

I have attended many conferences where Alex presented great California-only information.  As I have said many times, what happens in the CA Worker Comp system heads east to other states.

CWCI and Alex reserve their copyrights on all of the below charts.

The one chart that stood out to me was the opioid chart. I think California as with the rest of the US workers comp system has a handle on opioids.

WCRI 2025 Conference Thursday - CWCI - claim volume chart

 

 

WCRI 2025 Conference Thursday - Chart - CWCI - Historical Opioid Use

WCRI 2025 Conference Thursday - CWCI graph - comparing CA tp other states Medical payments

WCRI 2025 Conference Thursday Sessions – Afternoon – Second Session

The unique info presented by Dr. Franklin centered around pre-injury opioid use as a precursor to complications once opioids have been prescribed in a WC claim – interesting angle.

WCRI 2025 Conference Thursday - Opioid use for back pain study review

WCRI 2025 Conference Thursday -Prior Opioid Use Chart Comparison

 

WCRI 2025 Conference Thursday Sessions – Afternoon – Panel Session

Regulatory Panel – Responding to Today’s Challenges

Moderator – Kathy Fisher, WCRI

Marianne Saylor, Director, Pennsylvania Bureau of Workers’ Compensation = PA

Clarissa Rodríguez, Esq.  NYS Workers’ Compensation Board Chair & Commissioner = NY

Gaetano Testini, Esq. Director, Industrial Commission of Arizona = AZ

Medical Care Accessibility?

AZ – one medical appointment with the physician of choice, all types of medical practitioners even faith healers

PA- allows the claimant’s attorney 20% of meds.

NY – allows claimant choice of medical treatment, pays medical practitioners higher fees, denied claims can be treated under health insurance, medical-only claims can be paid for up to a year before denial.

Primary Focus

PA – Uninsured employer guaranty fund, larger assessments, paying medical bills

AZ – More accessibility to the WC system, ombudsperson, claimants that represent themselves – increasing access to system knowledge resources, attorneys’ representation on medical-only claims

Pharmaceuticals

PA- cannot use Redbook to settle prescription claims

NY – notice to injured workers that if there is a prescription dispute, can go out of network

AZ – travel and translation services

Federal change impacts

NY – remains to be seen

PA – getting employers into Certified Safety Programs

AZ – many programs are dependent upon Federal regs, OSHA would suffer, and DOGE would increase unemployment which is a mostly state-funded program.

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James J Moore - Workers Comp Expert

Raleigh, NC, United States

About The Author...

James founded a Workers’ Compensation consulting firm, J&L Risk Management Consultants, Inc. in 1996. J&L’s mission is to reduce our clients’ Workers Compensation premiums by using time-tested techniques. J&L’s claims, premium, reserve and Experience Mod reviews have saved employers over $9.8 million in earned premiums over the last three years. J&L has saved numerous companies from bankruptcy proceedings as a result of insurance overpayments.

James has over 27 years of experience in insurance claims, audit, and underwriting, specializing in Workers’ Compensation. He has supervised, and managed the administration of Workers’ Compensation claims, and underwriting in over 45 states. His professional experience includes being the Director of Risk Management for the North Carolina School Boards Association. He created a very successful Workers’ Compensation Injury Rehabilitation Unit for school personnel.

James’s educational background, which centered on computer technology, culminated in earning a Masters of Business Administration (MBA); an Associate in Claims designation (AIC); and an Associate in Risk Management designation (ARM). He is a Chartered Financial Consultant (ChFC) and a licensed financial advisor. The NC Department of Insurance has certified him as an insurance instructor. He also possesses a Bachelors’ Degree in Actuarial Science.

LexisNexis has twice recognized his blog as one of the Top 25 Blogs on Workers’ Compensation. J&L has been listed in AM Best’s Preferred Providers Directory for Insurance Experts – Workers Compensation for over eight years. He recently won the prestigious Baucom Shine Lifetime Achievement Award for his volunteer contributions to the area of risk management and safety. James was recently named as an instructor for the prestigious Insurance Academy.

James is on the Board of Directors and Treasurer of the North Carolina Mid-State Safety Council. He has published two manuals on Workers’ Compensation and three different claims processing manuals. He has also written and has been quoted in numerous articles on reducing Workers’ Compensation costs for public and private employers. James publishes a weekly newsletter with 7,000 readers.

He currently possess press credentials and am invited to various national Workers Compensation conferences as a reporter.

James’s articles or interviews on Workers’ Compensation have appeared in the following publications or websites:

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  • Entrepreneur Magazine
  • Bloomberg Business News
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  • Claims Magazine
  • Risk & Insurance Magazine
  • Insurance Journal
  • Workers Compensation.com
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