Listen, Learn & Discuss:
Robert P. Hartwig, Ph.D., CPCU
President
Insurance Information Institute
- 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?
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.
Ms. Busch is author of two books "Electronic Health Records: An Audit and Internal Control Guide" and "Healthcare Fraud: Auditing & Detection Guide"
Workers’ Compensation Market:
A Reinsurer’s perspective
Gerard Finley
Vice President
Munich Re America
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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Recovery Opportunities in Medical Malpractice?
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:
2. Liability.
- Medicare Set-Asides For Workers' Compensation:
2. Approval.
- Medicare Set-Asides For Liability:
2. No review parameters.
- Practical Tips:
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.
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?
How Well do Workers' Compensation Systems
Serve Workers and Employers?
Richard A. Victor
Executive Director
Worker’s Compensation Research Institute
We will examine how different state systems rank in delivering value to injured workers and their employers.
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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.
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.
you can take away with you AND


