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Sharing information with the industry is an important part of our mission. Our subject matter experts translate today’s news into comprehensive informational pieces to help you better understand the impact of a recent industry update, trend, or issue.

March 07, 2024 · Public Policy & Regulatory Affairs Team
AAPAN VP for Government Affairs Lisa Anne Hurt-Forsyth chats with the Policy Guys about how AAPAN engages with state lawmakers and administrators to develop, debate, and deliver meaningful and effective workers’ comp policies. Read more...
March 04, 2024 · Public Policy & Regulatory Affairs Team
The California Division of Workers’ Compensation (DWC) proposed significant rule changes in the final phase of integrating its workers’ comp pharmacy reimbursement process into the state’s Medicaid (“Medi-Cal”) pharmacy reimbursement structure. Read more...
February 28, 2024 · Public Policy & Regulatory Affairs Team
California corrects drug formulary, Kentucky introduces several work comp bills, Wisconsin bill would establish a work comp medical fee schedule, New York enhances prior auth portal, several other states introduce work comp firefighter coverage and presumption bills, and New Mexico eyes study on treatment with mushrooms Read more...
February 07, 2024 · Public Policy & Regulatory Affairs Team
California and Ohio update their work comp drug formularies, while New Jersey expands presumptive coverage for first responders and introduces several new work comp and auto no-fault bills. Read more...
January 29, 2024 · Medicare Insights Team
Recent CMS webinar clarifies final rule on civil money penalties for Non-Group Health Plans, describing the triggers for reporting and the auditing process, emphasizing that RREs are required to report claims and that the penalties apply only to prospective claims, and distinguishing between informal and formal notices. Read more...
January 25, 2024 · Optum Workers' Comp and Auto No-Fault
Stacey McKee has always championed excellence in customer service. With over two decades of managed care, account management, and sales experience, Stacey knows that each client faces varied and specific challenges. Read more...
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