2026 WCRI Annual Conference – Day 1 Sessions

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2026 WCRI Annual Conference – Day  1 – Morning Sessions

2026 WCRI Annual Conference Intro Page pic of Boston
(c) WCRI

Thanks to WCRI and Andrew (WCRI Communications Director) for inviting me back to its 2026 WCRI Annual Conference.  I will try to cover each presentation as it occurs and will post at the end of each day. Well, I could not post all the info at the end of the day.  I suffered from great information overload. I took hand notes on some of the sessions, which I will add along with a few discussions with some of the presenters.

One of the most critical aspects/benefits of attending WCRI Conferences, as it has been in my 15 years of attendance, comes from the networking.  I learned so much in just talking to attendees from highly varied backgrounds.

Please note that I will be uploading more of my on-paper notes to this post and the previous day’s presentation.  Immersing oneself in a WCRI Conference causes information overload – in a good way. 

First Day Keynote Speaker

2026 WCRI Annual Conference - Keynote Day - 1
(c) WCRI – Cambridge, MA

Description

The first session of the 2026 WCRI Annual Conference started with a healthcare policy presentation by a highly trained and experienced MD.

See the slide link below.  Dr. Sommers provided a great slide deck.  The link at the end of this session’s article

Dr. Benjamin Sommers’ keynote:

  • examined how potential Medicaid cuts and the expiration of Affordable Care Act tax subsidies could affect health care costs for employers and access to care for injured workers.
  • helped attendees understand what these policy changes may mean for the future.
  • examined the impact of Medicaid cuts and the expiration of Affordable Care Act tax subsidies on health care costs for employers and access to care for injured workers.

wcri 2026 Conference – Keynote Day 1 Slides

 

Hospital Closures and Impact on Outcomes – 2nd Session

2026 WCRI Annual Conference - Bogdan Savych -
(c) WCRI – Cambridge MA

Description

Hospital closures are occurring nationwide. This session examines how they affect workers’ comp access, treatment patterns, costs, and disability duration, looking across rural and urban areas.

The slides for this presentation are not shared on the app because the findings are preliminary. WCRI’s report on this subject will be published in the coming months.

Based on the recent hospital closures, do you see a delay in the return to work process?  Answer – We did not see a delay in the RTW process.  – <Amazing Answer> I thought it would increase delays in the RTW process.
My impression – Bogdan always has a research topic and report,  which usually do not follow the norm.  As with this session, what he covered was groundbreaking.   I had a discussion with him at breaktime that North Carolina – J&L’s home state – had created a unique situation where University Medical Systems, such as Duke Medical and UNC Medical,  have provided much-needed medical treatment in rural areas in North Carolina,  including rural hospitals.

 2026 WCRI Annual Conference 3rd Morning Session

Access to Medical Care Panel 

I did not add the pics for the 2026 WCRI Annual Conference panels due to space limitations.  You can find them here. 

One noted discussion question was that – and I did not know it – that Texas approves every Workers Comp physician before they are allowed to treat WC injured employees.

The Hershey representative said that to have physicians treat its injured employees in remote areas, they have to sometimes hire directly with the physician’s office or other types of medical clinics.   The TX WC Commissioner was surprised that Hershey hired direct treatment providers.  That was a great point on the difference in the way WC medical networks are handled differently in different states.

Mary Capelli-Schellpfeffer
VP and National Medical Director
Liberty Mutual
Jessica Moyers
EHS Specialist – Workers’ Compensation, ADA & Return‑to‑Work
The Hershey Company

Jeff Nelson
Commissioner
Texas Division of Workers’ Compensation

Moderator

Randall Lea
Senior Research Fellow WCRI
WCRI

Description

Our first panel session of the conference will explore how external forces—such as Medicaid cuts, hospital closures, and a growing provider shortage—are impacting the health care system and straining access to care, particularly in rural areas with longer travel times and fewer treatment options.

Panelists will discuss how payors, providers, and injured workers can adapt to these disruptions to maintain access to timely, quality care.

Question asked online – Whova App – These are some of the questions.  I wanted to show some of the questions being asked by the audience inside the app.  I will try to come back and answer these if time permits.
Question – What evidence do we have that paying more for outcome-based provider networks—rather than maximizing discounts—can improve access, reduce claim duration, and ultimately lower total claim costs, especially in rural markets?
If you had a choice of improving just one type of medical access, what would that be?
Question – How should we think about the impact of other healthcare segments (Medicare, Medicaid, etc ) on access and costs, and access of work comp patients?
Overall, these three morning sessions were a great way to kick off the 2026 WCRI Annual Conference.

2026 WCRI Annual Conference  – Day 1 – Afternoon Sessions

Loss of Health Care Coverage

Sebastian Negrusa
Vice President of Research
WCRI

Description

how the 2023 CMS’s disenrollment of many Medicaid-insured workers affected the workers compensation system, and the lessons that can be learned in anticipation of potential future changes in health care coverage.

As Medicaid eligibility redeterminations push millions out of coverage, how are claims teams seeing this surface in workers’ compensation—through delayed reporting, higher acuity at first notice, treatment access barriers, or increased opioid exposure? —and what early intervention strategies can claims operations deploy to identify and mitigate these risks before claims escalate?”
Questions 

As Medicaid eligibility redeterminations push millions out of coverage, how are claims teams seeing this surface in workers’ compensation—through delayed reporting, higher acuity at first notice, treatment access barriers, or increased opioid exposure? —and what early intervention strategies can claims operations deploy to identify and mitigate these risks before claims escalate?

 

Emerging Medical Treatment Trends: Joint Replacement & Injectable Drugs

Session Handout  – Good Info – I highly recommend downloading the session handout that I have provided in the link.  The info provided in the slides is critical for all Workers Comp organizations.

Emerging_Medical_Treatment_Trends_2026_WCRI_Conference

 

Vennela Thumula
Senior Policy Analyst
WCRI

Dongchun Wang
Economist
WCRI
Randall Lea
Senior Research Fellow WCRI
WCRI

 

Description

This session will present findings on emerging treatment patterns in workers’ compensation.  The session focused mainly on

  • injectable therapies, including corticosteroid injections for inflammation and pain, hyaluronic acid products for regenerative purposes, and GLP-1 drugs commonly prescribed for weight loss.
  • trends associated with total joint replacements.

Some of the questions from the Whova app – 

Given the growth in corticosteroid injections, regenerative therapies, GLP-1 utilization, and joint replacement spend, what data thresholds or outcome measures should policymakers require before these treatments are broadly endorsed in workers’ compensation medical guidelines?
As regards prosthetics, do emerging trends increase,  and also the cost of maintenance after the initial installment?

Employer Panel

Speakers
Lisa Daughtry, Disney, Senior Claims Manager
Sharon DelGuercio, Publix, Director, Workers’ Compensation
Nicole Patterson, Aramark, Director, Workers Compensation &Risk Management Operations
Justin Romine, Marriott International, Vice President, Global Claims
Moderator
Joan Vincenz, United Airlines, Managing Director – Operations Risk

Description

This panel brings together four experts from diverse industries to share their experiences managing workers’ compensation. Topics will include workplace safety, compliance, emerging trends, and operational strategies. Attendees will gain practical takeaways and real-world perspectives from employers navigating today’s evolving workers’ compensation landscape.

WCRI chose this panel well to have a mix of industries.

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Related...

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:

  • Risk and Insurance Management Society (RIMS)
  • Entrepreneur Magazine
  • Bloomberg Business News
  • WorkCompCentral.com
  • Claims Magazine
  • Risk & Insurance Magazine
  • Insurance Journal
  • Workers Compensation.com
  • LinkedIn, Twitter, Facebook and other social media sites
  • Various trade publications

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