Top tips for employers that offer self-funded health benefit programs

by Bethan Moorcraft 06 Apr 2020Health reform in the United States has led to a significant increase in the number of employers that offer self-funded health benefit programs. As self-insured plans are generally free from state-governed insurance requirements, employers are able to provide more flexible and tailored coverage, which could result in cost savings. However, self-funding also comes... Read More

What’s the state of work comp “managed care”?

Posted by Joe Paduda on Thursday, June 3rd, 2021 | Comments I spend a lot of time in the weeds, digging intofacility reimbursement details,evaluating COVID infection rate studies,identifying new work comp scams,figuring out if WC claims will increase,railing at insurers and TPAs that aren’t doing what they should be,studying the impact of pharmacy on work comp claim reserves andall manner of... Read More

Worker comp payers – hold on to your purses and wallets

Posted by Joe Paduda on Thursday, February 25th, 2021 | CommentsTwo news items hit the virtual desk this morning; hospitals will lose more than $50 billion this year, and consolidation among hospitals and health systems is continuing, isn’t improving quality, and is increasing health systems’ leverage over payers.The bad awful financial picture for hospitals... Read More

President’s Executive Order on Protecting Worker Health and Safety

President’s Executive Order on Protecting Worker Health and SafetyNo later than February 4, 2021, the Secretary of Labor shall issue revised guidance to employers on workplace safety during the pandemic.The Secretary of Labor shall consider if emergency temporary standards on COVID-19 are necessary and if so, issue them by March 15, 2021.Identify short, medium, and long term changes required to... Read More

COVID’s impact on workers’ comp

COVID’s impact on workers’ compPosted by Joe Paduda on Friday, January 15th, 2021 | CommentsPremiums and injury claims are way down; profits remain really high.Those are the key takeaways from just-released analyses of COVID’s impact on comp from NCCI and WCRI (WCRI report free to members, fee for non-members).That’s also what Mark Priven and I predicted last... Read More

5 Day Guaranteed Turnaround for Workers' Comp Claims

The Reny Company guarantees a  5-day turnaround on all Workers' Comp claims it receives for repricing to Fee Schedule (FS). It will also guarantee 5-day turnaround on Workers' Comp claims sent for discounting in non-fee schedule states. Please contact us for further details .The Reny Company is a privately held, national medical managed care firm, which specializes in designing innovative... Read More

Why Empathy Is Vital at Every Touchpoint in Workers’ Comp

Empathy plays no small role in achieving positive outcomes for injured workers. It's time this "soft" skill is understood as essential throughout the workers' comp ecosystem.By: Elisa Ludwig | December 4, 2020In the midst of a global pandemic and a “new normal” that includes the opioid crisis, isolation, heightened levels of depression and anxiety and financial instability, injured... Read More