Tag: Texas

RIMS gets set for conference to remember in San Antonio
Welfare

RIMS gets set for conference to remember in San Antonio

Reprints Gloria Gonzalez The Risk & Insurance Management Society Inc.’s annual conference has arrived in the home of the Alamo.
About 10,000 people are expected to attend the RIMS 2018 conference and exhibition, which is being held in San Antonio, Texas, for the first time.
Alex Sheen, founder of Rocky River, Ohio-based nonprofit “because I said I would,” will deliver the opening keynote speech at the conference on Monday.
Inspired by his father’s battle with cancer, the organization delivers promise cards that aim to ensure accountability for meeting commitments.
Vernice “FlyGirl” Armour, America’s first African-American female pilot, will discuss her evolution from beat cop to combat pilot during the RIMS award luncheon on Monday.
Other cyber-themed sessions will trace one organization’s cyber incident journey through various stages such as breach notification, class action lawsuit, regulatory investigation and settlement negotiations, while another will examine the cyber risk posed by “trusted insiders.” The Innovation Hub will provide 20-minute educational presentations on developments in emerging risks related to technology such as drones and autonomous vehicles on Monday, claims management issues such as catastrophic business interruption losses on Tuesday, and cyber risks such as smart buildings and social media in the workplace on Wednesday.
The RIMS Risk Manager of the Year and Risk Management Honor Roll awards will also be presented on Tuesday morning.
The conference finale will feature comedian Jay Leno, longtime host of NBC’s “The Tonight Show,” performing a set entitled Laugh Until You Cry, on Wednesday afternoon.
The RIMS-Sedgwick Official Closing Party will occur on Wednesday evening at the Tobin Center for the Performing Arts.
Anyone wanting a break from the conference can visit the famed Alamo, where over a 13-day period in February and March 1836, a group of 200 Texas volunteer soldiers defended the fort against a siege by a force commanded by Mexican President and General Antonio López de Santa Anna in the fight for independence from Mexico.

Texas introduces draft of rule on telemedicine reimbursement
Welfare

Texas introduces draft of rule on telemedicine reimbursement

Reprints Louise Esola The Texas Division of Workers Compensation on Friday posted proposed guidelines for reimbursement for injured workers treated through telemedicine.
Telemedicine services are currently authorized in the Texas workers compensation system.
The new rule puts that system in line with Medicare practices when it comes to paying doctors for services rendered.
The new rule adopts “the most current reimbursement methodologies, models, and values or weights used by the federal Centers for Medicare and Medicaid Services, specific to Medicare.
This includes applicable Medicare payment policies related to coding, billing and reporting.” It also authorizes payment for telehealth office and other outpatient visits, consultations, examinations and other services if certain conditions are met, according to the draft.
One such condition is that telemedicine services be “furnished to an injured employee at an originating site, and further requiring that the originating site be located in a health professional shortage area, or HPSA.” The rules states originating sites include eight defined medical facilities, which include a physician or practitioner office, critical access hospital and a rural health clinic.
“Thus, pursuant to Medicare payment policies, telemedicine services in the workers compensation system may currently only be billed and reimbursed when provided to an injured employee at a Medicare authorized originating site that is located in an HPSA,” the rule states.

Uber’s comp-style program could feed into worker classification dispute
Welfare

Uber’s comp-style program could feed into worker classification dispute

and OneBeacon Insurance Group, for workers who are injured on the job.
The program had been in development since 2015.
Uber used occupation accident insurance for the long-haul trucking industry as a model for its program, said Mr. Scott.
“It was pretty clear that the three basic benefits are medical expenses from an accident when you are working, income replacement when you can’t work because of the accident, and, in an unfortunate circumstance, death benefits.
That’s the core of it.
How can we take a data-driven approach and modernize this originally ’70s concept and apply it to the gig economy and solve a real-world problem?” Uber’s program is unique, and if other gig economy companies create similar coverage programs for workers who are independent contractors, experts say it may complicate future rulings for worker misclassification cases within the gig economy.
“They want the flexibility of taking on these gig jobs, but they hate the lack of benefits and the lack of security, and that’s what it comes down to.” “If they start down the path of providing this kind of insurance, they run afoul of the definition of an employee in Ohio, or probably any other state,” said Ms. Verchot.
Other legal experts disagree, saying that it is too early to tell what the outcome of a program like this will be.
It could be that a judge weighs that factor against a company, but we will not know until that issue is presented to a court.” Uber emphasizes that Driver Injury Protection is an optional insurance program that can be started or stopped by the driver after every trip, which is different from traditional programs that an employer would offer.
“These are independent contractors, and they need something that is designed for independent contractors, and that’s what Driver Injury Protection largely does, where workers compensation is a creation of state law and designed for employees.

2017 Women to Watch: Kendra Schropp
Welfare

2017 Women to Watch: Kendra Schropp

Reprints Janet Lavelle Director of risk management and safety On The Border Mexican Grill & Cantina Irving, Texas Age: 47 Being a successful risk manager is all about the data, according to Kendra Schropp: “You have to look at your data and watch it regularly.
Based in Irving, Texas, she has created a program driving safety awareness at the restaurant level and moved the chain’s Texas restaurants from the state workers compensation program to a nonsubscription program, which has reduced claim costs more than 75%, said Diane Sanford, the company’s chief people officer.
She’s made improvements across several lines of insurance, improving the company’s risk position overall, Ms. Sanford said.
“Kendra is extremely smart, but she’s also very savvy,” she said.
“She came in as a subject matter expert but didn’t come across that way.
“I was absolutely lucky to find people along the way who were willing to show me,” she said.
That began in 2000, when she was working as an auto claims adjuster and a recruiter kept calling about a risk management job, a role she’d never considered.
“That completely opened my world view of the profession,” she said.
“For something I didn’t know I wanted to do, I have really enjoyed doing it every day.” She found another mentor in Raymond Alletto, vice president of risk management at United Rentals Inc. in Irving, where she worked as a data analyst from 2006-2010.
Ms. Schropp said that now she herself has become a mentor.

With Harvey behind it, Houston still has a long way to go
Welfare

With Harvey behind it, Houston still has a long way to go

Unless, of course, you live there — in which case, forgetting is hard. “We have to be realistic about expectations,” says Anna Babin, president and CEO of United Way’s Houston branch, which has hired some 75 new case managers to help storm victims put their lives back together.
For those counting on a grant or a loan from the federal government, that takes time.
The Federal Emergency Management Agency has received 856,003 Harvey-related requests for help and dispensed $921.3 million.
Although the city’s major shelters closed in mid-September, 700 people remain in smaller shelters, while non-profits try to find places for them to go. This week, thousands waited in lines for emergency food stamps, the Houston Chronicle reported.
And the state of Texas has given Houston $50 million for Harvey relief, after the city burned through its $100 million flood insurance policy.
But for most people, government assistance won’t be enough.
In a survey by the Federal Reserve Bank of Dallas, 77 percent of Gulf Coast businesses said Harvey had a negative impact on their revenues, and that they spent an average of 5.1 days shut down.
The Greater Houston Partnership, the region’s largest chamber of commerce, estimates that 99 percent of businesses have now reopened.