Just about every workers’ compensation (WC) payer has them -- claims that remain unsettled due to high Medicare set-aside (MSA) allocation projections or an MSA counter-higher determination by the Centers for Medicare and Medicaid Services (CMS). In either instance, the result is the same: the workers’ comp payer is left holding the bag for continuing medical, indemnity, and … [Read more...] about MSAs Stalling Settlement? Proactive Strategies to Reduce MSA
It’s talked about on the radio, it’s covered in the news, it’s referenced in popular TV shows, and now the President of the United States is addressing it: America has an opioid problem. According to the U.S. Department of Health and Human Services, as of September 2018 more than 130 people die every day from opioid related drug overdoses. Of the 72,000 drug overdose deaths … [Read more...] about America Has An Opioid Problem: Who’s Going To Pay To Fix It?
It was a record breaking attendance at the AIRROC Spring Membership Meeting on March 5 & 6. Hosted at the offices of Norton Rose Fulbright in New York City, members held meetings and also heard from great education panels. Read on for highlights for this particular session. Tyler Scott and Scott Davis, Partners at Husch Blackwell, along with Lisa Simon, Vice President at … [Read more...] about Emerging Risks and the Legalization of Marijuana
Regan Shulman (Vice-President and Deputy General Counsel of Arch Insurance Company) and Michele Jacobson and Robert Lewin (both Partners at Stroock) discussed the historical issues that insurance companies have faced in relationships with program managers and offered practical solutions on how to manage those relationships productively. The panel began by reminding attendees … [Read more...] about Lessons from the Front: Managing the Program Manager
Jake Acosta of EY presented insights on the future of claims. Acosta explained that, in early 2016, EY conducted research to understand where claims operations are headed. EY’s research included interviews with executives at commercial insurers, industry analysts, and FinTech leaders. EY’s research revealed six key drivers of change in the industry. Decreasing Claims … [Read more...] about The Future of Claims
Years ago a large global insurer, working to grow its book and establish a presence in a new market, underwrote a large deductible workers compensation account that, under normal circumstances, might have either been rejected or set at a very high premium with substantial collateral to reduce the insurer’s risk. However, neither occurred because the carrier was anxious to … [Read more...] about Your Deal: Large Deductible Programs