6th Annual National Workers' Compensation ExecuSummit
This summit is a day and half of high-impact sessions with a 360-degree view of emerging issues, strategic intelligence, case studies, examples of success, trends and developments in Workers' Compensation Insurance.

Topics Include:

Listen, Learn & Discuss:

Mega-Trends Influencing the Workers’ Compensation Insurance Industry: Challenges Amid the Economic Crisis

Robert P. Hartwig, Ph.D., CPCU
President
Insurance Information Institute

This presentation will focus on the state of the workers compensation line of insurance.
  • Impact of U.S. economic crisis on Workers’ Comp
  • Current market conditions, pricing, trends, underwriting and profitability.
  • Emerging Risks – Frequency/Severity.
  • Exposure growth.
  • Impact on Regional Payrolls.
  • Downturn on claims. Will certain claims come up more?
  • Will more claimants hang out in disability?
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Workers Comp Fraud:
The Latest Trends in How to Take Your Money

Rebecca S. Busch RN, MBA, CCM, CHS-III, CFE, FHFMA
President and CEO
Medical Business Associates, Inc.

This session will provide an overview of frauds from providers to organized crime, including a case study on techniques to evaluate medical records and data mining considerations that should be part of any waste fraud and abuse program.

Ms. Busch is author of two books "Electronic Health Records: An Audit and Internal Control Guide" and "Healthcare Fraud: Auditing & Detection Guide"

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Workers’ Compensation Market:
A Reinsurer’s perspective

Gerard Finley
Vice President
Munich Re America

This presentation will focus on the key drivers and challenges of the Workers’ Compensation Market.
Listen, Learn & Discuss:

The importance of understanding:

  • Client operational capability (underwriting, claims, reserving).
  • Client portfolios (including the states and classes).
  • Client willingness to share risk as well as data issues.

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Workers’ Compensation:
Recovery Opportunities in Medical Malpractice?

Anthony P. Gentile
Partner
Godosky & Gentile

This presentation will focus on how to identify when the error of a medical professional might have caused you to pay additional compensation benefits and how to identify a medical malpractice recovery opportunity.

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How To Avoid Medicare Disasters When Settling Workers' Compensation and Liability Cases

James E. Pocius, Esquire
Shareholder
Marshall, Dennehey, Warner, Coleman & Goggin

Listen, Learn & Discuss:

  • Two Medicare Problems:

1. Conditional payments.
2. Future liability.

  • Medicare Is Always A Secondary Payer:
1. Workers' compensation.
2. Liability.
  • Medicare Set-Asides For Workers' Compensation:
1. Review parameters.
2. Approval.
  • Medicare Set-Asides For Liability:
1. SCHIP Extension Act reporting requirements.
2. No review parameters.
  • Practical Tips:
1. First question in settlements must be is Plaintiff Medicare eligible.
2. Check with MSPRC regarding conditional payments (90 day delay).
3. Obtain set-aside estimate and approval, if necessary.
4. Make sure settlement documents reflect resolution of any Medicare issues.

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Workers Compensation Fraud:
Cost Drivers Past , Present and Future

Donald T. DeCarlo
Law Office of Donald T. DeCarlo
Chairman/President
The American Society of Workers’ Comp Professionals, Inc.

Employers fraud is touted as the most costly category of workers compensation fraud, what are the cost drivers in this area of Fraud?

Listen, Learn & Discuss:

  • Employee and vendor fraud receive the majority of publicity, what are the related cost drivers?
  • Solutions to fraud in the workers compensation system are both legislative and practical, what is working and what is not.
  • Can anything more can be done to control fraud in the workers compensation system?
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How Well do Workers' Compensation Systems
Serve Workers and Employers?

Richard A. Victor
Executive Director
Worker’s Compensation Research Institute

Workers compensation systems were design to meet the needs of injured workers and their employers. Medical care is central to meeting these needs.  Workers value access to quality care that leads to the best possible recovery of the health, prompt and sustainable return to work and an adequate wage, and a process that is timely and predictable. Employers value affordable care -- prices that are competitive, and care that is necessary to  produce good worker outcomes. 

Listen Learn & Discuss:

We will examine how different state systems rank in delivering value to injured workers and their employers.

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Do you know what’s coming?
The world of workers’ comp is about to change.

Joseph Paduda
Principal
Health Strategy Associates

Listen, Learn & Discuss:
  • Will there be health care reform – and how will it affect workers’ comp?
  • The external drivers affecting workers’ comp.
  • How Medicare affects work comp.
  • Your cost-savings programs may actually be driving medical costs up.
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Controlling Rising Pharmacy Costs in Workers’ Compensation

Maria Sciame, PharmD, CDE, RRT
Director of Clinical Services
PMSI

Listen, Learn & Discuss:

  • Identify the key drivers of pharmacy spend increases.
  • Demonstrate the impact of price vs. utilization on those increases.
  • Identify controllable cost drivers that can be influenced by an effective partnership with your PBM.

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Recent Strategies and Considerations for Handling Workers' Compensation Cases Involving Undocumented Workers

Richard A. Watts
Partner
Swift, Currie, McGhee & Hiers, LLP

Listen, Learn & Discuss:

  • A historical discussion of the interplay between state workers' compensation laws involving undocumented workers and the Immigration Reform and Control Act of 1986.
  • An update on new case law and strategies employed in undocumented worker cases across the United States.
  • Litigation techniques and concerns that are encountered in cases involving undocumented workers.
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Vital tools, strategies, techniques & contacts
you can take away with you AND




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