Insight, analysis & opinion from Joe Paduda
Search Results for: single payer
California’s going to have a work comp drug formulary
And that is good news indeed. WorkCompCentral reported this morning that the state legislature passed the enabling bill late yesterday; the Governor will sign it. California will join four other states that have formularies in place today, and it is … Continue reading California’s going to have a work comp drug formulary
Read More...I don’t get Examworks
More accurately, I do understand their business, what I don’t understand is how the company’s stock can trade in the mid-thirties. And that’s because I do understand the market, their services, and the growth or lack thereof, and I just … Continue reading I don’t get Examworks
Read More...Integrated services vs Choice – how do you want to buy work comp medical management services?
A prominent issue for many work comp payer execs is the continued consolidation in the medical management space; as the big get huge, there are fewer and fewer choices for payers to turn to. The big, multi-product/multi-service companies tout the … Continue reading Integrated services vs Choice – how do you want to buy work comp medical management services?
Read More...Work comp drug trends; Coventry’s report
Coventry’s work comp PBM – First Script – released their drug trend review last week; they’ve taken a bit of a different tack than other PBMs, choosing to report broadly across all scripts while differentiating between “managed” (in-network retail/mail and … Continue reading Work comp drug trends; Coventry’s report
Read More...Fraud? Abuse? Ignorance?
I promise your eyes will NOT glaze over – but you need to know what’s going on in the arcane world of procedure coding. Why? Because your PT costs may be $15-$19 per visit higher than they should be. And … Continue reading Fraud? Abuse? Ignorance?
Read More...Thanks for…
I wanted to do a post on all the things work-related I’m thankful for – but there aren’t enough pixels to include them all. So, here are the top few. Most of the people in the work comp industry are … Continue reading Thanks for…
Read More...The Good, the Bad, and the Ugly
Who else but Clint Eastwood could fairly describe the current state of the workers’ comp services industry’s relationship with its employees. People like Sandy Blunt, Mark Walls, John Plotkin (and many others) and a few service companies are the Good; … Continue reading The Good, the Bad, and the Ugly
Read More...Medical marijuana in work comp – take a deep breath, folks…
Sorry, no pun intended. Not suggesting you inhale, but rather take a step back before you get all excited about a single court case. Finally, there’s an actual real live bona fide true factual documented report of medical marijuana (MM) … Continue reading Medical marijuana in work comp – take a deep breath, folks…
Read More...Big data in work comp – no panacea
There’s so much excitement about big data and the potential for it in work comp that it would be all to easy to forget some basics. The law of small numbers chief among them. Work comp accounts for a tad … Continue reading Big data in work comp – no panacea
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