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(c) 2010-2026 Jon L Gelman, All Rights Reserved.

Friday, December 5, 2014

Big Data Offer New Strategy For Public Health Campaigns

Today's post was shared by Kaiser Health News and comes from kaiserhealthnews.org

Chicago health officials had a serious problem. The city had long been trying to attack breast cancer among minorities with a program offering uninsured women free mammograms at Roseland Hospital in the predominantly black South Side. But black women – who are far more likely than white women to die of breast cancer – weren’t getting screened.

Because traditional public health outreach didn’t seem to be working, the city’s Department of Public Health decided to do something new: It turned to a Chicago-based data mining company, Civis Analytics, for help.

Data mining, often employed by political teams and mass marketers, uses statistical analysis to find patterns within large data sets to project trends about individual behavior and demographics.

Bigdata

Civis, a private company with offices in Chicago and Washington, D.C., was formed by members of the data analytics team from President Barack Obama’s re-election campaign. Back then, as campaign staffers, they used their skills to identify Obama voters for a get-out-the-vote effort. Later, after the company was formed, Civis employees worked with Enroll America, a nonprofit group, to find people to sign up for health insurance under the Affordable Care Act.

When Civis teamed up with Chicago’s health department, it moved on to another health-related mission: to help the city refine its outreach for the breast cancer screening program by using its big-data tool box to identify uninsured women...

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Wednesday, December 3, 2014

Medicare Tightens Non-Emergency Use Of Ambulances To Combat Fraud

Today's post was shared by Kaiser Health News and comes from kaiserhealthnews.org

Seniors living in three states will need prior approval from Medicare before they can get an ambulance to take them to cancer or dialysis treatments.
The change, which begins today, is part of a three-year pilot to combat extraordinarily high rates of fraudulent billing by ambulance companies in Pennsylvania, New Jersey and South Carolina.
The good news is that Medicare beneficiaries in those states will now know beforehand whether the program will cover their non-emergency transportation to treatments. The bad news, say advocates, is that many fragile people will be left with no way to get to appointments that might mean the difference between life and death.

nonemergency ambulance 570
nonemergency ambulance 570

“Often people have to go long distances, they feel lousy when treatment is over, and in some cases, it’s to the point of being dangerous in providing their own transportation,” said Jon Burkhardt, a consultant who has studied transportation for dialysis patients.
The pilot is part of a move by Medicare to require prior approvals for services and equipment associated with a high incidence of fraud, such as wheelchairs, chiropractic visits and plastic surgery. Officials said the three states were selected based on “high utilization and improper payment rates.”
If cost savings are shown, the program is expected to be expanded nationally.
Kate Kraemer, billing manager at Direct Bill Inc., which helps a Pennsylvania ambulance firm collect Medicare payments, said the...
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Supreme Court To Consider Case About Job Protections For Pregnant Women

Today's post was shared by Kaiser Health News and comes from kaiserhealthnews.org

Groups representing women, workers, employers and others will watch the case to see how the justices handle a company's refusal to reassign a woman to light duty during her pregnancy.

The New York Times: Case Seeking Job Protections For Pregnant Women Heads To Supreme Court
She sued under the federal Pregnancy Discrimination Act, and the Supreme Court will hear her case on Wednesday. Women’s rights groups hope that Ms. Young’s case will snap their recent losing streak at the court, which has included decisions on equal pay, medical leave, abortion and contraception. (Liptak, 11/30)

The Washington Post: Former UPS Driver At Center Of Pregnancy Discrimination Case Before Supreme Court
A private woman, Peggy Young didn’t want all the world to know her most intimate business, including her two failed attempts at conceiving a child with her former husband before her pregancy in 2006 cost her her job delivering letters at United Parcel Service in Landover, Md. All Peggy Young wanted, she says, was to drive. But when her bosses at UPS told her to take unpaid leave until she was no longer pregnant, Young sued, saying the company violated the federal Pregnancy Discrimination Act of 1978 and failed to treat a pregnant Young the way it treated other employees. She lost twice in courts in Maryland, which agreed with UPS that Young did not prove the company discriminated against her because of her pregnancy. On Wednesday, the Supreme Court will hear oral arguments...

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Florida Supreme Court Weighs Workers’ Comp Attorney Fee Schedule

Today's post is shared from insurancejournal.com/
The Florida Supreme Court is considering whether to declare the state’s workers’ compensation attorney fee schedule unconstitutional.
The court recently heard oral arguments in a case (Castellanos v. Next Door Company, SC13-2082) addressing the attorney fee schedule passed in 2003 as part of a comprehensive rewrite of the state’s workers’ compensation law.
The attorney fee schedule was designed in part to end the practice of attorneys filing multiple benefit claims on a single case in order drive up their hourly fees. Proponents of the fee reform argued that a high rate of attorney involvement was one of the main reasons Florida’s workers’ compensation rates then were among the highest of the nation.
Since then, rates have dropped by more than 50 percent including a statewide average 5.2 percent decrease scheduled to take effect January 1, 2015.
The case before the court involves Marvin Castellanos who was injured  in an altercation with another employee in 2009.
At the time, Castellanos’ employer and its insurer, Amerisure Insurance, paid for Castellanos to see a doctor. However, the employer/carrier subsequently denied his claim for additional medical treatment that included three physical therapy visits for two weeks.
Castellanos then hired an attorney who prevailed in the case and won him additional benefits in the amount of $822.70.
Based on the state’s statutory fee schedule, Castellanos’ attorney was awarded...
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Tuesday, December 2, 2014

Fast food workers plan nationwide strike for December 4

Today's post was shared by Steven Greenhouse and comes from america.aljazeera.com

Fast food workers in at least 150 cities nationwide will walk off the job on Dec. 4, demanding an industry-wide base wage of $15 per hour and the right to form a union. Workers unanimously voted on the date for the new strike during a Nov. 25 conference call, held shortly before the second anniversary of the movement’s first strike.
The first of the recent fast food strikes took place on Nov. 29, 2012, in New York City. Two hundred workers from various fast food restaurants around the city participated in that strike, making it the largest work stoppage to ever hit the fast food industry. Since then, the size of the movement has ballooned several times over: With the backing of the powerful service sector labor union SEIU, the campaign has come to include thousands of workers in the U.S.
One of the campaign's main targets, the McDonald's Corporation, has long maintained that labor protests against the company are not actually strikes in any meaningful sense.
"These are not 'strikes,' but are organized rallies for which demonstrators are transported to various locations, and are often paid for their participation," said a company spokesperson in an emailed statement. "At McDonald's we respect everyone's right to peacefully protest."
The National Worker Organizing committee, a nationwide steering group of 26 fast food workers around the country, approved the Dec. 4 strike date before it was proposed to the rest of the workers. Workers from all...
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Flawed 1 World Trade Center Is a Cautionary Tale

Today's post was shared by Steven Greenhouse and comes from www.nytimes.com

Alas, it is.

Like the corporate campus and plaza it shares, 1 World Trade speaks volumes about political opportunism, outmoded thinking and upside-down urban priorities. It’s what happens when a commercial developer is pretty much handed the keys to the castle. Tourists will soon flock to the top of the building, and tenants will fill it up. But a skyscraper doesn’t just occupy its own plot of land. Even a tower with an outsize claim on the civic soul needs to be more than tall and shiny.

I find myself picturing General MacArthur in aviator sunglasses when I see the building. Its mirrored exterior is opaque, shellacked, monomaniacal. An abbreviated obelisk, the building rises to 104 stories atop a square, 20-story, concrete bunker, only partly disguised behind butterflylike louvered glass panels. The tower’s thick, chamfered corners produce octagonal floors and a facade of steep, interlocked triangles. From north, south, east and west, the building looks the same.

It abruptly stops at 1,368 feet, the height of the former twin towers, achieving its symbolic target number — 1,776 feet — by virtue of a skinny antenna. Counting the antenna is like...
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Monday, December 1, 2014

Women Lawyers for Working Women

Today's post was shared by CAAA and comes from womenlawyersforworkingwomen.org

RESOLUTION TO MAKE CALIFORNIA WORK BETTER FOR WORKING WOMEN BY ADVANCING WORKPLACE EQUALITY AND MODERNIZING WORKER’S COMPENSATION LAWS

WHEREAS, women of all ages have 20-40% higher injury rates than men in the same jobs, and women’s injury rates increase with age as male rates decline with age, resulting in a 50% higher injury rate for women over the age of 55; additionally, 64% of mental stress claims are made by women caused by workplace abuse, including 35% of working women who are subject to sexual harassment, and

WHEREAS, Governor Arnold Schwarzenegger pushed through CHANGES in Workers’ Compensation insurance that reduced permanent disability compensation for women, based on the assumption that lower bone density caused by osteoporosis, pregnancy and menopause are the true causes for many workplace injuries for women. This gender discrimination runs contrary to the Patient Protections And Affordable Care Act, a central tenet of which is that being a woman is not a pre-existing medical condition.

WHEREAS, Governor Schwarzenegger’s changes and other discriminatory policies are deeply embedded into the workers compensation system, as evidenced by the facts that carpal tunnel syndrome – a disorder that disproportionately effects women – too often has a disability rating of 0%; that breast cancer contracted as a result of dangerous workplace exposures has a disability rating of 0% for many women; and the fact that first-responder...
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Women Who Work

Today's post is shared from nytimes.com/

If Peggy Young, who was a driver for United Parcel Service, had had an accident that limited her ability to lift heavy packages, or even lost her license because of driving while intoxicated, U.P.S. would have allowed her to go on “light duty” or assigned her another type of work. But Ms. Young got pregnant. When her doctors told her not to lift packages over 20 pounds to avoid jeopardizing the pregnancy, U.P.S. refused to accommodate her and effectively compelled her to go on unpaid medical leave.

Her case, which has implications for millions of American women and their families, will be argued before the Supreme Court on Wednesday. It is an opportunity for the court to strike a blow against discriminatory treatment and the resulting economic harm that are too often imposed on women who get pregnant — as the vast majority of women entering the work force eventually do.

Although many women can work through an entire pregnancy without job modifications, some — especially those in low-wage jobs requiring long hours, prolonged standing and heavy lifting — may require temporary help to safeguard their own health and their pregnancies.

U.P.S. claims it has a legal right to deny pregnant workers who have temporary physical limitations the flexibility it shows workers with other conditions that similarly affect the tasks they are able to perform. It said its collective bargaining agreement limited work modifications to only three categories: those with...

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West Virginia Coal Country Sees New Era as Donald Blankenship Is Indicted

Today's post is shared from nytimes.com/
WHITESVILLE, W.Va. — On a memorial to West Virginia’s most recent mining disaster, the silhouettes of 29 figures are etched into black granite, men posed with arms around each another like teammates.

On the back of the solemn slab, the disaster is put in the context of the state’s long history of coal tragedies, including a 1968 explosion that killed scores, and a dozen other deadly events earlier in the century.

In not one of those cases did a coal mine owner face criminal charges for the loss of life. That history ended in November, with the indictment of Donald L. Blankenship, the chief executive whose company owned the Upper Big Branch mine near here, where an explosion of methane gas in 2010 spread like a fireball through more than two miles of tunnels, feeding on illegally high levels of coal dust.

Legal experts call the case against Mr. Blankenship, a figure both feared and renowned for his power in West Virginia, a turning point after a century in which the power of coal barons over politicians, courts and the economy protected them.“Those responsible for managing mines in a way that caused multiple deaths were never held responsible,” said Patrick McGinley, a law professor at West Virginia University. “It shocks the conscience.”

The Charleston Gazette, a newspaper with a history of reporting on coal’s costs to the state, said simply, “This indictment is momentous.”

Neither Mr. Blankenship nor his attorney,...
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Suit on Health Law Puts Focus on Funding Powers

Today's post is shared from nytimes.com/
WASHINGTON — In mounting the latest court challenge to the Affordable Care Act, House Republicans are focusing on a little-noticed provision of the law that offers financial assistance to low- and moderate-income people.
Under this part of the law, insurance companies must reduce co-payments, deductibles and other out-of-pocket costs for some people in health plans purchased through the new public insurance exchanges. The federal government reimburses insurers for the “cost-sharing reductions.”
In their lawsuit, House Republicans say the Obama administration needed, but never received, an appropriation to make these payments to insurance companies. As a result, they contend, the spending violates the Constitution, which says, “No money shall be drawn from the Treasury, but in consequence of appropriations made by law.”
President Obama requested the money as part of the budget he sent Congress in April 2013, but Congress did not act on the request. Seeing the issue as an urgent priority, the administration began making the payments early this year, using money from a separate account established for tax refunds and tax credits.
“The cost-sharing reductions are really important and valuable,” said Judith Solomon, a vice president at the Center on Budget and Policy Priorities, a liberal-leaning research and advocacy group.
Under a standard insurance policy, for example, consumers might have to pay a deductible of $2,500 before the health...
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N.F.L. Teams Now Operate Under a Concussion Management Protocol



Todsy's post is shared from nytimes.com/
It happens dozens of times in every N.F.L. game. There is a fierce collision, or perhaps a running back is slammed to the ground. Most of the time, all the players rise to their feet uneventfully.
Other times, as the pileup unravels, a player gets up slowly. His gait may be unsteady.
For decades in the N.F.L., the operative term for the situation was that someone “got dinged.” It was a cute, almost harmless-sounding description of what was often a concussion or a worrying subconcussive blow to the head.
But with the N.F.L. agreeing to pay hundreds of millions of dollars to settle a lawsuit brought by about 5,000 former players who said the league hid from them the dangers of repeated hits to the head, a backpedaling league has corrected its lingo and hastily amended its methodology. The N.F.L. now has a concussion management protocol, outlined in an inches-thick document that commands teams to institute a specific, detailed game-day and postconcussion course of action.
Once, the treatment of players with head injuries varied from team to team and could be haphazard. Beginning last season, all players suspected of having a head injury — should they lose consciousness from a collision or experience symptoms like a headache, dizziness or disorientation — were required to go through the concussion protocol system. It features a broad cast: a head-injury spotter in the press box, athletic trainers on the bench, doctors and neuro-trauma specialists on the...
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Some $800M paid to SRS workers for Cold War radiation exposure

Today's post is shared from thestate.com/
WASHINGTON — More than 8,000 current or former workers of the Department of Energy nuclear site in Aiken have received at least $800 million in federal compensation and paid medical expenses for job-related illnesses, Labor Department data show.
The payments under a little-noticed federal program represent a fraction of the staggering nationwide toll of a nuclear weapons industry born out of the Cold War: More than 104,000 sick workers have received almost $11 billion in compensation and medical expenses.
The Energy Employees Occupational Illness Compensation Program was created in October 2000 to identify workers who grew ill after being unknowingly exposed to hazardous materials at nuclear plants during the Cold War, like the then-named Savannah River Plant of Aiken.
Many former workers of the Savannah River Plant who are sick from, or have died from, diseases like cancer, beryllium disease, silicosis, asbestosis and chronic obstructive pulmonary disease are eligible for compensation or medical expenses. In the case of a worker’s death, their survivors can file a claim.
“Not until the act was actually in the works back in the late ’90s did they finally realize that there was a lot of exposures at these particular Department of Energy sites,” said Rachel Leiton, director of the program. “And that’s why they created the act.”
A 2007 National Institute for Occupational Safety and Health study of more than 18,000...
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Notable Absence of New Ebola Quarantines at New York Area Airports

Today's post is shared from nytimes.com/
A day after a doctor who had returned from Guinea about a week earlier became New York’s first Ebola case, the governors of New York and New Jersey announced that they would begin quarantining travelers who had been in contact with Ebola patients in West Africa.

The move, which went beyond federal policy, drew protests from medical aid groups and the Obama administration, who said it would penalize people who were trying to contain Ebola and discourage others from doing so.

But since Kaci Hickox, a nurse, flew into Newark’s airport on Oct. 24 and was kept at a hospital for three days, no one else has been caught up in the quarantine dragnet at the New York and New Jersey airports.

The absence of quarantines is striking, not only because both governors emphatically defended the policy as a necessary precaution, but also because most people returning from Ebola-stricken countries arrive in the United States through Kennedy and Newark Liberty International Airports. Several aid organizations have American health care workers in West Africa, a handful of whom return every week. But New York and New Jersey officials say no one coming through the two airports since Ms. Hickox has reported direct contact with Ebola patients.

“I don’t think we can speculate on whether or not it’s out of the ordinary,” Monica Mahaffey, a spokeswoman for the New York State Health Department, said.

Possible explanations, based on interviews with several doctors who...
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Sunday, November 30, 2014

On Black Friday, Walmart Is Pressed for Wage Increases

Today's post was shared by Steven Greenhouse and comes from mobile.nytimes.com

While millions of shoppers flocked to Walmart stores nationwide on Black Friday, thousands of protesters descended on Walmarts to protest what they said were the retailer’s low wages.

About 300 people rallied Friday morning at a Walmart near Union Station in Washington, while 11 Walmart workers and supporters were arrested on charges of blocking traffic outside a Walmart on West Monroe Street in Chicago. At the Walmart in North Bergen, N.J., several hundred union members and others protested, including Randi Weingarten, president of the American Federation of Teachers, whose placard said, “Walmart: Breaking the Promise of America.”

Ronee Hinton, a cashier at a Walmart in Laurel, Md., joined a morning protest at the Walmart in Washington, calling on the company to increase everyone’s pay to at least $15 and hour and give more workers full-time and less erratic schedules.

“It’s very hard on what I earn,” said Ms. Hinton, noting that she typically earns about $220 a week — she earns $8.40 an hour and often works about 26 hours a week. “Right now I’m on food stamps and am applying for medical assistance. It would help a lot to get full time.”

In recent days, leaders of Our Walmart, a union-backed group of Walmart employees, said there would be protests at 1,600 stores on Black Friday. Friday afternoon, officials from Our Walmart said that with the protests unfolding, they could not say how many Walmart employees had...

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Friday, November 28, 2014

Feds seeking significant damages against DuPont for contamination in Pompton Lakes

Today's post is shared fom northjersey.com/
The federal government is seeking significant damages from DuPont for decades of pollution that has contaminated soil and water on the company’s sprawling 600-acre property where the facility played a key role in making ammunition for both world wars, and in adjacent neighborhoods in Pompton Lakes.

The U.S. Fish and Wildlife Service and DuPont have reached a cooperative agreement as part of the process to determine the extent of damage to fish, wildlife and other natural resources from the pollution generated by the munitions facility, which DuPont operated from 1902 to 1994. The two sides will share information, and DuPont has agreed to pay for some of the agency’s research. “This way we can work together to achieve restoration of the damaged natural resources more quickly,” said Melissa Foster, a senior biologist with Fish and Wildlife’s New Jersey field office.

Still, DuPont retains the right not to fund certain aspects of the investigation, in which case the agency would conduct them on its own.

The cooperative agreement...

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Rules of Dismissal Governed by Equitable Principles

In reversing a dismissal in Workers’ Compensation a NJ Court applied equitable principles as well as the guidance of the rules of the civil justice system. The inability of counsel to appear for what the Appellate Court deemed to be justifiable cause (conflicted with his obligation to serve as a court-appointed arbitrator in another court), resulted in a reversal of the dismissal.

“No petition shall be dismissed for want of prosecution or for failure to form-
ally adjourn the cause, until after notice shall be served by the respondent on
the petitioner or his attorney that unless the cause is moved for hearing within
one month from the date of the service thereof, the claim will be considered
abandoned and the petition dismissed subject, however, to the right to have the
petition reinstated for good cause shown, upon application made to the deputy
commissioner before whom the matter was heard or to the Commissioner of Labor
within one year thereafter. No claim heretofore made shall be considered abandoned because the petition was dismissed under this section, if such petition
has been reinstated for good cause shown, and such petition shall be deemed to
have been dismissed without prejudice to further proceedings upon said petition,
and further proceedings thereon shall be as effective as though said petition
had not been dismissed.” N.J.S.A. 34:15–51

The Court stated…… “Irrespective of the absence of express statutory authority and a one-year limitation imposed upon such a reopening in certain circumstances, N.J.S.A. 34:15–54, it is abundantly clear that the Division has the inherent power, “comparable to that possessed by the courts (R.R. 4:62–2 [now R. 4:50] ), to re-open judgments for fraud, mistake, inadvertence, or other equitable ground.” Beese v. First National Stores, 52 N.J. 196, 200 (1968). See also Estelle v.  Red Bank Bd. of Ed., 14 N.J. 256 (1954); Stone v. Dugan Brothers of N.J., 1 N.J.Super. 13 (App.Div.1948).”

“In the present case, we initially note that petitioner’s counsel was unable to appear to oppose the motion to dismiss because the hearing date conflicted with his obligation to serve as a court-appointed arbitrator in another court. We are unable to determine on this record why, under these circumstances, counsel’s seemingly valid adjournment request was denied. Counsel was then served with an order that referenced not only N.J.S.A. 34:15–54, but also a requirement that the case could not be restored unless it was ready to be tried or settled. Although petitioner’s surgery finally occurred in September 2011, within the one-year statutory period, the case was not ready until the doctor’s report was received on May 2, 2012. Petitioner then promptly moved to restore the case two weeks later.

“Arguably these circumstances may suffice to warrant equitable relief under Rule 4:50–1(f), especially should respondent be unable to demonstrate prejudice due to the delay beyond the one-year statutory period.

“In deciding the motion, the judge of compensation was clearly of the mistaken belief that he was unable to grant relief “[a]bsent specific authority in the statute.” To the contrary, the matter may be reopened if it qualifies under Rule 4:50–1(f), and even then, if the motion is found to have been brought within a reasonable time. See Hyman, supra, 157 N.J.Super. at 517. We conclude that this determination “is best made in the first instance by the judge of compensation, on a record fully developed for that purpose and accompanied by adequate findings.” Ibid. Accordingly we remand for a further hearing consistent with this opinion.
Remanded.

N.J.Super.A.D.,2014.
Not Reported in A.3d, 2014 WL 6634885 (N.J.Super.A.D.)


….
Jon L. Gelman of Wayne NJ is the author of NJ Workers’ Compensation Law (West-Thompson-Reuters) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson-Reuters). For over 4 decades the Law Offices of Jon L Gelman  1.973.696.7900  jon@gelmans.com  have been representing injured workers and their families who have suffered occupational accidents and illnesses.