Doctor fees represent 39% of comp medical spending: NCCI


An average of 39% of medical costs in workers compensation go toward physician expenses, according to a report released Tuesday by the National Council on Compensation Insurance.

In studying medical expenses in 2022 across 36 states, the Boca Raton, Florida-based ratings agency found wide variations in physician expenses, ranging from a low of 23% to over 50% of claim medical costs, with variances depending on such factors as type of injury and likelihood of surgeries.

The report also found that insurers pay an average of $1,812 in physician costs for workers comp claims.

In studying utilization trends, NCCI said it looked to see if common features of state medical regulations correlate with or explain variations in costs among states. Researchers considered workers compensation treatment guidelines, the use of fee schedules, and networks in investigating variations, leading the team to find “that there was not any single feature that can explain these variations.”

Yet service intensity — described in the report as the mix of medical services in a claim, many of which involve expensive surgeries — emerged as “the primary factor behind interstate variations in physician utilization for many states.”

 

 

 



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Grocery store cited after worker’s fatal fall from ladder


The U.S. Occupational Safety and Health Administration announced Friday that it cited a Kissimmee, Florida, grocery store after a worker died following a fall from a defective ladder.

OSHA cited Kissimmee Meat & Produce Inc. for 11 serious violations and proposed $95,315 in penalties.

The worker was retrieving merchandise from a rack in the store’s warehouse in May when the ladder rolled, causing the worker to fall about nine feet.

OSHA said the company exposed employees to fall hazards when it permitted the use of improperly modified ladders,

failed to provide fall protection while ladders were in use, allowed workers to use rolling ladders without locking systems in place, and failed to train employees on the safe use of rolling ladders.

The company has 15 business days to contest the citation and proposed penalties.  



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Safety citation, penalties affirmed after company found in default


The U.S. Occupational Safety and Health Review Commission has affirmed a workplace safety citation and $122,364 in penalties against a Rhode Island company after finding it to be in default for failing to properly respond to the complaint.  

The review commission found that Coventry-based Romancing the Stone Inc. missed various deadlines for contesting a citation and proposed penalties by the Occupational Safety and Health Administration, despite extensive correspondence from OSHA representatives.

The citation and penalties stemmed from work site inspections in August and November 2022. The citation alleged three failure-to-abate violations of OSHA’s general industry safety standards.

The review commission stated that the company’s conduct in ignoring or missing required response deadlines was “demonstrative of a pattern of disregard for these proceedings.”



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County improperly denied death benefits to firefighter’s widow: Court


A Florida appellate court ruled Wednesday that the widow of a firefighter who died from brain cancer in 2020 had been improperly denied workers compensation death benefits.

In its ruling, the Court of Appeal of Florida, First District, said medical and indemnity benefits, along with a one-time $25,000 payment that firefighter Eric Siena received at the time of his diagnosis, did not preclude Christy Siena from seeking comp death benefits after his death.

Mr. Siena’s employer, Orange County, had denied the death benefits claim because he had received the other benefits under a separate section of state law.

The appeals court said the previous benefits fell under a section of the law that “explicitly permits firefighters – not their dependents or beneficiaries – to claim medical treatment and a one-time cash payout upon diagnosis,” and that this does not affect the right to death benefits for spouses.  



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Tank cleaning company cited for exposing workers to hydrogen sulfide


The U.S. Occupational Safety and Health Administration said Monday it cited a national tank cleaning company after two employees suffered injuries after being exposed to hydrogen sulfide.

OSHA cited Beaumont, Texas-based Trimac Transportation Inc., which operates as National Tank Services, for two willful, three repeat and four serious health violations after two employees were treated for injuries after being exposed to the highly flammable and toxic colorless gas while cleaning a tanker truck in April.

The agency proposed penalties of $399,349.

One of the employees was hospitalized as a result of the exposure, and two firefighters who responded to the scene were also treated for injuries.

OSHA said the company failed to provide workers with respirators, manage a required respiratory protection program and conduct respiratory fit testing.

The company has 15 business days to contest the citation and penalties.



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Safety discussions must be inclusive: Panelists


NEW ORLEANS — The intersection of workplace safety and diversity, equity and inclusion is full of orange cones, according to a panel of experts who said DE&I efforts must include ways to make workers safer. 

At its simplest, safety gloves don’t fit if you are a female electrician, and your hand can get caught in machinery, as was the case for Cheyenne Lucero, the safety coordinator with International Brotherhood of Electrical Workers Local 0302 in Martinez, California, when she was an apprentice. In more complex terms, it’s feeling comfortable and invited to speak up about unsafe conditions, according to I. David Daniels, Atlanta-based president and CEO, ID2 Solutions LLC, which provides occupational health and safety consulting for companies.

Ms. Lucero and Mr. Daniels were among the panelists during a session Tuesday at the National Safety Council’s Safety Congress & Expo on the issue of including all workers in safety planning, training and execution.

The panel discussion followed a presentation by retired Maj. Gen. Jeannie Leavitt, former U.S. Air Force chief of safety and the first female fighter pilot and female combat fighter wing commander in the branch of service. Her experiences, and those of other pioneer female pilots, included safety suits that didn’t fit and ejection seats that were not specified for the lighter weights of women.

Nicole Piggott, Montreal-based president and co-founder of Synclusiv Inc., which provides diversity and safety training for companies, worked in human resources in the mining industry when it began recruiting women. She said the efforts were a success, but injury rates went up.

“The women said, ‘My gloves keep falling off. My shoes don’t fit. My suits aren’t fitting,’” she said. “And that’s when we realized that our (personal protective equipment) wasn’t designed for women. I went to suppliers and said, ‘You want our business, you’re going to create PPE for women.’”

Ms. Piggot said the “light bulb moment” didn’t occur in the planning for hiring women “We hadn’t thought about how we make it possible for these people, for them to be successful in those roles.”

Mr. Daniels said psychosocial issues may stop workers from confidently speaking out when something is wrong. He stressed the importance of giving underrepresented workers a seat at the table when planning for safety.

“The issues often are in the systems and who is in the room when the systems are being designed,” he said.

Part of the solution lies in empowerment, according to Maj. Gen. Leavitt.

With inclusion “you feel like your opinion matters. You don’t know who’s going to see that hazard or that dangerous situation. And you want them to feel empowered to bring that forward,” she said.  

During a later press conference, Lorraine Martin, president and CEO of the Itasca, Illinois-based National Safety Council, said reaching all workers in safety discussions and training is a paramount concern.

“It’s understanding who your workforce is, and then making sure that your training is aimed at the right people,” she said.

In addition to language barriers, “there are a lot of cultural issues to where in certain cultures you don’t admit weakness, you don’t admit, ‘I didn’t understand.” … You have to create an environment where they feel comfortable saying, ‘I don’t understand.’ That’s probably a really good place to start.”

 

 

 



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Fall protection tops list of OSHA citations for 2023


NEW ORLEANS — For the 13th consecutive year, lack of fall protection topped the U.S. Occupational Safety and Health Administration’s preliminary top 10 most frequently cited workplace safety violations for fiscal year 2023.

OSHA tallied 7,271 violations of its general fall protection requirements, according to the list released Tuesday at the National Safety Council’s Safety Congress & Expo.

Ranked in order, the other top violations for the fiscal year that ended Sept. 30 include lapses in hazard communication, with 3,213 violations; ladders, 2,978; scaffolding, 2,859; powered industrial trucks, 2,560; lockout/tagout, 2,554; respiratory protection, 2,481; fall protection training requirements, 2,112; personal protective and lifesaving equipment, eye and face protection, 2,074; and machine guarding, 1,644. 

 



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CompScience Insurance launches safety platform


CompScience Insurance Services Inc., a San Francisco-based insurtech specializing in artificial intelligence technologies, announced Monday the launch of the CompScience Intelligent Safety Platform as a way for companies to mitigate potential workplace safety hazards.

The product is designed to help reduce injury risk in industries such as manufacturing, hospitality retail and logistics, and simultaneously help to keep down workers compensation premiums.

The new AI-powered platform generates a full suite of causal risk factors, including scoring safety at facilities, reporting potential injuries with video analytics, detecting real-time risk, and providing risk reduction recommendations.

CompScience says the goal of the platform is to end the cycle of reactive safety and help companies use real-time data to come up with more proactive solutions to mitigate the total cost of risk.  

 

 

 

 



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