News & Analysis as of

Utilization Review Insurance Industry

White and Williams LLP

For PA Employers: Defense Against Medical Marijuana Goes Up in Smoke

White and Williams LLP on

Based on two Commonwealth Court decisions filed on March 17, 2023, medical marijuana is now medical treatment covered by the PA Workers’ Compensation Act (WC Act), and failure to pay is a violation of the Act, with up to 50%...more

Polsinelli

Texas Department of Insurance Takes Action Against Companies For Utilization Review Non-Compliance

Polsinelli on

In 2015, the Texas Department of Insurance (“TDI”) took action against a number of companies for their failure to be properly licensed as a utilization review agent in Texas, as well as for their failure to comply with other...more

Eversheds Sutherland (US) LLP

Illinois Director of Insurance Restricts Offshoring of Utilization Review Functions and Third Party Administrators

On January 18, 2013, the Illinois Director of Insurance issued Company Bulletin #2013 - 01, Offshoring, to insurers, registered utilization review organizations and licensed third party administrators conducting business...more

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