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Arrowpoint Capital Hosts Medical/Legal Summit

 
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Arrowpoint Capital Hosts Medical/Legal Summit
06/25/2012

Approximately 120 insurance, legal and medical professionals and consultants from around the country gathered for Arrowpoint Capital’s 2012 Medical/Legal Summit in mid-June to learn more about the medical and legal aspects of workers compensation claims.

The three-day meeting was the third summit hosted by Chief Claims Officer Julie Fortune and Arrowpoint’s workers compensation team.

“While our first two summits were very successful, we realized that we were missing an in-depth legal perspective to many of the topics we were covering,” said Julie. “That’s why we decided to sponsor this year’s meeting – to give lawyers and claims professionals the opportunity to discuss key workers comp issues, including chronic pain management and the effects of opioid use."

More than 30 Arrowpoint defense counsel from 23 law firms attended the conference, from states as far away as California, Wisconsin, and New Hampshire. Presenters at the summit included the Claims management team along with representatives from some of our vendor partners:

  • Crowe Paradis – conditional payments
  • G4S Compliance & Investigations – investigative services
  • MHayes – case management
  • PMSI – pharmacy benefit management, Medicare, Medicaid and SCHIP reporting, and urinalysis testing
  • Dane Street – PMSI’s certified case management vendor
  • PRIUM – utilization review and medical director review

In addition, guest speakers included attorneys from the Chattanooga, Tennessee law firm of Chambliss, Bahner & Stophel who discussed the legal issues of prescription drug diversion, and Dr. Andrew Kolodny (a member of PROP - Physicians for Responsible Opioid Prescribing), who presented on the opioid epidemic.

Other topics addressed included medical treatment and alternative therapies for treating chronic pain, coordination of care, fighting fraud inside the pill mill, monitoring long-term opioid use, Medicare and secondary payer rules, and regulations and rules of key states. Participants also divided into eight teams to address an in-depth case study, with each team presenting their findings on the summit’s last day. As one participant said, “…everyone has to present. No free riders. You had to pay attention and really show that you ‘got it.’”

The conference is the focus of a blog published by Michael Gavin, Chief Strategy Officer at Prium. To read the blog, click on http://www.prium-evidencebased.blogspot.comand reference the June 20 blog.  In addition, if you would like copies of the conference materials, contact Kedar Bryan at kedar.bryan@arrowpointcap.com or 704-522-2721.

So what were the attorney take-aways from the summit?

At the end of the meeting, participants were asked if they plan to make any changes to their work processes and procedures as a result of the summit. Highlights of their responses -

  • Pay more attention to long-term medical treatments and the use of prescriptions.
  • Utilize effective methods to limit the use of opioids.
  • Scrutinize prescription medications and their side effects.
  • Increase use of medical and utilization reviews.
  • Employ cognitive behavioral analysis/studies in certain cases.
  • Communicate effectively with medical providers about patient safety concerns.
  • Look closely at drug issues and testing for both prescribed and illicit drugs.
  • Scrutinize the prescription regimen when a claimant is not improving.
  • Involve vendor partners to help reach settlement or get claimant to an enhanced level of functionality.
  • Understand the magnitude of the prescription drug problem and the various ways prescriptions can create problems and retard recovery.
  • Employ medical management and prescription monitoring along with regular drug testing - especially in cases where the claimant is not making progress.
  • Curtail opioid abuse!

Contact: Kedar Bryan, 704-522-2721, kedar.bryan@arrowpointcap.com