It’s a Partnership with our Clients – Patient Advocacy is our Top Priority

by Devin Motley
Regulatory Counsel

The United States Department of Labor released a study October 5, 2016 entitled “Does the workers’ compensation system fulfill its obligations to injured workers?” A full copy of the report can be found here. The release of the report was accompanied by a webinar co-sponsored by the National Academy of Social Insurance, and included speakers from government leadership in the Social Security Administration and Department of Labor.

Both the study and the webinar can be easily summarized as follows:

  1. 1. The federal government believes that state oversight of the workers’ compensation system is seriously lacking, resulting in inadequate care and benefits for injured workers; and
  2. 2. The costs of caring for injured workers is being shifted to federal programs, such as disability and social security, rather than employer sponsored workers’ compensation programs.

Further, a theme from the webinar was that state governments engage in a “race to the bottom” mentality to attract organizations to do business in their state. They lower the cost of doing business by lowering workers’ compensation benefits. Numerous general assertions about the workers’ compensation industry were made in the webinar such as:

  1. 1. Middle class families are forced into poverty by injuries on the job
  2. 2. Only a small percentage of workplace injuries are handled by insurers and employers; and
  3. 3. People don’t realize their federal taxes are subsidizing the state workers’ compensation systems.

The purpose of this message is to provide our perspective on the bold statements made by the federal government. As we all know, the workers’ compensation industry is an extremely complex industry. And while there are unquestionably bad actors in the system, the system is also full of insurers, claims examiners, and medical providers working together to provide the absolute best care to the injured worker – and we ARE one of them. Patient advocacy is at the core of everything we do, and we partner closely with all our clients in doing so.

The Department of Labor and state leaders agree that is it very unlikely that the federal government will obtain regulatory control of state workers’ compensation systems in the foreseeable future. The purpose of the study and webinar was to draw attention to the perceived inadequacy of the system.

Similarly, the purpose of this message is to say that for pharmacy benefits management services, myMatrixx has and will continue to provide the best service and care to injured workers. We are proud of our Clinical team made up of medical leaders and pharmacists who are passionate about patient advocacy and care oversight.

A full list of our Clinical Programs can be found here.