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Auto Casualty Article

Third Party Litigation Funding: A Symptom of Deeper Issues in the Legal System

6 MIN READ

In the world of civil litigation, a new player has emerged—third-party litigation funders. These deep-pocketed investors are bankrolling lawsuits they have no direct involvement in, fueling a surge in nuclear verdicts (awards exceeding $10 million) and even thermonuclear verdicts (over $100 million). For workers' compensation and auto insurers, this trend is a ticking time bomb that could lead to skyrocketing claims costs.
Auto Casualty Article

Revving Up Reform: The Future of Michigan’s Auto Insurance

3 MIN READ

In 2019, Michigan enacted a bipartisan no-fault auto insurance reform aimed at reducing the state's notoriously high premiums. Key changes included allowing drivers to choose lower levels of personal injury protection (PIP) coverage, implementing a fee schedule for medical services, and prohibiting the use of certain non-driving factors in rate determination.
Workers' Comp Article

Workers' Compensation Pharmacy Legislative and Regulatory End of Year Recap

6 MIN READ

New regulations, proposed legislation, and notable judicial developments made 2024 a significant year for workers' compensation pharmacy programs. For pharmacy benefit management (PBM) roles, staying on top of these changes is critical for compliance and operational efficiency. Here is a recap of some of the major developments in workers' compensation pharmacy we’re watching as we move into 2025.

Workers' Comp Article

The Heart of the Challenge: The Role of Direction of Care in Managing Workers' Compensation Costs

3 MIN READ

At the core of the drug pricing challenges in workers' compensation is the concept of "direction of care." This refers to the ability of employers or payers to direct injured employees to a specific network of health care providers, including pharmacies.
Workers' Comp Article

Decoding Functional Restoration Programs: Ensuring Accurate Billing Practices

5 MIN READ

Functional Restoration Programs (also known as Functional Rehabilitation Programs or FRP) are like a well-curated menu at a restaurant—designed to help workers' compensation claimants get back to work.

PC360 Article

Workers' comp medical costs stabilizing nationally amid state-level volatility

Curious about medical costs in the workers' comp industry? Check out the latest PC 360 article featuring insights from our Enlyte Medical Price Index (MPI) Report, with expert analysis by Michele Hibbert.
Workers' Comp Article

Safeguarding Medicare's Interests: Strategies and Updates

5 MIN READ

Discover insightful strategies for Medicare compliance, including essential updates on Section 111 reporting and Medicare Set-Asides. Learn best practices to efficiently resolve conditional payments and prepare for 2024 enforcement changes, safeguarding Medicare's interests in claims settlements.
Auto Casualty Article

Georgia Looks to Revise Civil Procedures for Vehicle Accident Settlements

2 MIN READ

In a move to address its high rates of vehicle accident settlements, the state of Georgia has passed new legislation aimed at clarifying and streamlining the settlement process.