Irrespective of overwhelmingly positive data published on appropriate UR decisions, the UR process becomes a target of criticism. Largely driven by a lack of understanding, a push to unravel this layer of protection for injured workers persists. The overutilization of unnecessary medical care is not a benefit, it is a risk. Here are my thoughts on how the King case may motivate this movement come next year’s legislative session.
WC State Regulation
The Narrative of Workers’ Compensation is Changing
Tragedy has a way of spurring unexpected outcomes bringing people together from all walks of life and disciplines. Here are my observations on the paradigm shifts happening throughout workers’ compensation partly due to the global tragedy that is the opioid epidemic.
Complacency or Complexity: California UROs Crawl to Accreditation
Another important July 1st deadline has come and gone for the California workers’ compensation community. As of mid-June, nearly half of California’s Utilization Review Organizations had yet to complete the accreditation process required by newly modified Labor Code section 4610(g)(4). Is the crawl to compliance due to a complacent system culture or a costly and complex accreditation process?
The Crux of the Opioid Epidemic
The crux of the opioid crisis is in unchecked, inappropriate prescribing habits. Absent of comprehensive medically responsible prescribing standards, today’s opioid issue has the potential to evolve into another prescription drug crisis. Are narrow legislative bills enough to keep injured workers safe and encourage a paradigm shift among prescribers?
It’s About Time the Feds Focus on States’ Success in War on Opioids
The U.S. House of Representatives has held numerous information-gathering meetings. The divide that exists between state and federal government has never been more clear as the feds turn their focus on the success that state workers’ compensation systems are having in the war on opioid abuse. But, are all aspects of the crisis being considered?
Beyond Pennsylvania Politics
Pennsylvania, who is hosting one of the fiercest battles in the war on opioids, will not adopt a nationally recognized evidence-based medicine drug formulary. Is this the outcome of Pennsylvania politics, the right move to preserve the doctor to patient relationship?
WorkComp Needs Quality Measures for Clinical Practice Guidelines
The importance of the National Guideline Clearinghouse™ (NGC) cannot be validated by someone continuing the work. Its importance was established in 2008 by U.S. Congress. Without appropriate oversight in the development of this content, anything might be called “quality” imperiling the well-being of injured workers. Here is my take on why “WorkComp Needs Quality Measures for Clinical Practice Guidelines”.
The Worker Advocate
Sitting in a crowded legislative committee and listening to parties debate a bill inspired me to ask myself a very important question: When all is said and done and my actions are measured, am I truly a worker advocate? The… Read More ›
Are more Americans suicidal because of opioids?
Is there a correlation between America’s increased #Suicide rates and the #OpioidEpidemic? The negative effects of inappropriately prescribed #Opioids on public health are multiple. However, the data shows that there is a promising #PatientCentric solution that is highly effective in preventing the inappropriate first exposure to opioids for #Patients.
The Opioid Epidemic Deserves More than a Closed Formulary
The national #WorkersCompensation community is at risk of losing the plot of the #OpioidEpidemic. The assault against opioid abuse may be relying too much on over-simplified medicine. It is essential to expand the conversation to emphasize the importance of the overall care of a patient and improve the tracking of health outcomes. The discussion can no longer be just about drugs and potential savings.