WCRI Conferences & Seminars
 

Link to Conference Registration Page                    Back to Conference Information Page

 

Theme: Understanding Today to Prepare for Tomorrow

 

AGENDA

Thursday, March 10, 2016

8:45 am – 9:00 am     WELCOME AND INTRODUCTION TO THE CONFERENCE

Mr. Vincent Armentano, The Travelers Companies, Inc. — Chair, WCRI Board of Directors
Dr. John Ruser, WCRI — President and CEO
                                                           

9:00 am – 9:45 am     IMPACT OF FEE SCHEDULES ON CASE-SHIFTING IN WORKERS' COMPENSATION

This session explores to what extend do higher workers' compensation reimbursement rates influence the medical provider classification of an injury as work-related or not.  Currently, forty-three states have fee schedules that set maximum prices for health care providers to be paid.

Dr. John Ruser, WCRI

9:45 am – 10:25 am    COMPARING WORKER OUTCOMES ACROSS STATES

WCRI's survey of injured workers in 12 states identified new predictors of worker outcomes to help public officials, payors, and health care providers improve the treatment and communication an injured worker receives after an injury—leading to better outcomes. In this session, we will be sharing new research on more states and, for the first time, make interstate comparisons across a number of important measures, including access to care, satisfaction with care, recovery of function, and others.

Dr. Bogdan Savych, WCRI
Dr. Vennela Thumula, WCRI

10:25 am – 10:45 am   Networking Break

10:45 am – 11:30 am   MEDICAL REVIEW AND MEDICAL DISPUTE RESOLUTION IN CALIFORNIA WORKERS' COMPENSATION

The how/what/when/where and why debate over medical care delivery to injured workers continues to grow more complicated and contentious. Media stories asserting wholesale denial of care, complex regulations and court challenges, intersections with group health and federal programs pegged against a backdrop of high opioid use, questionable surgeries and other services have added friction and challenges in determining how a workers' compensation system decides what is and what is not appropriate quality care. This session will provide data and the back-story of medical review and dispute resolution through an end-to-end analysis of how medical requests move through the California system.

Mr. Alex Swedlow, California Workers' Compensation Institute (CWCI)

11:30 am
– 12 noon    CROSSING STATE LINES FOR MEDICAL CARE

This session will examine potential factors behind a phenomenon observed for injured workers who lived and worked in New York City—they were increasingly more likely to receive ambulatory surgical services in New Jersey. We show that these trends may reflect the design of New York's workers' compensation fee schedule for medical services.

Dr. Bogdan Savych, WCRI


12 noon – 1:30 pm     LUNCHEON

1:30 pm – 2:45 pm     OPT OUT PANEL 1

Supporters of opt out assert that it saves companies money be removing bureaucracy and providing better medical care. Opponents argue that opt out results in lower benefits and more restrictions for workers, and lacks transparency and independent oversight. The purpose of this panel will be to define what opt out is and is not.

Mr. Trey Gillespie, Property Casualty Insurers Association of America (PCIAA)
Mr. Bill Minick, PartnerSource

2:45 pm – 3:05 pm     Networking Break

3:05 pm – 4:20 pm     OPT OUT PANEL 2

There are many questions surrounding the issue of opt out, which is why WCRI has devoted two panels to discuss it. The purpose of this panel will be to discuss opt out for the benefit of the audience by inviting four people (two for opt out and two for the existing system) to share their perspectives.

Mr. Bruce Wood, American Insurance Association (AIA)
Ms. Elizabeth Bailey, Waffle House, Inc.
Mr. Alan Pierce, Workers Injury Law & Advocacy Group (WILG)
Mr. James Mills, Oklahoma Insurance Department

4:20 pm – 4:25 pm     ANNOUNCEMENTS AND ADJOURN

5:30 pm – 7:00 pm    
NETWORKING RECEPTION


Friday, March 11, 2016

8:30 am – 9:30 am     STATE OF THE STATES  

Utilizing the latest research from WCRI's Compscope™ benchmarks and medical benchmarks studies, this session will explore the following two topics important to policymakers and other system stakeholders:

  • Indemnity: This session will discuss how system features relative to indemnity benefits impact costs and expenses for Georgia and Kentucky, WCRI's two newest CompScope™ states.

  • Medical Trends: We will analyze state trends in medical since 2009 and the legislative and regulatory actions taken by a sample of states.

  • Ms. Carol Telles, WCRI
    Dr. Rebecca Yang, WCRI
    Ms. Molly Flanagan, WCRI

    9:30 am – 10:30 am    GEOGRAPHIC VARIATIONS IN HEALTH CARE

    This session will explore the factors that lead to noticeable variations in medical treatment across states, both in workers' compensation and group health, using research from NCCI, WCRI, and The Dartmouth Institute for Health Policy and Clinical Practice. The wide variation cannot be explained simply by differences in the types of cases that are treated across states. Without differences in outcomes, these variations are often considered signs of inefficiency in the delivery of care.

    Mr. Barry Lipton, National Council on Compensation Insurance (NCCI)
    Dr. Jon Lurie, The Dartmouth Institute (TDI)
    Dr. Olesya Fomenko, WCRI
       
    10:30 am – 10:50 am   Networking Break

    10:50 am – 11:35 am   THE SHARING ECONOMY'S IMPACT ON WORKERS' COMPENSATION

    The sharing economy is revolutionizing how the world thinks about work and the workplace. This session will examine the technology, demographics, legal framework, and regulatory structure of the sharing economy in the context of workers' compensation, along with additional implications arising from the Internet of Things.

    Dr. Robert Hartwig, Insurance Information Institute (III)

    11:35 am – 12:20 pm   PHYSICIAN DISPENSING AND INTERSTATE VARIATIONS IN OPIOID USE

    WCRI's groundbreaking research found that after 18 states enacted reforms to limit the prices paid to doctors for prescriptions they write and dispense, physician-dispensers in Illinois and California discovered a new way to  continue charging and to get paid two to three times the price of a drug when compared with what pharmacies are paid. In this session, we will be sharing new research that shows this trend is expanding to other states.

    Ms. Dongchun Wang, WCRI
    Dr. Vennela Thumula, WCRI

    12:20 pm – 12:30 pm   CONCLUDING REMARKS

    Ms. Ramona Tanabe, WCRI

     

    955 Massachusetts Avenue    Cambridge, Massachusetts 02139    617-661-WCRI (9274)

    about WCRI  |  what's new  |  search our studies  |  order our publications  |  view WCRI benchmarks  |  members only
    Join WCRI  | Conferences & Seminars  |  Media Information  |  Contact Us  |  Site Map