Managed care legislation and workers' comp

Article Abstract:

Proposed legislation addressing managed care issues threaten to undermine efforts to rein in workers' compensation costs and to revoke recent measures to promote workers' compensation managed care. These bills stand to adversely impact on workers' compensation managed care as the statutory and regulatory environment becomes antagonistic to managed care in general. Such constraints make it difficult for managed care techniques to be applied in workers' compensation. Of late, however, legislators are increasingly excluding workers' compensation from the direct requirements of managed care legislation as they recognize that it is not their main concern.

Regulation, Licensing, and Inspection of Miscellaneous Commercial Sectors, Insurance Regulation ex Auto-State, Analysis, Laws, regulations and rules, Managed care plans (Medical care), Letter to the Editor, Insurance law

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Reach out an upgrade a homeowner: telephone-based estimating can identify risks and lead to fully insured customers

Article Abstract:

Colonial Penn Insurance Co, concerned that many of its homeowner's policyholders were underinsured, devised an estimating program that incorporates telephone-based estimating. With help from Marshall & Swift, Colonial Penn conducted a survey that verified the existence of an underinsurance problem and instituted a telephone-contact program. Information obtained in telephone interviews with policyholders was used to help estimate replacement costs for the policyholders' properties, and many policyholders have upgraded their policies.

Fire & Theft Insurance, Business insurance, Homeowners' insurance, Colonial Penn Insurance Co.

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HMOs looking to serve self-insurance groups

Article Abstract:

Self-insurance groups (SIG) are becoming a popular marketing target for managed care workers' compensation services. Employers have found SIGs to be profitable alternatives to traditional workers' comp plans. HMOs can attract business by teaming up with an existing SIG to subcontract some work at a fee. Adequate training is necessary for HMO producers to sell SIGs properly.

HEALTH SERVICES, Health Maintenance Organizations, HMO Medical Centers

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