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December 10, 2017
Bryon Bass
SVP Disability and Absence Practice and Compliance
What’s ahead in 2018? Increased opportunities for collaboration

Human resources and benefit managers will have excellent opportunities to demonstrate their expertise in 2018. The complexity of issues they address on a daily basis continues to grow and evolve. Federal, state, county and city laws that govern emp…

December 10, 2017 by Bryon Bass, SVP Disability and Absence Practice and Compliance
October 05, 2017
Mike Merlino
SVP Medicare Compliance
LMSAs: CMS thankfully delays LMSA announcement

Over the past several months there have been direct communications from the Centers for Medicare & Medicaid Services (CMS) that liability Medicare set-aside arrangements (LMSAs) were on the horizon. In this blog we commented on a February announcemen…

October 05, 2017 by Mike Merlino, SVP Medicare Compliance
September 18, 2017
Mike Merlino
SVP Medicare Compliance
Centers for Medicare & Medicaid Services (CMS) retains new review contractor

On September 1, CMS hired Capitol Bridge, LLC to be the new review contractor for MSAs. According to CMS employees that we’ve spoken to, the transition is currently underway. The old contractor is staying on for an indeterminate amount of time to h…

September 18, 2017 by Mike Merlino, SVP Medicare Compliance
July 14, 2017
Mike Merlino
SVP Medicare Compliance
MSAs: A second bite at the apple

CMS now permits some old MSAs to be re-approved Before this week, the Centers for Medicare & Medicaid Services (CMS) had a simple philosophy: Parties get one bite at the apple when it comes to CMS approval. However, on Monday, CMS released an upda…

July 14, 2017 by Mike Merlino, SVP Medicare Compliance
June 29, 2017
Sharon Andrus, Director, National Technical Compliance, Disability Administration
New paid leave laws introduced

Paid family leave and paid parental leave are currently key topics for employers as they look to expand benefits for their employees. Recently, San Francisco introduced a paid parental leave ordinance and New York announced a new paid family leave be…

June 29, 2017 by Sharon Andrus, Director, National Technical Compliance, Disability Administration
April 20, 2017
David North
President and CEO
RIMS 2017: Welcome to the Wellness ZENter

I have been coming to RIMS for over 20 years and it never grows old. I remain as excited this year as I did the first time I attended. Again I can say rapid changes are happening in our industry, especially in the area of technology. At Sedgwick…

April 20, 2017 by David North, President and CEO
March 01, 2017
Mike Merlino
SVP Medicare Compliance
It is happening: LMSAs (and NFMSAs) are almost here

For the past several years, the Centers for Medicare & Medicaid Services (CMS) has been providing the industry with vague hints about liability Medicare set-aside arrangements (LMSAs). The absence of clarity left the liability community unable to…

March 01, 2017 by Mike Merlino, SVP Medicare Compliance
February 02, 2017
In the weeds on marijuana and workers’ compensation

It’s a topic that gets much buzz – how will the cloud of legislation surrounding recreational and medical marijuana use impact businesses, specifically when it comes to compensability for workers’ compensation? I am sure you have all caught up on n…

February 02, 2017
September 30, 2015
Stephanie Simpson, SVP, Disability & Absence Management Practice & Compliance
Does your family and medical leave policy need a domestic partner re-evaluation?

It’s that time when human resources professionals and legal counsel review employment policies for the upcoming year, and this year there are new challenges impacting family and medical leave. The U.S. Supreme Court’s decision in the Obergefell v. …

September 30, 2015 by Stephanie Simpson, SVP, Disability & Absence Management Practice & Compliance
July 02, 2015
Kimberly George
SVP Corporate Development, M&A, and Healthcare
What does the Supreme Court’s ACA subsidy ruling mean for workers’ compensation?

Last week the Supreme Court ruled 6-3 to uphold the Affordable Care Act’s (ACA) health exchange subsidy. What does the ruling mean for workers’ compensation going forward? The ACA’s subsidy ruling has been a roller coaster ride for most of the major…

July 02, 2015 by Kimberly George, SVP Corporate Development, M&A, and Healthcare
June 26, 2015
Sharon Andrus, Director National Technical Compliance, Disability Administration
Same-sex marriage: Action steps for employers

The United States Supreme Court has ruled in a 5-4 decision that same-sex couples have the right to marry anywhere in the United States. This decision just made life easier for employers and TPAs who are responsible for administering leaves. We can…

June 26, 2015 by Sharon Andrus, Director National Technical Compliance, Disability Administration
June 20, 2015
Ann Gaffey, SVP Healthcare Risk Management and Patient Safety and Cynthia Hartsfield, contributor and former Sedgwick Healthcare Risk Management Consultant
Safe staffing: Best practices for healthcare facilities

During hospital and healthcare facility risk assessments around the country, we often hear nurses’ feedback about staffing challenges and heavy workloads. Is this perception or is it a reality that nurse staffing levels are impacting safety? News …

June 20, 2015 by Ann Gaffey, SVP Healthcare Risk Management and Patient Safety and Cynthia Hartsfield, contributor and former Sedgwick Healthcare Risk Management Consultant
June 12, 2015
Blunt talk on federal marijuana action

Over the last several years, I’ve been talking about how medical marijuana will ultimately become an issue in workers’ compensation and, with several cases we’ve seen across the country, this has become a reality. In each of my pieces, there is alway…

June 12, 2015
April 29, 2015
Jim Ryan
President, Casualty
You can’t manage what you don’t understand

We are in a time unlike any other in our industry. The pace and the reach of emerging risks make our heads spin. Each day the news brings new reports on topics that we know will impact the businesses we are all looking to protect. This year at RIMS…

April 29, 2015 by Jim Ryan, President, Casualty
March 26, 2015
Edward Canavan
VP Workers’ Compensation Practice and Compliance
Pennsylvania considers employer medical control bill

The Pennsylvania House of Representatives is currently considering a bill that would allow employers to direct treatment of their injured workers to coordinated care organizations (CCOs). Employers’ ability to direct injured workers to certified netw…

March 26, 2015 by Edward Canavan, VP Workers’ Compensation Practice and Compliance
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