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States Pass COVID-19 Liability Limitations

...injury or damages. However, this immunity does not extend to workers’ comp benefits. Executive Order 20-34 authorizes all licensed and certified healthcare providers to provide services in their normal course of...
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Psilocybin and Ketamine Therapy Bills Introduced Across the Country

...underserved communities. It also establishes licensing for manufacturing and distribution while preventing unauthorized use and interstate diversion. If enacted, the bill would take effect immediately. New Hampshire House Bill 528...
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Arizona Proposes $300 Topical Prescription Cap

...the cap, the dispensing pharmacy must submit specific clinical rationale certified by the treating provider showing that the medication is reasonably required for adequate treatment of the injured worker and...
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Illinois Enacts New UR and IME Requirements

...diligence in obtaining records needed to complete the review Noncompliance may create rebuttable presumptions supporting delay penalties and attorney fee awards. Employers, payers, and utilization review organizations must comply with...
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Utilization of Opioid Use Disorder Medications

...cannabis use disorder. The numbers reported by JAMA are liable to change in the coming years, as access to medications for OUD, such as buprenorphine, could increase. Efforts from a...
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FDA Approves New Opioid, Dsuvia

...to address use-related errors. In fact, the head of the FDA’s advisory committee on painkillers argued the drug would likely worsen the opioid crisis. According to the FDA-approved label, Dsuvia...
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Pennsylvania Proposes Cannabis Reimbursement Bill

...be required to reimburse qualifying payments up to $250 per month for medical marijuana obtained for certified medical use. Insurers would be required to establish a system to reimburse qualifying...
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Marijuana Reimbursement Initiatives See Signs of Life

...bill now sits with the Labor and Workforce Development Committee, Meanwhile, the Pennsylvania Commonwealth Court recently overturned two previous decisions made by the Pennsylvania Workers’ Compensation Appel Board which denied...
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California Vetoes UR Doctor Licensing Bill

Doctors performing utilization review for private employers will not have to be board certified....
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New York Restricts Mental Health Presumption to First Responders

...technicians, paramedics, emergency dispatchers, and other certified emergency medical personnel. The law also redefines qualifying conditions, covering only mental injuries resulting from a “work-related emergency” rather than general workplace stress....
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Our Brand

A Simple Brand. For a Simple Mission. We are committed to partnering with our customers to overcome their greatest healthcare challenges and we continuously innovate to provide the best technology and the...
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Florida Advances AI Oversight in Insurance and Work Comp Claims

...or insufficiently individualized decisions, particularly in health and workers’ compensation cases. Committee amendments removed the term “algorithm” to clarify that the bill targets claim decision-making rather than underwriting or general...
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The Injured Worker: An Essential, Sometimes Overlooked Partner in Improving Pharmacy Network Utilization

...in these states even market aggressively to specific occupation types, like first responders. The Injured Worker’s Role in Their Care Patients as a stakeholder hold the greatest individual level of...
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New York Governor Vetoes Increase to Prior Authorization Thresholds

...This included specialist consultations, surgical operations, therapy, X-rays, and advanced diagnostic tests. Those in favor of the bill claimed that it would reduce unnecessary delays in routine tests and procedures,...
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Flurry of States Eye Updates for Cancer and PTSD Presumptions

...to include three additional forms of cancer under workers’ comp. If passed, the existing cancer presumption would expand to cover bladder cancer, mesothelioma, and testicular cancer. Furthermore, the state’s current...
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