Category Archives: Features

Guest Post: Carlos Luna on the National Guideline Clearinghouse and its Relevance

In the following guest post, Carlos Luna, Director of Government Affairs for Reed Group’s MDGuidelines, explores the National Guideline Clearinghouse and whether or not it performs its function – assessing the quality of medical guidelines and improving transparency in the guideline industry. As the Legislature is soon to begin its Regular Session on April 10th and workers’ comp officials anticipate a bill to incorporate the ODG formulary in Louisiana’s system, read on to get Luna’s take on how the National Guideline Clearinghouse could benefit stakeholders across the board.

March WCAC Meeting: MTGs Reform Halted, New Draft Second Injury and OWCA Records Forms

The March meeting of the Workers’ Compensation Advisory Council (WCAC) featured new draft forms for the Second Injury Fund and workers’ compensation claims records, as well as discussion of the latest developments in the Barber case and how the Office of Workers’ Compensation Administration (OWCA) is responding to the pending case.

OWC Director Sheral Kellar on Revamped Employer Fraud Focus

Under the leadership of Executive Director Ava DeJoie, the Louisiana Workforce Commission (LWC) has taken proactive steps to mitigate employer fraud since her appointment in January of 2016. Although workers’ compensation fraud is often thought of as a problem among injured workers receiving undue benefits, there are other underlying issues at play in the employer sphere.

Guest Post: Dr. Douglas Lurie on Work as Medicine

The following guest post is by Dr. Douglas Lurie, a board-certified orthopaedic surgeon with Orthopaedic Associates of New Orleans. In the workers’ comp arena, Dr. Lurie has performed thousands of utilization reviews since the Medical Treatment Guidelines were implemented. He is also the National Medical Director for Propeer, a URAC-certified independent review organization. In this piece, Dr. Lurie explains how return to work can sometimes be the best medicine.

Plaintiffs, OWCA, and Local Voices Respond to Latest Decision in Barber Case

The most recent decision in Barber v. Louisiana Workforce Commission issued a permanent injunction halting parts of the utilization review process under the Louisiana Medical Treatment Guidelines. We reached out to the Office of Workers’ Compensation Administration, the plaintiffs and other local comp experts to get their take on the latest development in this ongoing story.

Significant Changes to MTGs Discussed at February WCAC Meeting

The meeting of the Workers’ Compensation Advisory Council (WCAC) on February 23rd focused almost exclusively on changes to the Medical Treatment Guidelines (MTGs) Title 40, Chapter 23 and 27, as published in a Notice of Intent (NOI) in the February 2017 edition of the Louisiana Register.

Last Scheduled Prevention of Opioid Abuse Commission Meeting Finds Consensus, Formulary Out

The Louisiana Commission on Preventing Opioid Abuse held its last scheduled meeting yesterday at the Department of Health in Baton Rouge. The goal of the meeting was to reach consensus and finalize the list of recommendations from each of the eight topic-specific teams. Malcolm Broussard, Co-Chair of the Commission and head of the Louisiana Board of Pharmacy, led the meeting and emphasized to the members assembled that the body had already passed its deadline and that the Legislature is expecting quick action.

ULM 2017 Risk and Insurance Talent Search Ready to Match Industry with Young Professionals

The University of Louisiana Monroe (ULM) will hold its 2017 Risk and Insurance Talent Search on March 22nd and 23rd on its campus. The event, which aims to help carriers, agencies, brokers, and risk management professionals identify new talent from ULM’s Risk Management and Insurance program, is endorsed by the Professional Insurance Agents, (PIA) Louisiana Surplus Lines Association, (LSLA) and the Independent Insurance Agents & Brokers of Louisiana (IIABL).