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Pharmacy Formulary Debate Pits Two Bills Against Each Other – ODG vs. Louisiana-specific

Two closed pharmacy formulary proposals have been filed so far in this year’s Regular Session, which began April 10th and concludes June 8th. One measure, HB 592 by Representatives Talbot, Barras, Davis and Lance Harris, requires the use of the Work Loss Data Institute’s Official Disability Guidelines (ODG) Appendix A. The other, HB 529 by Representative Broadwater, does not require the Louisiana Workforce Commission to implement any specific formulary, but rather, would more broadly ask the LWC and Office of Workers’ Compensation Administration (OWCA) to create one with input from a range of system stakeholders.

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Comp in the Capitol: Start Your Engines

Much like last year’s session, workers’ compensation as a target for lawmakers’ goals appears to be taking a backseat to the state’s ever-looming budget woes. However, several bills have been filed that could impose a pharmacy formulary and restrict opioid prescribing. Stick with Louisiana Comp Blog for full coverage of comp-related happenings until the Session ends on June 8th.

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April Comp in Focus Luncheon Drills Down on Employer Fraud

At Louisiana Comp Blog’s April “Comp in Focus” luncheon at Antoine’s in New Orleans yesterday, Louisiana Workforce Commission (LWC) attorney Darrick Lee addressed the details of employer fraud enforcement at the agency.

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Boost Rehab Functional Restoration Program: What is it and how can it benefit tough claims?

Louisiana Comp Blog reached out to the practitioners that founded Boost Rehab in Metairie – Aaron Wolfson Ph.D/Clinical Director and Kevin Bianchini Ph.D/Director of Psychology – to get their perspective on how and why functional restoration works.

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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.

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Essential Updates: Comp Medical News for March 2017

Welcome to this month’s edition of Comp Medical News. Overdose deaths in Orleans Parish, hospital waste, and the link between poor diet and a wide range of chronic disease are your headlines.

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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.

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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.

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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.

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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.

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