For more than a decade, Carlos Luna has been a trusted adviser to shareholders and stakeholders in claims, utilization review, managed care, insurance, and government agencies. His consultation focuses on effectively incorporating Evidence-Based Medicine (EBM) content and tools into the Workers’ Compensation clinical and claims workflows to achieve improved healthcare, return-to-work, and financial outcomes.
A recognized thought-leader on national workers’ compensation issues, Carlos’ blogs have been published by industry-leading publications such as WorkCompCentral, WorkCompWire, Insurance Business Magazine, Louisiana Comp Blog, and more. He was named a “New Leader in Workers’ Compensation” by WorkCompWire in 2017 and was featured as LegalNetInc.com’s “Thursday Thought Leader” in 2018.
A regular speaker on regional and national workers’ compensation conference circuits, he has become a guiding voice within key regulatory focused associations such as the International Association for Industrial Accident Boards (IAIABC) and the Southern Association of Workers’ Compensation Administrators (SAWCA).
Engaging Regulatory and State Workers’ Compensation representatives has been commonplace throughout Carlos’ career. He has played an integral role in assisting regulatory agencies throughout the country to disseminate training and compliance programs to maximize user adoption of EBM content and tools and reduce overall friction on the system in each jurisdiction.
Carlos is passionate about establishing a balanced workers’ compensation system that benefits all of its stakeholders.
Regulating the use of evidence-based medicine standards by state jurisdictions tends to polarize workers’ compensation stakeholders – sometimes for good reason. However, an important attribute that is evident in a well-developed medically responsible EBM standard can be easily overlooked: EBM guidance may not always be unequivocal.
The data is clear. The impact that EBM has on improved health outcomes in workers’ compensation is overwhelmingly positive. Continue reading to get my take on why it is counter-productive to use the content out of context.
I had the humbling opportunity to write a piece for @WorkCompCentral’s #WorkCompWorld blog earlier this week. The theme is #PatientEngagement in #WorkersCompensation. Be sure to read the blog and share your thoughts on why, or why not, the industry is on the right track in this area. Please limit your remarks to #PatientEngagement as it pertains to #WorkComp.
As an aside, I’m ecstatic that the #CompLaudeGala is just a few days away. @ReedGroup is a sponsor of the #InjuredWorkerScholarship this year. I cannot wait to speak with as many #Patients / #Workers as possible. If you’re planning on attending the event, please help point me in the right direction! See you there!
In the Workers’ Compensation system, variances from one state to another seem endless. The source of variability is often the disparity in resources available to state regulators across jurisdictions. Is it reasonable to suggest that the varying availability of resources from state-to-state present limitations for regulators in their pursuit to appropriately research prospective public policy that will improve system outcomes?
Would establishing national standards help level the playing field for states having to make due with less available resources?
#California’s success in removing friction from its #WorkersCompensation system hinges on all of the state’s stakeholders committing to work from the same standards and speaking the same language. Anything short of this type of cooperation is both counter-productive and an affront toward the collective effort to produce #ImprovedHealthOutcomes for California’s #InjuredWorkers.
La inspiración lleva a la gente a hacer cosas increíbles, a veces cosas atípicas. En raras ocasiones, la inspiración mueve a la gente en su núcleo y activa el comportamiento y la creencia, que no es característico para ellos. Cada… Read More ›
The challenges experienced in the care and claim continuum are plentiful and very difficult to navigate. Providers, insurers, employers, and employees deserve content measured and deemed trustworthy according to non-bias standards to guide injured workers to recovery.
With the deep knowledge base and hands on experience of how quickly a workers’ compensation claim can go into free fall toward catastrophic health and recovery outcomes for the injured worker, why aren’t more “thought-leaders” challenging the status quo to identify inadvertent, or in some cases intended, consequences in their respective areas of expertise? Let me know your thoughts on “Why Standards Matter”.
As Louisiana HB 592 moves through legislature, Texas’ workers’ compensation system is again the center of national discussion. Texas Commissioner Ryan Brennan doubled down on advocacy for other states to adopt the Texas-model formulary proclaiming it “a model for the nation” and “the inspiration for many other states’ proposed formularies” citing improvements in return-to-work, medical costs and access to care. Surely, a system as unique as Texas relies on more than a binary list of drugs to accomplish the outcomes documented in its 2016 biennial report. Here is “The Truth Regarding Outcomes in Texas and the Guideline Never Discussed”. Due to reference of the Texas Labor Code, I welcome feedback specifically from the legal community on this piece.
The debate in Louisiana on a drug formulary continues. While HB 592 is being sent to House floor for a vote early next week, HB 529 remains in waiting. Here are my thoughts on why the Texas-model may not produce the expected results in Louisiana.
Is the Agency for Healthcare Research and Quality’s National Guideline Clearinghouse still relevant? Read my latest write-up on this very important subject published in the Louisiana Comp Blog.
Major Overhaul Planned for MTUS The California Department of Industrial Relations Division of Workers’ Compensation (DIR DWC) continues to demonstrate its commitment to improving the quality of medical care available to ill or injured workers in the state by announcing that all MTUS… Read More ›