Claims and Costs News

Injuries Cost the U.S. $671 Billion in 2013

The total estimated lifetime medical and work loss costs associated with fatal and non-fatal injuries in the United States was $671 billion in 2013, according to research released by the Centers for Disease Control and Prevention (CDC) in its Morbidity …

Fee Schedule Rate Updates Lead to Rise in Illinois Workers’ Comp Medical Payments

Medical payments per workers’ compensation claim in Illinois rose 4.1 percent in 2013, after decreasing 20 percent between 2010 and 2012 as a result of a 30 percent reduction in fee schedule rates, according to a recent study by the …

Property Casualty Medical Fraud, Waste Rampant

Fraud continues to be problem for the insurance industry and medical fraud, in particular, is growing according to Andy Tolsma, solutions manager for the P&C Medical Fraud payments accuracy division for Verisk Health. Industrywide 10 percent of all P&C have …

Study Reveals Workers’ Comp Medical Cost Drivers and Impact of Reforms in 17 States

The factors behind trends of medical payments per claim in state workers’ compensation systems and the impact of legislative and regulatory changes on those costs are examined in a new set of studies released by the Mass.-based Workers Compensation Research …

Why Drugs Cost 3 Times More in the U.S.

U.S. prices for the world’s 20 top-selling medicines are, on average, three times higher than in Britain, according to an analysis carried out for Reuters. The finding underscores a transatlantic gulf between the price of treatments for a range of …

White Paper Outlines How Virtual Workers’ Comp Payments Could Reduce Fraud

“The Missing Link in Provider Payments,” a new DataPath white paper, reveals how increases in medical costs and the number of providers for each claim are driving a need to modernize the workers’ compensation revenue cycle. DataPath, an Arkansas-based workers’ …

New Study Finds Crisis Services Largest Cost Associated with Cyber Claims

Latest claims costs data reveals wide discrepancy on costs associated with cyber losses. More than $75.5 million has been spent on cyber claims losses as reported in the latest Cyber Claims Study published by NetDiligence, a cyber risk assessment and …

Impact of Procedure Code Analysis on Claims Handling Procedures

Investigation into the top 10 procedure codes, based on total allowed amount, experienced by the auto casualty insurance marketplace provides valuable insight for claims organizations, investigators and legislators. With thousands of possible medical services available to medical providers, the injury …

Opioid Abuse Rises in Construction, Manufacturing Sectors: CNA

CNA recently issued two new reports that examine the growing prescription opioid abuse epidemic and its effect on the U.S. workforce, focusing on the construction and manufacturing industries, which are particularly at risk for such abuse. The reports, Construction: Prescription …

July Most Dangerous Month for Motorcycle Crashes According to Progressive Claims Data

The summer travel season is peak time for passionate motorcycle riders and after a brutal winter, they’re anxious to make the most of every mile. If fact, more motorcycle riders are hitting the road than ever before with new motorcycle …