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Peter Rousmaniere
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Columnist
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2009-03-03
How to Winnow the Pool
How to Winnow the Pool | Risk & Insurance |
Out of thousands of worthy doctors, how do you pick the few to include in a medical provider network, if you're going to pay attention to quality?
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2009-01-01
The Need to Think
The Need to Think | Risk & Insurance
Beware the 8-4-3 agony index! The index is a thermometer for workers' comp medical costs. Inflation extends into past and future as far as the eye can see.
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2008-12-01
Testing the System
Testing the System | Risk & Insurance
So we have the White House and both houses of Congress controlled by the Democrats for the first time since 1994.
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2008-11-01
This Recession's Silver Lining
This Recession's Silver Lining | Risk & Insurance
Today the financial sector faces distress, which is spreading outward and bringing on worsening recession. What does this all mean to the workers' compensation system?
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2008-10-15
High Tech Sleuthing
High Tech Sleuthing | Risk & Insurance
The adjuster on the file noticed a few red flags. The claimant's soft tissue injuries lingered longer than typical for the nature of his injuries. He rarely was at his Florida home when the adjuster attempted to contact him.
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2008-10-01
A Stimulating Debate
A Stimulating Debate | Risk & Insurance
Differences in opinion about a costly medical procedure have riven the medical community, set treatment guidelines partly against one another, and are giving headaches to workers' compensation insurers.
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2008-09-15
A Fishy Deal
A Fishy Deal | Risk & Insurance
The rise in home heating costs in northern states this coming winter will drive some households over the financial brink. We are looking at a doubling of residential oil costs over a one or two-year period. What's this to do with workers' compensation?
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2008-09-01
Strengthening a Covenant
The share of the American workforce filled by foreign-born workers has increased from one in 10 in 1990 to one out of six in 2006. Immigrants thrive here as workers because labor shortages exist along a broad expanse of jobs. Close to half of the software engineers in this country are foreign-born.
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2008-08-01
The Insurance Entrepreneur
"Everyone who believes in the normal distribution of risk will be destroyed if she or he lives long enough," so a property/casualty actuary told me recently. Readers, take heed. We are in a balmy season of the market where it is difficult for a workers' compensation insurer to get into trouble. But that will not be so forever.
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2008-07-01
An Honorable System No More
Lynn Szymoniak, a former executive for the National Council on Compensation Insurance, has developed a legal specialty in rooting out abuses by both employers and insurers. Speaking to an audience in South Carolina, she estimated that 20 percent of the state's payroll is not covered by either insurance or self-insurance for workers' comp.
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2008-06-01
New Edition, New Controversy
Tens of billions of dollars are tied up in workers' compensation claims for which a physician makes a formal determination of permanent impairment. A new edition of the publication that guides impairment examiners is a big event.
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2008-05-01
Truth in Advertising?
It's time for truth in advertising about how insurers recruit doctors into provider networks. Last October CIGNA, the health insurer, signed a settlement agreement with Andrew Cuomo, New York state's attorney general, about how CIGNA ranked doctors.
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