WHAT WORKCOMP MEDIATION CAN LOOK LIKE

Here is a communication shared with a few injured workers and medical care providers who have been battling the system for years.  It was written so that it could just be given to the attorney, if warranted.  Maybe it will help you also?  
Please let me know if it brings other questions to your mind, and we’ll see about answering them in another blog, in a general way, so others may also be helped.   Or, we can find some experts to address the issues in greater detail.

These are some rough thoughts on how mediation with a structured settlement team and Medicare Set Aside Expert can help move a WorkComp case to Settlement, freeing up an Injured Worker to get medical care. It is really quite simple and effective.

The drawing attached is a “mind-map” created as a draft and talking points for the blog.

mind map structured settlement out

DISCLAIMER:  This is not legal, accounting or tax advice and you are encouraged to seek professional advice from same before entering into any agreements with anybody.

Insurance carriers are often inclined to AGREE TO MEDIATE when “RESERVES” are known to be high.  Via a structured settlement situation, they somehow save money with spending future dollars and not all in one chunk.

A good Structured Settlement negotiator is key, and a good, EXPERIENCED WorkComp MEDIATOR.   There seems to be a whole new venue of “Medicare Set Aside” experts, which the Mediation/Settlement team can probably recommend.  Social Security is a mine-field, so stay alert and be prepared for anything.

Mediation seems to work for unrepresented injured workers, but it’s more work for all parties, and some people won’t do it.

If you have legal representation willing to step aside and let settlement negotiations take place, it can be win/win/win for all parties, and more importantly, can mean freedom and restoration of civil rights for the injured workers.

Some attorneys representing Injured Workers are even known to accept their portion of settlement on a structured basis, as it also has some tax benefits, if I understand it correctly.

Often, the “parties reach agreement, subject to a confidentiality agreement” and the injured worker is spared years of delays, denied medical care and legal anguish.  The carriers often save money, and close the books.  Attorneys get paid, even when they have done little to facilitate resolution and settlement.

So, remembers, it is NOT ARBITRATION.  Mediation takes place outside of WorkComp arena and is approved by a WorkComp Judge upon completion.

Mediate.com is a resource that shows how few professionals are involved in WorkComp SOLUTIONS in California.    There are several structured settlement companies that also specialize in WorkComp structured settlements.

If you or your attorney would like the contact information for a couple of professionals, please feel free to let me know.   Using my name may or may not be beneficial.  One California Brain Injury Super Lawyer allegedly told one TBI Survivor “you are very lucky to have Linda as an advocate on your behalf.”   Others have said that I “scare industry people”….

If your attorney says the carrier and defense will not settle, he/she may not have all the information and tools to make that happen.  It can start with a simple call to the defense with a question, “What will it take to settle this case now?”

If your attorney wants some encouragement to explore settlement possibilities, feel free to have him/her contact me.

“Anytime, anywhere any Injured Worker reaches out for help, I want helping hands to be there, and for that, I am responsible.”

Best wishes,
Linda Ayres

WorkCompLinda@gmail.com
MyWorkCompCoach.com

wc workcomp 6 1 2017 - 2



action-always-beats-intention

Continue to #DodgeTheRads!  “Know your Rad Number!”  

Check the TABLE OF POISONED AMERICAN CITIES!  GOOGLE IT!

WE ARE THE MEDIA NOW 

Advertisements

WorkComp! It’s a psychological nightmare for these people– says One Doctor

ARE THE DOCTOR’S WRONG?

Ask About Workers Comp Gravy Trains

“ARE THE DOCTORS WRONG?”

#WorkComp – Something is terribly wrong with #WorkersCompensation in #Canada, #UK, #Australia, #USA and elsewhere, isn’t it?

#WorkComp#CivilRights#HumanRights VIOLATIONS

‘WorkComp is code name for the 21st Century “Nouveau Holocaust Centers” ?!?’

“…Dr. Richard Dumais, head of the Dr.-Georges-L-Dumont University Hospital’s pain clinic, says the chronic denial of medical services has become a human rights issue and he’s calling for political action….”

🤔😳🤔😳🤔😳🤔😳🤔😳🤔😳

WE, The People know this!

When will American doctors speak up and speak out? 🇺🇸

Too many American doctors just shrug and quietly walk away—-leaving primarily “monsters” to evaluate with intent to deny medical care.😳

As one US doctor once said:
‘If they have human rights complaints, tell them to TAKE IT TO THE HAGUE’

Something is terribly wrong with Workers Compensation, isn’t it?

View original post 271 more words

ProPublica USA WorkComp Update: U.S. Labor Department: States Are Failing Injured Workers

U.S. Labor Department: States Are Failing Injured Workers

by Michael Grabell ProPublica, Oct. 5, 2016, 6:01 a.m.

A U.S. Department of Labor report released today details the bleak fate facing the nation’s injured workers, noting that those hurt on the job are at “great risk of falling into poverty” because state workers’ compensation systems are failing to provide them with adequate benefits.

The report lays the groundwork for renewed federal oversight of state workers’ comp programs, providing a detailed history of the government’s past efforts to step in when states fell short. Sen. Sherrod Brown, D-Ohio, said in a statement Tuesday night that he was drafting legislation “to address many of the troubling findings laid out in this report” and hoped to advance it in the next Congress.

The 43-page report was prompted by a letter last fall from 10 prominent lawmakers, including Brown, urging more action to protect injured workers following a ProPublica and NPR series on workers’ comp. The stories found that since 2003, more than 30 states had changed their laws, causing some workers to lose their homes, or be denied surgeries or prosthetic devices their doctors recommended.

The Labor Department’s conclusions echo ProPublica and NPR’s findings that states have decreased benefits, created hurdles to medical care, raised the burden of proof to qualify for help and shifted costs to public programs, such as Social Security Disability Insurance.

The Occupational Safety and Health Administration, a division of the Labor Department, made similar findings last year. But Wednesday’s report underscores the prominence of the issue, as departmental investigations are typically reserved for White House priorities, such as increasing the minimum wage and guaranteeing paid family leave.

The report provides a roadmap of potential actions, but stops short of new policy recommendations in what appears to be a tacit nod to the fact that President Obama’s term is waning and substantial changes must wait for another administration. Labor Secretary Thomas Perez, who was shortlisted as a potential vice presidential candidate, is expected to hold a top job if Hillary Clinton wins the election next month.

“With this report, we’re sounding an alarm bell,” Perez said in an interview Tuesday. “A critical part of the safety net is being both attacked and eroded in no small measure because there are no federal minimum standards for workers’ compensation.”

“I hope that Congress will step up,” he added. “We have to fix this system.”

Workers’ comp dates back more than century, with each state having its own system of benefits, insurance rules and courts. Typically, when a worker is injured, employers pay their medical bills, a portion of their lost wages and compensation for any permanent disabilities. In exchange for prompt and certain benefits, workers are barred from suing their employers.

But as ProPublica and NPR found, the benefits can vary drastically, with compensation for an amputated arm ranging from $45,000 to $740,000, even in neighboring states.

The Labor Department report details how states have changed their laws largely in an effort to reduce business costs as they compete for new corporate headquarters, factories and warehouses 2014 a trend the report calls a “race to the bottom.”

It calls for policymakers to explore how to prevent the costs of workplace injuries and illnesses from being transferred to public programs, how to increase the sharing of injury data between insurers and public health researchers, and how to develop programs that help disabled workers return to the job.

Most significantly, it floats the idea of increasing federal oversight of state workers’ comp programs, which could include the appointment of a national commission, federal tracking of state laws and the establishment of minimum standards and penalties if states fail to meet them.

A presidential commission in 1972 came up with 19 guidelines for states to improve their workers’ comp systems and recommended that Congress mandate them if states didn’t act. Many states did, but as political winds shifted in the early 1980s, the threat of federal intervention passed.

The suggestion of increased federal involvement has set off alarm bells in the insurance and employer communities.

“Federal requirements imposed on a national basis would be inconsistent with the state workers’ compensation system, which has been in place for more than 100 years without federal oversight,” wrote Douglas Holmes in a recent blog post. Holmes is president of UWC, a business lobby group focused on unemployment and workers’ comp.

But in its report, the Labor Department notes that as far back as 1939, the agency considered setting guiding principles for workers’ comp as part of its mission. President Harry Truman spoke of promoting standards for state programs while President Dwight D. Eisenhower’s labor secretary sponsored the drafting of model workers’ comp laws.

Such involvement continued through the Ford and Carter administrations but was curtailed during the Reagan era. The Labor Department continued to track states’ compliance with the 1972 commission guidelines until 2004, when budget cuts ended the program.

Courts and lawmakers in several states have moved to restore workers’ comp protections since the ProPublica and NPR series published in 2015. Top courts in Florida and Oklahoma have overturned a number of business-friendly reforms highlighted in the series, including a two-year cap on wage benefits and a provision that allowed Oklahoma businesses to opt out of workers’ comp and write their own plans to care for injured employees. This summer, New Mexico’s Supreme Court granted farmworkers the right to workers’ comp for the first time in 100 years.

In California, the governor last week signed a bill that will reduce the roadblocks for workers to get medical care. And the state’s workers’ comp bureau is in the final stages of writing a new regulation that would allow more severely injured workers to qualify for home health care.

Last year, ProPublica profiled workers who had their home health aides taken away after a new law allowed insurance companies to reevaluate cases based on a more restrictive regulation.

ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for their newsletter.

http://pixel.propublica.org/pixel.js




pro-public-update-to-congressional-letter-of-october-2015




REBLOG IT!   Remember remember:  “Without a blog and a growing database, Injured Workers are Unarmed and Unprotect in the War On Workers.”  Tell your friends and neighbors; Congress already knows!

Read the October 20, 2015 letter from federal lawmakers to dol here.

eagle-feathers-and-psychopaths

“Why is it that nobody gives a damn in this industry about big money fraud?”- David DePaolo

 

WE ARE THE MEDIA NOW   #DodgeTheRads – Be ITK about Your Radiation This Week

BUT WHAT ABOUT THE WORKERS’ COMPENSATION INDUSTRY BLOGS? WHO IS SAYING WHAT?

“WHY IS IT THAT NOBODY GIVES A DAMN IN THIS INDUSTRY ABOUT BIG MONEY FRAUD? – David DePaolo”

Are these the words of a “vociferous militant” or simply the words of an esteemed spokesman for all stakeholders in the Workers’ Compensation field?

Thank you, David DePaolo, for all you have done on behalf of America’s Injured Worker population. RIP. https://www.workcompcentral.com//columns/print/id/i321y06u1156781ij21g0v

See the original and complete blog here:

See even more on LinkedIn: https://www.linkedin.com/pulse/what-workers-compensation-industry-blogs-who-saying-linda-ayres

sun-tzu

Be sure to take the self-guided…

Be sure to sign up for the blogs of all the ‘Industry Top Bloggers’ – you’ll find the links herein.

The 99% care! See more at LucyOccupy.com and share with your smart friends.

IMG_0858

#DodgeTheRads and Remember Remember…
WE ARE THE MEDIA NOW