Author Archives

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.

  • The Problem with Treatment Guidelines and Drug Formularies

    As discussions about adopting #evidencebasedmedicine guidelines and #drugformularies become more common place throughout the country, it is imperative that the workers’ compensation industry have a good working knowledge of traits present in #trustworthy #EBM – not all guidelines are created equal. Misconceptions exist about the content, and the tools it powers, and who it benefits most. EBM is not primarily for cost containment, it not a license to deny needed care to patients, and it is not one-size-fits all medicine. Let me know your thoughts on how EBM can be better leveraged to improve the quality of care to #injuredworkers.

  • Rethinking Return-to-Work

    If there were a proven way to help injured workers return to health quickly and safely, wouldn’t it be in everyone’s best interest to make it a treatment protocol? Keeping workers employed while they’re recovering from a work-related injury or illness… Read More ›

  • WorkComp’s Unsung Hero

    Today’s workers’ compensation regulatory landscape is populated by requests to standardize the use of prescription drug monitoring technology, evidence-based medicine treatment guidelines, drug formularies, and other modern approaches to Occupational Medicine. All is geared toward minimizing the over-utilization of treatment and… Read More ›

  • Fending Off the Feds

    The Department of Labor’s report on Workers’ Compensation – Does the Workers’ Compensation System Fulfill Its Obligations to Injured Workers– is the subject of much discussion among stakeholders in the workers’ compensation industry. Does the key to much of what… Read More ›

  • There Are No Easy Answers

    Regulators and legislators have the very difficult job of developing and implementing public policy that preserves and protects the best interest of their constituents. For them,there are no easy answers. Respective to medical care in workers’ compensation, evidence-based medicine (EBM)… Read More ›

  • Nation’s Leading Medical Society Releases Position Statement on Drug Formularies in Workers’ Compensation

    The American prescription drug epidemic continues to inspire action across the country by Federal, State, Private, Public, and Not-For-Profit entities. The American College of Occupational and Environmental Medicine (ACOEM) has published a position paper (Download Here) aimed at State Regulators, Medical… Read More ›

  • Caught in the Middle; Choosing Sides

    Living and having my employer’s corporate headquarters based in the great State of Colorado provides a lot of benefits. Being presumed a pot expert, everywhere I go, isnot one of them. The Drug Enforcement Agency’s denial of two petitions to… Read More ›