December 2, The Honorable Marguerite Quinn The Pennsylvania General Assembly 159A East Wing PO Box Harrisburg, PA

Size: px
Start display at page:

Download "December 2, 2013. The Honorable Marguerite Quinn The Pennsylvania General Assembly 159A East Wing PO Box 202143 Harrisburg, PA 17120-2143"

Transcription

1 December 2, 2013 The Honorable Marguerite Quinn The Pennsylvania General Assembly 159A East Wing PO Box Harrisburg, PA Dear Representative Quinn, On behalf of PMSI and the national trade association CompPharma, I am seeking your support for House Bill1846. PMSI specializes in the provision of pharmacy services for the workers' compensation market. Providing both retail and mailorder pharmacy services to injured workers for over 37 years, PMSI is concerned about the impact physician dispensing and the utilization of repackaged drugs has in Pennsylvania. Our concerns not only focus on the rapidly rising costs paid by private employers and taxpayers in the state, but also the marked decrease in injured worker safety. PMSI and CompPharma support your efforts to control the often unnecessary cost driver of physician dispensing and repackaged drugssimilar to public policy changes adopted in numerous states. For these reasons, and others outlined below, PMSI and CompPharma support passage ofhb Background and Cost Impact of Physician Dispensing The purpose of HB 1846 is to reduce workers' compensation system costs by preventing inflated prices by entities that "repackage" the more commonly prescribed drugs and physicians who dispense these medications from their office. HB 1846 makes a simple and sensible change in the existing statute concerning reimbursement for drugs dispensed by doctors to injured workers and does not interfere with the doctor's ability to dispense from their offices in situations deemed as medically necessary. The bill establishes a fair reimbursement for these medications based upon the underlying (or original) National Drug Code for the drug, which is the same process pharmacies use for reimbursement when dispensing the same drugs to injured workers. The practice of physician dispensing involves two parts: the repackager entity and the dispensing physician. First, a drug repackager purchases the drugs from a wholesaler in a fashion identical to retail pharmacies and then repackages them in convenient, "office dispense" sizes for distribution or sale to the dispensing physician. By repackaging a drug, the repackager is able to assign a new NDC to the medication. Along with the newly created NDC, a new Average Wholesale Price (AWP) point is assigned that is often priced by the repackager or dispensing physician well above that of the underlying (same) medication as dispensed by a licensed retail pharmacy provider. At this point, the treating physician will dispense the repackaged medication to the injured worker and charge an amount often ranging from 25% to 300% (NCCI Research Brief Workers' Compensation Prescription Drug Study September 2013) more than the same prescription filled at the retail pharmacy. Additionally, in order to receive future prescriptions or refills, the injured worker must see the doctor who often charges an additional office visit charge to the employer/payor. Allowing such practices to continue unchecked will continue to escalate medical costs.

2 emsi) Retail Dispensing Process Compared to Physician Dispensing and Repackaging Source PMSI RETAIL DISPENSING Pharmacy Standard NDC AWP x FS + f NatiOnal A\W SOurce iaiocai!i!iz"" NDC) PHYSICIAN DISPENSING Phvslcian Office, :n 40 Unique NDC Newly Created AWP x FS + t National AWP Source IOoca n:jii'oc:o8lll0 NOC) Repackaged drugs dispensed in doctors' offices to workers' compensation patients cost significantly more than prescriptions dispensed by a retail pharmacy. In short, some doctors in Pennsylvania are legally charging 5.00 per pill for a drug that (based upon the state fee schedule) costs 5 per pill when billed by a dispensing retail pharmacy. In some states, the practice of physician dispensing prior to cost controls often exceeded 20% of dispensed prescriptions, the practice in other health marketplaces is minimal to nonexistent. A recent National Council on Compensation Insurance (NCCI) Drug study (WCRI WC1339 The Prevelance and Cost of PhysicianDispensed Drugs September 2013) indicates the share of total pharmacy costs for physician dispensed drugs has increased from 6% in 2003 to 1 7% in 2011, with repackaged drugs comprising more than 66% of physician dispensed drug costs, from 5% of total costs in 2007 to 12% in 2011, or an increase of 140%. Even outside the NCCI study, data from companies such as PMSI and organizations like CompPharma tells the same story. Drugs dispensed at the retail pharmacy level, that in workers' compensation are commonly used to control and treat pain remain, are just as common in physician dispensing with a huge differencecost. Drugs such as hydrocodone/ acetaminophen, which cost (on average) per prescription at a retail pharmacy, increase to over 61 per prescription (on average) when repackaged and provided by a physician dispenser. Another commonly prescribed/dispensed drug, oxycodone/acetaminophen, costs (on average) at a retail pharmacy, but explodes to an average of over 197 when dispensed via the repackaging processan increase of202%.

3 si) However, when PMSI was engaging in a similar public policy debate in Florida over Senate Bill 662, it was discovered that Omeprazole, commonly known as Prilosec, was being billed for over 192 per prescription by a dispensing physician yet anyone could purchase a package of 42 pills (brand name) at a retail pharmacy for just As an example of this data, the following was compiled by CompPharma in October of2012. CompPharma Comparison of A WP and Repackaged Drug Pricing Drug Name Avg Tran Cost Avg Paper Cost Difference Percentage HYD~CODON E~ ETAMINOPHEN E~~~~~~A:c~NOPHEN ~ IBUPROFEN CELEBREX GABAPENTIN LYRICA CARISOPRODOL MELOXICAM 1 NAPROXEN LIDODERM CYMBALTA TIZANIDINE HCL OXYCONTIN PROPOXYPHEN EN/ ACETAMI NOP OXYCODON E HCL ZOLPIDEMTARTRATE ALPRAZOLAM DIAZEPAM METHOCARBAMOL lskelaxin [AMITRIPTYLINE HCL CLONAZEPAM I FENTAN_Y_L r =ij rl ~ = [L.=_ ~ ~ ~ '' ' _L ~ ~ ,_j _ ~ ~ _L _ _L % % % % % % % % % % % % % % % % :' % % (1.41) 2.09% % ' % ' (59.30) 30.01% ' % Avg Transaction Cost= Prescription cost using original AWP Avg Paper Cost= Prescription cost using a markedup AWP dispensed from a physicians office 1 AWP =Average Wholesale Price of drug l Note: Payers using a PBM receive a discount on the average transaction cost that is no!_reflected a % r %

4 P.msi) A Clear Need for HB 1846 in Pennsylvania It is undeniable that physician dispensing is impacting system costs in Pennsylvania's workers' compensation marketplace and directly impacting employers and tax payers who pay workers' compensation premiums. This fact is clearly revealed in conversations with not only research organizations such as Workers' Compensation Research Institute (WCRQ and NCCI, but in talking with representatives from the Pennsylvania Bureau of Labor and Industry (BL&I), who are keenly aware of the recent and rapid increase in physician dispensing in Pennsylvania. Just this year, WCRI released a study focused directly on the impact of physician dispensing and repackaged drugs in Pennsylvania (WCRJ WC1323 Physician Dispensing in the Pennsylvania Workers' Compensation System September 2013). The study's findings confirmed that the practice of physician dispensing, specifically repackaged drugs, had reached over 23% of all prescriptions paid and 38% of the total pharmacy spend for injured workers in Pennsylvania. This was an increase of 17% of all prescriptions and 18% of total prescription costs from just three years earlier. The WCRI study examined not only the prevalence of the practice, but the costs to the system, ultimately highlighting higher and rapidly growing prices paid to dispensing physicians for drugs commonly dispensed to injured workers in Pennsylvania. In the time frame of , prices for all drugs were significantly higher per pill when dispensed by a physician than at a retail pharmacy. For example, the average price per pill paid for Vicodin was three times higher, at 1.22 versus 37 per pill at a retail pharmacy. Additionally, the study showed that these price "differences" were not consistent, but varied from physician to physicianfrom 24 to 1.45 per pill when dispensed by a physician versus 6 to 43 per pill when dispensed by a retail pharmacy. Finally, the same study cited above study again showcased an interesting difference specifically for Pennsylvania in the price charged by dispensing physicians for Omeprazole (Prilosec) versus the price charged when dispensed by a retail pharmacy. At present, the Pennsylvania fee schedule for pharmacy transactions sets the maximum reimbursement amount at 110 percent of A WP, which is a reasonable and middleoftheroad reimbursement calculation, given that workers' compensation prescriptions cost more (see CompPharma Study on Workers' Compensation Dispensing in California Rand Study) o dispense and process than a nonworkers' compensation prescription. However, physicians in Pennsylvania, like in other states before implementation of controlling regulation/legislation, continue to dispense repackaged drugs at inflated cost(s) and thus continue to drive up pharmacy costs for all employers in the state. What Can and Should Pennsylvania Do? This issue is not unique to Pennsylvania. The issue of physician dispensing and repackaged drugs remains a pervasive cost driver, fortunately in a shrinking number of states. In recent years, more and more states moved to cap reimbursement associated with the practice, but this has caused acceleration of raising costs in a few states without such controls. After experiencing double digit increases in their drug spend associated with physician dispensing and repackaged drugs, Florida implemented cost certainty controls for physician dispensing and repackaged drugs through Senate Bill 662. In recent years, states such as California, Michigan, Ohio, Tennessee, Indiana, and Delaware adopted regulation/legislation capping reimbursement for physician dispensing and repackaged drugs, using nearly identical language to that in House Bill 1846.

5 Another WCRI study from July 2013 on physician dispensing in the state of Georgia (WCRI WC13 21 Impact of Reform on Physician Dispensing and Prescription Prices in Georgia July 2013) (both pre and post implementation of cost controls) provides good insight into what Pennsylvania may experience. Prior to reform implementation in April of 2011, the state of Georgia had no cost controls or reimbursement caps on physician dispensing and repackaged drugs. According to an NCCI study, in this time period, the average price per pill of the common pain medication hydrocodone/acetaminophen was 1.05 when dispensed by a physicianmore than double the average cost of 46 per pill when dispensed by a retail pharmacy. In the time since reforms were adopted, the average price paid for physician dispensed drugs fell as expected, with prices paid for the most commonly dispensed drugs falling on average between 22% and 36% per pill. Hydrocodone/acetaminophen decreased 36%, from 1.05 per pill to 67 per pill on average. Finally, the number of physicians dispensing and the number of physiciandispensed drugs dropped from 35% prereform to 28% of all prescriptions dispensed by physicians post reform. HB 1846 is not draconian, but simply proposes that prices of repackaged medications be capped at the cost of the original drug used in the repackaging process to bring them more in line with reimbursement for the same medications dispensed by a retail pharmacy. By passing HB 1846, Pennsylvania will join a growing list of states that acknowledges the necessity of physician dispensing and repackaged drugs when medically necessary, but disagrees with the wildly exorbitant cost structures. HB 1846 will align Pennsylvania with the legislative views of 16 other states, including neighbors, Delaware and Ohio. Opponents of the Bill Tout Safety Even with 16 states taking action to cap reimbursement for physician dispensing and repackaged drugs and the lack of statistical evidence proving that injured workers in these states are suffering post reform the debate over the need and efficacy of physician dispensing continues. Advocates for physician dispensing continue to express concerns that the reduction in prices paid to dispensing doctors will lead to scores of physicians discontinuing their dispensing practices, thus creating barriers to patient access to care and ability to obtain medications. Additionally, these same proponents claim that receiving a prescription at a treating doctor's office is more convenient, improves access to medications and drives up patient compliance with their medication therapies. PMSI and CompPharma believe that in the vast majority of cases where a physician dispenses to injured workers, the above "concerns" lack validity. First and foremost, especially in workers' compensation, there is no better protection for patient safety than to have the injured worker receive all of their prescriptionsgroup health and workers' compensation from the same pharmacy. The industry is highly aware that injured workers often see a separate doctor for their general healthcare than the doctor who is treating them for their workrelated injury. In addition, many injured workers will also see one or more specialty doctors such as orthopedics or surgeons. Each one of these doctors can, and often will, write several prescriptions for the injured worker, many of which may be pain medications, muscle relaxants and, as seen often in workers' compensation, narcotics or opioids. When a doctor is dispensing from their office, their knowledge of the injured worker's drug therapies by all of the other "treating" doctors is limited at best, and more than likely nonexistent. Considering that one of the most commonly provided drugs in workers' compensation is hydrocodone/acetaminophen, patient safety is at risk.

6 emsi) Second, in most instances, only the pharmacy has insight and tools necessary to identify dangerous (and unintended) over prescribing or utilization of specific drugs or dangerous drugtodrug interactions. Pharmacies and PBMs have a near complete picture of the patient's drug therapy/usage and are much better prepared to identify these safety issues and engage in early intervention when drug abuse, diversion or duplicative therapy is suspected. Additionally, when it comes to the potential for abuse or diversion of narcotics/opioids, the pharmacy, having connectivity to the state PDMP and ability to view all prescribed/dispensed drugs, can quickly identify and report (to law enforcement, the PBM and potentially the employer) suspected cases of diversion or abuse and hopefully prevent the injured worker from future pain and suffering related to opioid/narcotic abuse or addiction. Finally, access to medications has not been an issue in states that have enacted reimbursement controls. Injured workers who are covered by a PBM contracted with their employer/carrier have a myriad of tools and options at their fingertips. These injured workers are sent pharmacy cards which contain an 800 number and website to help them locate the nearest pharmacy and many are often given the option of utilizing a mail order pharmacy for added convenience. A California Workers' Compensation Research Institute report on California physician dispensing dispels the myth that physicians will "discontinue" dispensing when price caps are put in place by showing that in postreform California, nearly half of all prescriptions were still being dispensed at doctors' offices. PMSI and CompPharma Join the Overwhelming Support for HB 1846 PMSI and CompPharma support passage of this legislation for the many reasons listed here today. PMSI and CompPharma urge the Pennsylvania legislature to join numerous other state policy makers who have implemented similar positive cost controlling measure( s) such as New York, Massachusetts, Texas, Ohio, Illinois, Florida, Michigan and Delaware. Additionally, support for this bill comes from numerous diverse sources such as the American Insurance Association, the Pennsylvania Chamber of Commerce and many Labor groups who are concerned with the safety of their injured workers. Simply put HB 1846 calls for a proven and much needed public policy to control costs of physician dispensing and repackaged drugs. For these reasons, for the employers and tax payers of the state, and with the support ofthese groups, PMSI, CompPharma and I urge your support of House Bil Sincerely, Kevin C. Tribout Executive Director of Government Affairs, PMSI

TARGETING PRESCRIPTION DRUGS TO DECREASE WORKERS COMPENSATION COSTS

TARGETING PRESCRIPTION DRUGS TO DECREASE WORKERS COMPENSATION COSTS MARSH RISK MANAGEMENT RESEARCH TARGETING PRESCRIPTION DRUGS TO DECREASE WORKERS COMPENSATION COSTS MARCH 2015 Attacking medical costs can be one of the most effective ways to rein in the high price of

More information

Impact Of A Texas-Like Formulary In Other States

Impact Of A Texas-Like Formulary In Other States Impact Of A Texas-Like Formulary In Other States May 2016 1 About WCRI Independent, not-for-profit research organization Diverse membership support Studies are peer-reviewed Resource for public officials

More information

Physician Dispensing. One Year Later

Physician Dispensing. One Year Later Physician Dispensing One Year Later Physician Dispensing Dialogue, Data and Collaboration Drive Positive Change PMSI and Progressive Medical believe that through thoughtful dialogue and the exchange of

More information

THE EXAMINER. Quarterly review of legislative and regulatory updates impacting the workers compensation and auto casualty markets.

THE EXAMINER. Quarterly review of legislative and regulatory updates impacting the workers compensation and auto casualty markets. NOVEMBER 2013 THE EXAMINER IN THIS ISSUE Featured State Legislative Updates Illinois WC Regulation - Workers Compensation Preferred Provider Program...1 Texas House Bill 1322 DME & Home Health Care Reimbursement...1

More information

Focus on Pharmacy Management PHYSICIAN DISPENSING

Focus on Pharmacy Management PHYSICIAN DISPENSING PHYSICIAN DISPENSING 1 Introduction The National Council on Compensation Insurance (NCCI), the largest provider of workers compensation and employee injury data and statistics in the nation, released a

More information

MedChi. Joseph A. Schwartz, III Pamela Metz Kasemeyer J. Steven Wise Danna L. Kauffman. DATE: February 6, 2014

MedChi. Joseph A. Schwartz, III Pamela Metz Kasemeyer J. Steven Wise Danna L. Kauffman. DATE: February 6, 2014 MedChi The Maryland State Medical Society 1211 Cathedral Street Baltimore, MD 21201-5516 410.539.0872 Fax: 410.547.0915 1.800.492.1056 www.medchi.org TO: FROM: The Honorable Peter A. Hammen, Chairman Members,

More information

Workers Compensation Research

Workers Compensation Research Workers Compensation Research About WCRI Independent, not-for-profit research organization Founded in Cambridge MA in 1983 Diverse membership support Studies are peer-reviewed Resource for public officials

More information

WORKING P A P E R. Paying for Repackaged Drugs Under the California Workers Compensation Official Medical Fee Schedule BARBARA O.

WORKING P A P E R. Paying for Repackaged Drugs Under the California Workers Compensation Official Medical Fee Schedule BARBARA O. WORKING P A P E R Paying for Repackaged Drugs Under the California Workers Compensation Official Medical Fee Schedule BARBARA O. WYNN WR-260-1-ICJ May 2005 This product is part of the RAND Institute for

More information

CompPharma. Manage. Process. Inform. Ensure. The Role of a PBM in Workers Compensation

CompPharma. Manage. Process. Inform. Ensure. The Role of a PBM in Workers Compensation Manage Inform Process Ensure The Role of a PBM in Workers Compensation Understanding the role of workers compensation pharmacy benefit managers (WC-PBMs) can help state and local government agencies ensure

More information

2013-2014: Top Ten Trends and Emerging Issues in Workers Compensation

2013-2014: Top Ten Trends and Emerging Issues in Workers Compensation The following chart includes ten workers compensation topics that are surfacing nationwide: (1) Opt Out, (2) Eliminating liberal construction of interpretation of work comp act, (3) AMA impairment guides

More information

MEDICAID REIMBURSEMENT IN WORKERS COMPENSATION: A TOUGH PILL TO SWALLOW

MEDICAID REIMBURSEMENT IN WORKERS COMPENSATION: A TOUGH PILL TO SWALLOW MEDICAID REIMBURSEMENT IN WORKERS COMPENSATION: A TOUGH PILL TO SWALLOW WHY MEDICAID REIMBURSEMENT LEVELS DO NOT WORK IN WORKERS COMPENSATION A White Paper Produced by CompPharma, LLC November 2009 SUMMARY

More information

Alabama Workers Compensation Program Analysis of Selected Issues

Alabama Workers Compensation Program Analysis of Selected Issues Alabama Workers Compensation Program Analysis of Selected Issues Prepared for: The Alabama Council of Association Workers Compensation Self Insurance Funds Prepared by: Auburn University Montgomery Center

More information

The Cost and Use of Pharmaceuticals in Workers Compensation: A Guide for Policymakers

The Cost and Use of Pharmaceuticals in Workers Compensation: A Guide for Policymakers The Cost and Use of Pharmaceuticals in Workers Compensation: A Guide for Policymakers Richard A. Victor Petia Petrova Workers Compensation Research Institute This report is protected under Copyright Law

More information

Physician Dispensing and Compounded Medications a Legislative and Regulatory Update. October 22, 2014

Physician Dispensing and Compounded Medications a Legislative and Regulatory Update. October 22, 2014 Physician Dispensing and Compounded Medications a Legislative and Regulatory Update October 22, 2014 About Helios Helios, the new name for Progressive Medical and PMSI, is bringing the focus of workers

More information

Prescription drug abuse trends. Minnesota s Prescription Monitoring Program. Minnesota Rural Health Conference June 25, 2013 Duluth

Prescription drug abuse trends. Minnesota s Prescription Monitoring Program. Minnesota Rural Health Conference June 25, 2013 Duluth Prescription drug abuse trends Minnesota s Prescription Monitoring Program Carol Falkowski Drug Abuse Dialogues www.drugabusedialogues.com Barbara Carter, Manager MN Board of Pharmacy www.pmp.pharmacy.state.mn.us

More information

SENATE COMMITTEE ON LABOR AND INDUSTRIAL RELATIONS Senator Tony Mendoza, Chair 2015-2016 Regular KEY ISSUE ANALYSIS

SENATE COMMITTEE ON LABOR AND INDUSTRIAL RELATIONS Senator Tony Mendoza, Chair 2015-2016 Regular KEY ISSUE ANALYSIS SENATE COMMITTEE ON LABOR AND INDUSTRIAL RELATIONS Senator Tony Mendoza, Chair 2015-2016 Regular Bill No: AB 1124 Hearing Date: July 13, 2015 Author: Perea Version: June 1, 2015 Urgency: No Fiscal: Yes

More information

Drug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute.

Drug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute. Proposition 46 Drug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute. Yes/No Statement A YES vote on this measure means: The cap on medical malpractice damages for such things

More information

C C VV I. California Workers Compensation Institute 1111 Broadway Suite 2350, Oakland, CA 94607 Tel: (510) 251-9470 Fax: (510) 251-9485

C C VV I. California Workers Compensation Institute 1111 Broadway Suite 2350, Oakland, CA 94607 Tel: (510) 251-9470 Fax: (510) 251-9485 C C VV I California Workers Compensation Institute 1111 Broadway Suite 2350, Oakland, CA 94607 Tel: (510) 251-9470 Fax: (510) 251-9485 CWCI Research Brief Differences in Outcomes for Injured Workers Receiving

More information

Workers Compensation Matters

Workers Compensation Matters Workers Compensation Matters Fall 2012 In This Issue 2012 Conferences pg. 2 Ongoing OASIS Enhancements pg. 2 Compliance Update pg. 3 Innovative Injured Workers Pilot Shows Great Success pg. 5 Team Spotlight:

More information

Are Formularies a Viable Solution for Controlling Prescription Drug Utilization and Cost in California Workers Compensation?

Are Formularies a Viable Solution for Controlling Prescription Drug Utilization and Cost in California Workers Compensation? A R E P O R T T O T H E I N D U S T R Y Are Formularies a Viable Solution for Controlling Prescription Drug Utilization and Cost in California Workers Compensation? by Alex Swedlow, MHSA Steve Hayes, MHSA

More information

Workers Compensation in New York: Another Unfunded Liability. 2013 Workers Compensation Policy Institute, Inc.

Workers Compensation in New York: Another Unfunded Liability. 2013 Workers Compensation Policy Institute, Inc. Workers Compensation in New York: Another Unfunded Liability First, a few words about us The Workers Compensation Policy Institute is PERMA s non partisan research affiliate. We study comp related policy

More information

Drug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute.

Drug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute. osition Official Title and Summary Prepared by the Attorney General Requires drug and alcohol testing of doctors and reporting of positive test to the California Medical Board. Requires Board to suspend

More information

A Healthesystems Clinical Analysis. Insidious Incrementalism of Opioid Use in Workers Compensation

A Healthesystems Clinical Analysis. Insidious Incrementalism of Opioid Use in Workers Compensation A Healthesystems Clinical Analysis Insidious Incrementalism of Opioid Use in Workers Compensation Prescription opioid use in the United States has grown significantly over the past 20 years. In 1991, there

More information

Impact Of The Great Recession On Workers Compensation

Impact Of The Great Recession On Workers Compensation Impact Of The Great Recession On Workers Compensation Outline What if this recovery is very different from past recoveries? What if very different approaches are required for state programs? What might

More information

Protecting your employees, the physicians and you. Opioid abuse is being talked about every day. Modern Medical has a solution.

Protecting your employees, the physicians and you. Opioid abuse is being talked about every day. Modern Medical has a solution. TM Protecting your employees, the physicians and you. Opioid abuse is being talked about every day. Modern Medical has a solution. Goals of Opioid Defense Manager TM Opioids are the most common drugs prescribed

More information

Drug Utilization & Spending Trends in Workers Compensation. Published June 2015

Drug Utilization & Spending Trends in Workers Compensation. Published June 2015 Drug Utilization & Spending Trends in Workers Compensation Published June 2015 Inside Introduction... 1 Methodology... 4 Chapter 1 Traditional View... 5 Introduction to the Traditional View... 6 Key Trends...

More information

L E G I S L A T I V E A N A L Y S T S O F F I C E. Assembly Judiciary Committee Hon. Bob Wieckowski, Chair

L E G I S L A T I V E A N A L Y S T S O F F I C E. Assembly Judiciary Committee Hon. Bob Wieckowski, Chair September 29, 2014 Proposition 46: Drug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. L E G I S L A T I V E A N A L Y S T S O F F I C E Presented to: Assembly Health Committee Hon. Richard

More information

CAPITOL research. Interstate Information Sharing: Prescription Drug Monitoring Programs

CAPITOL research. Interstate Information Sharing: Prescription Drug Monitoring Programs The Council of State governments CAPITOL research APRIL 00 Prescription Drug Monitoring Interstate Information Sharing: Prescription Drug Monitoring Programs The Council of State Governments Misuse of

More information

2015 REPORT Steven W. Schierholt, Esq. Executive Director www.pharmacy.ohio.gov

2015 REPORT Steven W. Schierholt, Esq. Executive Director www.pharmacy.ohio.gov OHIO AUTOMATED RX REPORTING SYSTEM 2015 REPORT Steven W. Schierholt, Esq. Executive Director www.pharmacy.ohio.gov OHIO AUTOMATED RX REPORTING SYSTEM What is OARRS? To address the growing misuse and diversion

More information

NARCOTICS: WHO S DRIVING?

NARCOTICS: WHO S DRIVING? NARCOTICS: WHO S DRIVING? Paul D. Dykstra Ganan & Shapiro, P.C. 411 Hamilton Boulevard, Suite 1006 Peoria, Illinois 61602 June 4, 2012 NARCOTICS DRIVERS 1. Employee/patient 2. Treating doctor 3. Employer

More information

APRIL 2015 THE 2014 DRUG TREND REPORT WORKERS COMPENSATION

APRIL 2015 THE 2014 DRUG TREND REPORT WORKERS COMPENSATION APRIL 2015 THE 2014 DRUG TREND REPORT WORKERS COMPENSATION CONTENTS INTRODUCTION 3 2014 Highlights Introduction Opioid Medication Use Compounded Medications Physician Dispensing Network Penetration and

More information

Comparing The Indiana Workers Compensation System With Other States

Comparing The Indiana Workers Compensation System With Other States Comparing The Indiana Workers Compensation System With Other States August 8, 2013 Today s Outline About WCRI CompScope Benchmark studies Other WCRI studies Major findings from CompScope Benchmarks, CompScope

More information

Workers Compensation Board Meeting Minutes December 13, 2012

Workers Compensation Board Meeting Minutes December 13, 2012 Thursday, December 13, 2012 Workers Compensation Board Meeting Minutes December 13, 2012 I. Call to order Director Monagle, acting as Chair of the Alaska Workers Compensation Board, called the Board to

More information

Collaboration and innovation are top strategies used by states seeking to improve workers compensation programs

Collaboration and innovation are top strategies used by states seeking to improve workers compensation programs Lessons to learn: Collaboration and innovation are top strategies used by states seeking to improve workers compensation programs New York state efforts still mixed, but moving forward the of the industry

More information

Prescribers required to check PDMP before first prescription for Controled Substances for new patient.

Prescribers required to check PDMP before first prescription for Controled Substances for new patient. State, District, or Territory Alabama Arizona Arkansas Colorado Connecticut Delaware Georgia Guam Criteria for Mandatory Enrollment or Query of PDMP Before renewing an Alabama Controlled Substances Certificate,

More information

The Politics of Workers Compensation

The Politics of Workers Compensation The Politics of Workers Compensation A National Perspective Brian Allen Vice President, Government Affairs 1 What Are the Influencers? Politics Litigation Economic Factors National Trends in Workers Compensation

More information

Controlled Substance Prescribing Laws, The Prescription Monitoring Program, and Preventing Drug Diversion

Controlled Substance Prescribing Laws, The Prescription Monitoring Program, and Preventing Drug Diversion Controlled Substance Prescribing Laws, The Prescription Monitoring Program, and Preventing Drug Diversion Michael Halse, PharmD PGY1 Resident Pharmacist South County Hospital and Healthcare System Disclosures

More information

Pension & Health Benefits Committee California Public Employees Retirement System

Pension & Health Benefits Committee California Public Employees Retirement System California Public Employees Retirement System Agenda Item 9 ITEM NAME: Proposition 46 Drug and Alcohol Testing of Doctors and Medical Negligence Lawsuits PROGRAM: ITEM TYPE: Legislation State Initiative

More information

Pharmaceutical Marketing & Economic issues: Drug copay subsidies ( coupons ) and potential consumer and State interests

Pharmaceutical Marketing & Economic issues: Drug copay subsidies ( coupons ) and potential consumer and State interests Pharmaceutical Marketing & Economic issues: Drug copay subsidies ( coupons ) and potential consumer and State interests Wells G. Wilkinson Staff Attorney, Community Catalyst Director, Prescription Access

More information

SureScripts Frequently Asked Questions

SureScripts Frequently Asked Questions SureScripts Frequently Asked Questions What is the SureScripts Electronic Prescribing Network? The SureScripts Electronic Prescribing Network is the nation's largest and seeks to improve the prescribing

More information

BACKGROUND. August 28, 2013. Hon. Kamala D. Harris Attorney General 1300 I Street, 17 th Floor Sacramento, California 95814. Initiative Coordinator

BACKGROUND. August 28, 2013. Hon. Kamala D. Harris Attorney General 1300 I Street, 17 th Floor Sacramento, California 95814. Initiative Coordinator August 28, 2013 Hon. Kamala D. Harris Attorney General 1300 I Street, 17 th Floor Sacramento, California 95814 Attention: Ms. Ashley Johansson Initiative Coordinator Dear Attorney General Harris: Pursuant

More information

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. NEW products from the Medicare Learning Network (MLN)

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. NEW products from the Medicare Learning Network (MLN) Medicare Advantage Outreach and Education Bulletin Anthem Blue Cross Prescription Drug Monitoring Programs Prescription drug abuse and diversion are acute problems in the area of pain management. The Centers

More information

Technical Assistance Guide No. 04-13 Funding Options for Prescription Drug Monitoring Programs

Technical Assistance Guide No. 04-13 Funding Options for Prescription Drug Monitoring Programs Technical Assistance Guide No. 04-13 Funding Options for Prescription Drug Monitoring Programs July 3, 2013 Introduction Over the past ten years, prescription drug monitoring programs (PDMPs) have proliferated

More information

Medicaid Covered Outpatient Prescription Drug Reimbursement Information by State. Quarter Ending September 2015

Medicaid Covered Outpatient Prescription Drug Reimbursement Information by State. Quarter Ending September 2015 Medicaid Covered Outpatient Prescription Drug Reimbursement Information by State Quarter Ending September 2015 340B=prices charged to covered entities under the Public Health Services Act, AAC=actual acquisition

More information

American Indian Health Commission for Washington State October 1, 2015

American Indian Health Commission for Washington State October 1, 2015 American Indian Health Commission for Washington State October 1, 2015 States with more opioid pain reliever sales tend to have more drug overdose deaths Death rate, 2011, National Vital Statistics System.

More information

Prescription Pain Meds A Fatal Cure for Injured Workers

Prescription Pain Meds A Fatal Cure for Injured Workers Prescription Pain Meds A Fatal Cure for Injured Workers National Safety Council Jeanne Wrenn Rex Butler 1 Drug Overdoses now cause more deaths than car crashes. Opioid painkillers contribute to more deaths

More information

Hawai i s Workers Compensation System; Coverage, Benefits, Costs: 1994-2004

Hawai i s Workers Compensation System; Coverage, Benefits, Costs: 1994-2004 Hawai i s Workers Compensation System; Coverage, Benefits, Costs: 1994-2004 Lawrence W. Boyd Ph. D. University of Hawaii-West Oahu Center for Labor Education and Research January 12, 2006 1 Introduction

More information

June 2012 Jacob Lazarovic, M.D. Chief Medical Officer, SVP Broadspire. Escalating Pharmaceutical Costs in Workers Compensation: One Clinical Solution

June 2012 Jacob Lazarovic, M.D. Chief Medical Officer, SVP Broadspire. Escalating Pharmaceutical Costs in Workers Compensation: One Clinical Solution June 2012 Jacob Lazarovic, M.D. Chief Medical Officer, SVP Broadspire Escalating Pharmaceutical Costs in Workers Compensation: One Clinical Solution One Clinical Solution Pharmaceutical (Rx) costs have

More information

2015 ANNUAL REVIEW OF PRESCRIPTION MONITORING PROGRAMS

2015 ANNUAL REVIEW OF PRESCRIPTION MONITORING PROGRAMS 2015 ANNUAL REVIEW OF PRESCRIPTION MONITORING PROGRAMS Research current through September 2015. This project was supported by Grant No. G1599ONDCP03A, awarded by the Office of National Drug Control Policy.

More information

Workers Compensation Overview

Workers Compensation Overview Workers Compensation Overview November 2013 Investment banking services are provided by Harris Williams LLC, a registered broker-dealer and member of FINRA and SIPC, and Harris Williams & Co. Ltd, which

More information

(202) 223-8904 holmesd@uwcstrategy.org. Catherine Stanton (516) 471-1748 cstanton@workerslaw.com

(202) 223-8904 holmesd@uwcstrategy.org. Catherine Stanton (516) 471-1748 cstanton@workerslaw.com FOR IMMEDIATE RELEASE Contact: Douglas Holmes (202) 223-8904 holmesd@uwcstrategy.org Catherine Stanton (516) 471-1748 cstanton@workerslaw.com SUPPORT FOR LEGISLATION TO IMPROVE THE ADMINISTRATION OF MEDICARE

More information

EXPENSES IN WORKERS COMPENSATION CLAIMS

EXPENSES IN WORKERS COMPENSATION CLAIMS PAYMENT OF MEDICAL EXPENSES IN WORKERS COMPENSATION CLAIMS By: Marla A. Joseph, Esq. & Joseph P. Turchi, Esq. I. SCOPE OF EMPLOYER S LIABILITY Employer s Voluntary Payment of Medical Bills is not an admission

More information

PRESCRIPTION DRUG MANAGEMENT IN WORKERS COMPENSATION

PRESCRIPTION DRUG MANAGEMENT IN WORKERS COMPENSATION PRESCRIPTION DRUG MANAGEMENT IN WORKERS COMPENSATION The Twelfth Annual Survey Report (2014 data) By Joseph Paduda President, CompPharma, LLC Prescription drugs have become a key factor in workers compensation.

More information

STATE OF TENNESSEE. Workers Compensation Advisory Council. REPORTS TO THE GENERAL ASSEMBLY and THE SPECIAL JOINT COMMITTEE ON WORKERS COMPENSATION

STATE OF TENNESSEE. Workers Compensation Advisory Council. REPORTS TO THE GENERAL ASSEMBLY and THE SPECIAL JOINT COMMITTEE ON WORKERS COMPENSATION STATE OF TENNESSEE Workers Compensation Advisory Council ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ REPORTS TO THE GENERAL ASSEMBLY and THE SPECIAL JOINT COMMITTEE ON WORKERS COMPENSATION Findings and

More information

Prescription Drug Monitoring Program Center of Excellence at Brandeis

Prescription Drug Monitoring Program Center of Excellence at Brandeis Prescription Drug Monitoring Program Center of Excellence at Brandeis Notes from the Field NF 4.1 Using PDMPs to Improve Medical Care: Washington State s Data Sharing Initiative with Medicaid and Workers

More information

Massachusetts Substance Abuse Policy and Practices. Senator Jennifer L. Flanagan Massachusetts Worcester and Middlesex District

Massachusetts Substance Abuse Policy and Practices. Senator Jennifer L. Flanagan Massachusetts Worcester and Middlesex District Massachusetts Substance Abuse Policy and Practices Senator Jennifer L. Flanagan Massachusetts Worcester and Middlesex District November 2014 Substance Abuse and Addiction National and State opioid abuse

More information

PRESCRIPTION PAINKILLER OVERDOSES

PRESCRIPTION PAINKILLER OVERDOSES IMPACT{ POLICY PRESCRIPTION PAINKILLER OVERDOSES National Center for Injury Prevention and Control Division of Unintentional Injury Prevention What s the Issue? In a period of nine months, a tiny Kentucky

More information

Workers Compensation Compound Drug Costs. Management Advisory. Report Number HR-MA-16-003. March 14, 2016

Workers Compensation Compound Drug Costs. Management Advisory. Report Number HR-MA-16-003. March 14, 2016 Management Advisory Report Number HR-MA-16-003 March 14, 2016 Workers Compensation Compound Drug Costs In CBY 2015, the total number of Postal Service employees with compound drug prescriptions increased

More information

Pennsylvania s ABC-MAP Program

Pennsylvania s ABC-MAP Program Pennsylvania s ABC-MAP Program Recommendations on Best Practices ABC-MAP Governance Board Meeting May 20, 2015 Brandon C. Maughan, MD, MHS Marcus A. Bachhuber, MD University of Pennsylvania Philadelphia

More information

THE QUESTION OF THE HOUR

THE QUESTION OF THE HOUR WORKERS COMPENSATION THE QUESTION OF THE HOUR Of the emerging trends for Workers Compensation in 2009, several will help answer what for many is the main question of the moment: How have the economy and

More information

March 14, 2005. From: The Honorable Joe Barton

March 14, 2005. From: The Honorable Joe Barton March 14, 2005 The Honorable Nathan Deal Chairman, Subcommittee on Health U.S. House Energy and Commerce Committee Washington, DC 20515 Dear Chairman Deal: This letter serves as a response to your request

More information

Economic Impact and Variation in Costs to Provide Community Pharmacy Services

Economic Impact and Variation in Costs to Provide Community Pharmacy Services Economic Impact and Variation in Costs to Provide Community Pharmacy Services Todd Brown MHP, R.Ph. Associate Clinical Specialist and Vice Chair Department of Pharmacy Practice School of Pharmacy Northeastern

More information

Reducing Narcotics Misuse and Abuse in Workers Compensation

Reducing Narcotics Misuse and Abuse in Workers Compensation Reducing Narcotics Misuse and Abuse in Workers Compensation Trusted. Reliable. Sustainable. Page 2 Introduction Narcotics have a long history of being used to therapeutically treat pain resulting from

More information

A BILL. To provide a single, universal, comprehensive health insurance benefit for all residents of Illinois, and for other purposes.

A BILL. To provide a single, universal, comprehensive health insurance benefit for all residents of Illinois, and for other purposes. Synopsis: This bill expands comprehensive health coverage to all Illinois residents using a single-payer statewide insurance system. Doctors and hospitals remain private, and patients retain their choice

More information

SUBCHAPTER B. Health Care Provider Billing Procedures 28 TAC 133.10. 1. INTRODUCTION. The Commissioner of Workers Compensation

SUBCHAPTER B. Health Care Provider Billing Procedures 28 TAC 133.10. 1. INTRODUCTION. The Commissioner of Workers Compensation Part 2. Texas Department of Insurance, Page 1 of 10 SUBCHAPTER B. Health Care Provider Billing Procedures 28 TAC 133.10 1. INTRODUCTION. The Commissioner of Workers Compensation ( Commissioner ), Texas

More information

Workers Compensation Assessments 2012: New York remains the highest in the nation.

Workers Compensation Assessments 2012: New York remains the highest in the nation. Workers Compensation Assessments 2012: New York remains the highest in the nation. By Paul Jahn, Debbie Stickle and Kristen Morris Executive Summary An assessment surcharge added to workers' compensation

More information

When the workers compensation system in New York was reformed in 2007, the system worked poorly for both employers and employees.

When the workers compensation system in New York was reformed in 2007, the system worked poorly for both employers and employees. New York's workers' comp: High benefits, higher costs New York s workers' comp benefits have risen to enter the mainstream but they cannot explain why employers costs remain so high By Paul Jahn Executive

More information

PROPOSITION 46: MEDICAL MALPRACTICE LAWSUITS CAP AND DRUG TESTING OF DOCTORS INITIATIVE September 2014

PROPOSITION 46: MEDICAL MALPRACTICE LAWSUITS CAP AND DRUG TESTING OF DOCTORS INITIATIVE September 2014 PROPOSITION 46: MEDICAL MALPRACTICE LAWSUITS CAP AND DRUG TESTING OF DOCTORS INITIATIVE September 2014 SDCTA Position: OPPOSE Rationale for Position: Raising the medical malpractice lawsuits cap will drive

More information

Prescription Drugs. Inside this Brief. Background Brief on

Prescription Drugs. Inside this Brief. Background Brief on Background Brief on Prescription Drugs Prepared by: Rick Berkobien Inside this Brief November 2006 Spending for Prescription Drugs Medicare and Prescription Drugs Drug Costs in Other Countries and the

More information

Managed Care Program

Managed Care Program Summit Workers Compensation Managed Care Program FLORIDA How to obtain medical care for a work-related injury or illness. Welcome The Summit workers compensation managed-care arrangement (Summit MCA)

More information

Prescription drug costs continue to rise at

Prescription drug costs continue to rise at Prescription Drugs Developing an Effective Generic Prescription Drug Program by John D. Jones Pharmacy benefit managers (PBMs) use a variety of pricing strategies. When employers have a thorough knowledge

More information

97TH GENERAL ASSEMBLY State of Illinois 2011 and 2012 SB3197

97TH GENERAL ASSEMBLY State of Illinois 2011 and 2012 SB3197 *LRB0KTG0b* TH GENERAL ASSEMBLY State of Illinois 0 and 0 SB Introduced //0, by Sen. Iris Y. Martinez SYNOPSIS AS New Act INTRODUCED: Creates the Electronic Prescribing Act. Provides that beginning August,

More information

Statement Of. The National Association of Chain Drug Stores. For. U.S. Senate Special Committee on Aging. Hearing on:

Statement Of. The National Association of Chain Drug Stores. For. U.S. Senate Special Committee on Aging. Hearing on: Statement Of The National Association of Chain Drug Stores For U.S. Senate Special Committee on Aging Hearing on: 10 Years Later: A Look at the Medicare Prescription Drug Program 2:30 p.m. 366 Dirksen

More information

Prescription Drugs. Inside this Brief. Background Brief on. Spending for Prescription Drugs. Medicare and. Prescription Drugs. State Discount Programs

Prescription Drugs. Inside this Brief. Background Brief on. Spending for Prescription Drugs. Medicare and. Prescription Drugs. State Discount Programs Background Brief on September 2014 Inside this Brief Spending for Prescription Drugs Medicare and Prescription Drugs State Discount Programs Discount Cards and Assistance Programs Oregon Prescription Drug

More information

EXECUTIVE SUMMARY. November 5, 2013

EXECUTIVE SUMMARY. November 5, 2013 November 5, 2013 To: Members, Worker s Compensation Advisory Council (WCAC) From: Health Care Liaisons to the WCAC Subject: Health Care Liaison Proposal EXECUTIVE SUMMARY The Wisconsin Hospital Association,

More information

Prescription Opioid Abuse: Private Payer Perspective

Prescription Opioid Abuse: Private Payer Perspective Prescription Opioid Abuse: Private Payer Perspective Tufts Health Care Institute s Program on Opioid Risk Management Jeffrey Sterling, Esq. Senior Investigator Agenda Overall problem of prescription opioid

More information

Opioids and the Injured Worker Tools for Successful Outcomes

Opioids and the Injured Worker Tools for Successful Outcomes Opioids and the Injured Worker Tools for Successful Outcomes Tim Pokorney, RPh Director, Clinical Express Scripts Workers' Compensation Division Goals and Objectives Alarming statistics for narcotic utilization,

More information

Arkansas Emergency Department Opioid Prescribing Guidelines

Arkansas Emergency Department Opioid Prescribing Guidelines Arkansas Emergency Department Opioid Prescribing Guidelines 1. One medical provider should provide all opioids to treat a patient s chronic pain. 2. The administration of intravenous and intramuscular

More information

Workers Compensation Medical Services Review Committee Meeting Minutes September 5, 2014

Workers Compensation Medical Services Review Committee Meeting Minutes September 5, 2014 Workers Compensation Medical Services Review Committee Meeting Minutes September 5, 2014 I. Call to order Director Monagle, acting as Chair of the Medical Services Review Committee, called the Committee

More information

Managed Care Program

Managed Care Program Summit Workers Compensation Managed Care Program KENTUCKY How to obtain medical care for a work-related injury or illness. Welcome Summit s workers compensation managed-care organization (Summit MCO) is

More information

2010 SUMMARY OF BENEFITS

2010 SUMMARY OF BENEFITS 2010 SUMMARY OF BENEFITS First Health Part D PDP S5768 C0002_10PDP_230_SB _FH _LA CMS File and Use: 10/02/2009 FH10SB21 Section I Introduction To Summary of Benefits Thank you for your interest in First

More information

Appendix to Tennessee Department of Health: Tennessee Clinical Practice Guidelines for Outpatient Management of Chronic Non- Malignant Pain

Appendix to Tennessee Department of Health: Tennessee Clinical Practice Guidelines for Outpatient Management of Chronic Non- Malignant Pain Appendix to Tennessee Department of Health: Tennessee Clinical Practice Guidelines for Outpatient Management of Chronic Non- Malignant Pain Division of Workers Compensation 04.01.2015 Background Opioids

More information

August 7, 2014. Dear Mr. Helgerson:

August 7, 2014. Dear Mr. Helgerson: August 7, 2014 Chain Pharmacy Association of New York State New York Chapter, American Society of Consultant Pharmacists New York State Council of Health System Pharmacists Pharmacists Society of the State

More information

PA CME Requirements. Alaska Alaska Physician Assistants must maintain an active NCCPA certification for license renewal.

PA CME Requirements. Alaska Alaska Physician Assistants must maintain an active NCCPA certification for license renewal. PA CME Requirements Alabama Alabama Physician Assistants must complete 25 hours of AMA PRA Category 1 or equivalent (AOA, AAFP, ACOG) CME every year for annual license renewal. If the licensee does not

More information

What Is a Prescriber s Role in Preventing the Diversion of Prescription Drugs?

What Is a Prescriber s Role in Preventing the Diversion of Prescription Drugs? What Is a Prescriber s Role in Preventing the Diversion of Prescription Drugs? 2 CONTENT SUMMARY Drug diversion is the illegal distribution or abuse of prescription drugs or their use for unintended purposes.

More information

Protecting your employees, physicians and you.

Protecting your employees, physicians and you. Protecting your employees, physicians and you. Opioid abuse is being talked about every day. Modern Medical has a solution - now with real outcomes. Opioids are the most common drugs prescribed in workers

More information

Workers Compensation Cost Data

Workers Compensation Cost Data Workers Compensation Cost Data Edward M. Welch Workers Compensation Center School of Labor and Industrial Relations Michigan State University E-mail: welche@msu.edu Web Page: http://www.lir.msu.edu/wcc/

More information

For a Healthier America: Reducing Prescription Drug Misuse and Abuse

For a Healthier America: Reducing Prescription Drug Misuse and Abuse For a Healthier America: Reducing Prescription Drug Misuse and Abuse The misuse and abuse of prescription medicines is a growing public health problem. In addition to the tragic toll on families and communities,

More information

Workers Compensation 2010 DRUG TREND REPORT. A Market and Behavioral Analysis

Workers Compensation 2010 DRUG TREND REPORT. A Market and Behavioral Analysis Workers Compensation 2010 DRUG TREND REPORT A Market and Behavioral Analysis Authors Authors Patrick Donnelly Sharon Frazee, PhD Bob Nease, PhD Ruth Martinez, RPh Alexei Makarkin Jay Visaria, PhD Anna

More information

E-Prescribing Trends in the United States. Meghan Hufstader Gabriel, PhD & Matthew Swain, MPH

E-Prescribing Trends in the United States. Meghan Hufstader Gabriel, PhD & Matthew Swain, MPH ONC Data Brief No. 18 July 2014 E-Prescribing Trends in the United States Meghan Hufstader Gabriel, PhD & Matthew Swain, MPH This brief focuses on changes in rates of physician e-prescribing, pharmacy

More information

New York City Office of Labor Relations Employee Benefits Program/Municipal Labor Committee

New York City Office of Labor Relations Employee Benefits Program/Municipal Labor Committee New York City Office of Labor Relations Employee Benefits Program/Municipal Labor Committee PICA PRESCRIPTION DRUG PROGRAM Self-Injectable Medications Chemotherapy Medications Questions & Answers Last

More information

State Policies Affecting the Cost and Use of Pharmaceuticals in Workers Compensation: A National Inventory

State Policies Affecting the Cost and Use of Pharmaceuticals in Workers Compensation: A National Inventory State Policies Affecting the Cost and Use of Pharmaceuticals in Workers Compensation: A National Inventory Richard A. Victor Petia Petrova Workers Compensation Research Institute With the assistance of:

More information

Overall Drug Trends in. Artemis Emslie VP of Pharmacy Product Development

Overall Drug Trends in. Artemis Emslie VP of Pharmacy Product Development Overall Drug Trends in Workers Compensation Artemis Emslie VP of Pharmacy Product Development Workers compensation PBM industry overview PBM's addressable market approximates $5 billion and is growing

More information

THE EXAMINER. Featured State Legislative Update

THE EXAMINER. Featured State Legislative Update the workers compensation and auto casualty markets. FALL 2014 IN THIS ISSUE Featured State Legislative Updates California Adopts Revised Rules on Medical Provider Network...1 Healthcare Solutions legal

More information

After seeing a patient on a Diversion Alert installment..

After seeing a patient on a Diversion Alert installment.. After seeing a patient on a Diversion Alert installment.. Recommendations from Dr. James Berry of Mercy Recovery Center OVERVIEW OF DIVERSION Manufacture Distribution Pharmacy Patient End -user OPPORTUNITIES

More information

Workers compensation medical system costs and trends

Workers compensation medical system costs and trends 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Number of claims (thousands) Workers compensation medical system costs and trends Indemnity and Medical Payments The number of claims has continued to

More information

Pain Management Regulations Affect More Than Pain Management Specialists January 2012. Of counsel to

Pain Management Regulations Affect More Than Pain Management Specialists January 2012. Of counsel to Pain Management Regulations Affect More Than Pain Management Specialists January 2012 LINDA A. KEEN MSN, JD, LHCRM LAW OFFICE OF LINDA A. KEEN P.A. TALLAHASSEE, FL Of counsel to Pain Management Regulations

More information

Adoption of the ODG Treatment Guidelines for Medical Necessity Determinations in Workers Comp. FAQ s:

Adoption of the ODG Treatment Guidelines for Medical Necessity Determinations in Workers Comp. FAQ s: Adoption of the ODG Treatment Guidelines for Medical Necessity Determinations in Workers Comp FAQ s: What is ODG? What is the purpose of adopting ODG? Why is it necessary? What states have done this already,

More information

Introduction. What is Transparency in Health Care?

Introduction. What is Transparency in Health Care? Introduction Transparency is a vital component of an efficient and effective health care system. As concerns about the cost and quality of health care in the United States continue to grow and large employers

More information

COMPILATION OF STATE PRESCRIPTION MONITORING PROGRAM MAPS

COMPILATION OF STATE PRESCRIPTION MONITORING PROGRAM MAPS MTION OF STATE PREPTION NITONG PROGRAM PS This project was supported by Cooperative Agreement No. 202-DC-BX-K002 awarded by the Bureau of Justice Assistance. The Bureau of Justice Assistance is a component

More information