Insight, analysis & opinion from Joe Paduda

< Back to Home

Mar
7

NY Comp reform is reality…almost

Workers comp reform is moving thru Albany at blinding speed. The state Senate and Assembly both passed the reform bill unanimously, a previously unheard-of accomplishment for an issue that has been so contentious.


The key parts of the bill are an increase in the maximum and minimum weekly indemnity payments, stronger enforcement provisions, the termination of the Second Injury Fund, and a limit on duration of TTD benefits.
My sense is some of the less-publicized elements may end up having just as much impact. For example, the bill calls for premium credits for employers utilizing loss prevention programs, return to work programs, and/or alcohol and drug prevention. Many injuries, especially involving motor vehicles, involve substance abuse, so the latter provision may result in a significant payoff.
Left a bit up in the air are details surrounding the use of medical guidelines and a provision ensuring claimants have more access to imaging services. Diagnostic imaging has been one of the only bright spots in applying managed care in the state; we’ll be looking closely to see if this is actually a set back.
A panel has been tasked with identifying medical guidelines by the end of the year; this could be a major win in a state where the treating physician seems to be accorded all-knowing status.


Joe Paduda is the principal of Health Strategy Associates

SUBSCRIBE BY EMAIL

SEARCH THIS SITE

A national consulting firm specializing in managed care for workers’ compensation, group health and auto, and health care cost containment. We serve insurers, employers and health care providers.

 

DISCLAIMER

© Joe Paduda 2024. We encourage links to any material on this page. Fair use excerpts of material written by Joe Paduda may be used with attribution to Joe Paduda, Managed Care Matters.

Note: Some material on this page may be excerpted from other sources. In such cases, copyright is retained by the respective authors of those sources.

ARCHIVES

Archives