Pre-Existing Conditions Still A Challene

 

Previous injuries can complicate claims

  • Pre-existing conditions are an ongoing concern in the workers’ compensation industry.
  • Many workers worry that pre-existing conditions will prevent them from getting benefits in Washington state.
  • A pre-existing condition is a condition that a worker already has, before a work injury or occupational disease.
  • Pre-existing conditions include a congenital disease that existed since birth, accidents or injuries during childhood or adolescence, or past injuries that happened outside work.

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Patients struggled with improvements 

  • Workers’ compensation patients with low back pain reported lower improvements in functional status scores following physical therapy than patients covered by other payment systems, the WCRI found.
  • The WCRI study examined the difference in the functional recoveries reported by workers’ compensation patients with low back pain, compared with non-workers’ compensation patients.
  • The study was based on a patient-reported outcome measure that assesses the patient’s functional status during the episode of physical therapy and addresses the following questions:
  • “Patient-reported outcomes have assumed a place of high importance among governmental and non-workers’ compensation payment systems,” said John Ruser, WCRI president and CEO.

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Cigna makes adjustments

  • Cigna is making several corporate changes that will include the way the company handles workers’ compensation.
  • The firm is changing the holding company name to The Cigna Group.
  • The company has three brands: The Cigna Group, the global health company; Cigna Healthcare, the health benefits provider; and Evernorth Health Services, the pharmacy, care and benefits provider.
  • Evernorth Health Services includes myMatrixx, which manages drug benefits for workers’ compensation programs.

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Kansas lawmakers look at reform

  • Kansas House Democrats plan to propose several measures that support the overall conditions and safety in the workplace.
  • The lawmakers will pursue workers’ compensation reform as well as bring back local option prevailing wages.
  • Members hope to convert the Kansas Public Employee Retirement System 3 retirees to a more fair retirement plan.
  • Kansas is just over a month into the current legislative session.

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