00:00:02>> THANK YOU VERY MUCH FOR BEING
HERE TODAY.
00:00:07I REALLY APPRECIATE IT.
EVENTUALLY, YOU'LL BE HEARING
00:00:10FROM EVERY ONE OF US BACK HERE,
AND THE ADMINISTRATIVE BUREAU.
00:00:13WE WILL FIGHT VERY HARD NOT TO
BE -- TRY VERY HARD NOT TO BE
00:00:18DUPLICATIVE IN WHAT WE SAY.
WHEN WE ARE DONE, WE WILL TAKE
00:00:23QUESTIONS FROM EVERYBODY HERE.
IF THEY REMAIN ON LINE, WE WILL
00:00:26TAKE QUESTIONS FROM THEM IF THEY
HAVE ANY AT THE END.
00:00:30AGAIN, THANK YOU FOR A MUCH FOR
BEING HERE AS WE INTRODUCE SOME
00:00:34LEGISLATION AFFECTING THE BUREAU
OF WORKERS' COMPENSATION PAID IN
00:00:392011, WE HAD A LOT OF GREAT
ACHIEVEMENTS AS WE START A NEW
00:00:43PATH FORWARD.
UNDER LEADERSHIP OF OUR
00:00:45ADMINISTRATOR, THE OHIO BUREAU
OF WORKERS' COMPENSATION TRULY
00:00:49HAS TRANSFORMED THE NEW PATHWAY
FORWARD.
00:00:51I'M COMFORTABLE WITH SAYING THAT
2011 WAS LIKE NO OTHER YEAR FOR
00:00:54BWC.
LIKEWISE, I AM EXCITED TO SAY
00:00:59THAT THESE ACCOMPLISHMENTS HAVE
DIRECTLY BENEFITED EMPLOYEES,
00:01:02EMPLOYERS, AND TAXPAYERS.
THIS GENERAL ASSEMBLY, WE HAVE
00:01:06PARTICIPATED IN TRANSFORMING HOW
WE VIEW, MANAGE, AND FIND A
00:01:11HEALTH CARE.
IN OUR MEDICAID PROGRAM, WITH
00:01:13OUR PRIVATE INSURANCE, AND NOW
WITH THE BUREAU OF WORKERS'
00:01:16COMPENSATION.
HOUSE REPUBLICANS HAVE PLAYED A
00:01:20SIGNIFICANT ROLE IN SUPPORTING
THE BUREAU OF WORKERS'
00:01:22COMPENSATION, ACHIEVING MANY OF
THESE IMPORTANT GOALS,
00:01:26INCLUDING SAVING OHIO BUSINESSES
AND LOCAL GOVERNMENT MORE THAN
00:01:31$165 MILLION PER YEAR.
WE'VE BEEN ABLE TO ACHIEVE THESE
00:01:33SAVINGS BY KEEPING FOCUSED ON
IMPROVING OUTCOMES FOR INJURED
00:01:37WORKERS.
HOWEVER WE SUCCEEDED, AVERAGE
00:01:42PRIVATE EMPLOYERS PLAYED BASE
RATES REDUCED BY 4%.
00:01:45SITTING OHIO BUSINESSES $65
MILLION IN PREMIUMS PER YEAR.
00:01:50PUBLIC EMPLOYER RIGHTS WERE
REDUCED BY 5%.
00:01:56OVERALL, THE BUREAU OF WORKERS'
COMPENSATION BUDGET WAS REDUCED
00:02:03BY 12% OVER THE BIENNIUM,
SITTING TAXPAYERS $80 MILLION.
00:02:09THIS WAS ACCOMPLISHED IN HOUSE
BUILD 123.
00:02:12MANY BUREAU OF WORKERS'
COMPETITION PROGRAMS WERE
00:02:15CREATED, EXPANDED, TO BENEFIT
EMPLOYEES AND EMPLOYERS AROUND
00:02:20IN THE STATE.
THE HIGHLIGHT OF THESE REFORMS
00:02:22INCLUDE A FOUR-YEAR, $4 MILLION
WELLNESS GRANT PROGRAM, WHICH
00:02:26WAS CREATED TO REWARD EMPLOYERS
OF $15,000 FOR ASTONISHING
00:02:31WELLNESS PROGRAMS TO REDUCE
OBESITY, CHRONIC DISEASE, AND
00:02:35THE EFFECTS OF THE AGING WORK
FORCE.
00:02:37THIS I KNOW HAS BEEN SUCCESSFUL,
AND I'VE HEARD MANY, MANY
00:02:42EMPLOYERS TALKING ABOUT IT AND I
KNOW THAT THE BUREAU IS RECEIVED
00:02:46A LOT OF APPLICATIONS AND ARE
LOOKING FORWARD TO THE SUCCESS
00:02:48OF THIS PROGRAM.
DESTINATION EXCELLENCE IS A NEW
00:02:52RATING PLANS TO DOUBLE REWARD
EMPLOYERS THAT IS PUBLISHED
00:02:56RISK-MANAGEMENT PLANS FOCUSED ON
IMPROVING SAFETY, PREVENTION,
00:03:00RETURNED TO WORK RATES.
EXPANDING THE CITY COUNCIL
00:03:04REBATE PROGRAM ALLOWS CORPORATE
RAIDING EMPLOYERS TO QUALIFY FOR
00:03:072% PREMIUM DISCOUNTS,
DEMONSTRATING IMPROVEMENT TO
00:03:12EMPLOYEE SAFETY.
THE FIRST-EVER BWC FORMULA FOR
00:03:16MEDICATIONS WAS ESTABLISHED TO
IMPROVE THE EFFICIENCY OF
00:03:19TREATMENT, LOWER THE
PRESCRIPTION DRUG COSTS, AND IT
00:03:24IS ESTIMATED TO SAVE THE BUREAU
WORKERS COMPENSATION AROUND $15
00:03:27MILLION IN THE FIRST 18 MONTHS
ALONE.
00:03:29THE GROW OHIO PROGRAM WAS
ESTABLISHED TO PROVIDE PREMIUM
00:03:34DISCOUNTS FOR EMPLOYERS.
EMPLOYERS CAN OPT FOR A 25%
00:03:37PREMIUM DISCOUNT FOR TWO YEARS
OR CAN IMMEDIATELY JOIN GROUP
00:03:41RATINGS, SETTING UP TO 53%.
A ONE-TIME FORGIVENESS PROGRAM
00:03:47WAS INTRODUCED THIS YEAR AS PART
OF THE COMMON SENSE INITIATIVE,
00:03:50WHICH WAIVES PENALTIES AND
INTEREST, PRODUCING A PREMIUM
00:03:55PAYMENT FOR THE FIRST TIME.
NOW THIS NEW LEGISLATION.
00:04:00THE BUREAU OF WORKERS'
COMPENSATION AND HOUSE
00:04:03REPUBLICANS ARE COMMITTED TO
CONTINUING IMPROVING OUTCOMES
00:04:05FOR INJURED WORKERS, KNOWING
THAT THIS FOCUS ALSO HELPED
00:04:08BUSINESSES AND THE BUREAU OF
WORKERS' COMPENSATION.
00:04:11ALTHOUGH WE HAVE MADE GREAT
STRIDES WITHIN THE BUREAU ALONE,
00:04:15IT IS CLEAR THAT WE NEED
LEGISLATION TO MAKE EVEN A
00:04:17BIGGER IMPACT.
WE HAVE INTRODUCED THREE BILLS
00:04:21THAT ARE MARKING WHAT WE CALL
THE BEGINNING OF TRANSFORMATION
00:04:23IN OHIO.
AS PART OF THIS ERA, WHEN ASKED
00:04:27THE BUREAU OF WORKERS'
COMPENSATION TO DO MORE FOR
00:04:29INJURED WORKERS AND DO MORE FOR
BUSINESSES.
00:04:32AS IMPORTANTLY, WE HAVE COME TO
EXPECT THE SAME HEALTH CARE
00:04:35QUALITY IN THE BUREAU OF
WORKERS' COMPENSATION BUT WE
00:04:40EXPECT FROM PRIVATE INSURANCE
PLANS, THAT WE EXPECT IN OUR
00:04:43STATE AND FEDERAL HEALTH-CARE
PROGRAMS.
00:04:45WITH THE PASSAGE OF THESE BILLS,
THERE WILL BE NO QUESTION THAT
00:04:48THE OHIO BUREAU OF WORKERS'
COMPENSATION WORKS FOR THE
00:04:52GREATEST PRODUCERS IN THE STATE,
OUR EMPLOYEES.
00:04:54WE HAVE THREE BILLS.
THE FIRST THAT WILL BE DISCUSSED
00:04:57WILL BE HOUSE BILL 516.
REPRESENTATIVES HENNE AND
00:05:05HOTTINGER MANAGE THIS BILL.
HOUSE BILL 517, MYSELF AND
00:05:13REPRESENTATIVES NEWBOLD WILL
MANAGE TO IT IS DIED SUPERIOR
00:05:16HEALTH CARE FOR INJURED WORKERS
WITHIN THE BUREAU OF WORKERS'
00:05:19COMPENSATION.
HOUSE BILL 518, REPRESENTATIVE
00:05:23LANDIS AND I WILL MANAGE, AND
THAT WE HAVE QUITE BEST OUTCOME
00:05:29-- COINED BEST OUTCOMES FOR
INJURED WORKERS.
00:05:36REGARDING THE TRANSFORMATION AND
FOCUS, WE BELIEVE THAT BY
00:05:38FOCUSING ON HELPING INJURED
WORKERS RETURNED TO WORK BY
00:05:42MEASURING OUTCOMES, NOT JUST
VISITS, WE CAN CREATE A MUCH
00:05:44BETTER FUNCTIONING BUREAU OF
WORKERS' COMPENSATION THAT
00:05:47PRIMARILY IMPROVES THE LIVES OF
WORKERS WHILE WORKING FOR
00:05:51BUSINESS OWNERS AND EMPLOYERS.
THE SUCCESS OF THIS LEGISLATION
00:05:55HAS TWO MAJOR IMPLICATIONS.
ALWAYS FOCUSING ON IMPROVING THE
00:05:59LIVES OF INJURED WORKERS AND THE
ABILITY TO GET BACK TO WORK.
00:06:03WE HAVE FOCUSED ON MEETING THESE
GOALS.
00:06:07WE KNOW THAT INJURED WORKERS
WILL BE BETTER SERVED, AND THE
00:06:09COST OF DOING BUSINESS CAN BE NO
MORE.
00:06:11THEREFORE, WE ARE FOCUSED ON
BWC TRANSFORMATION BECAUSE WE
00:06:17BELIEVE THAT IT IMPROVES LIVES
OF WORKERS AND CREATES JOBS AT
00:06:21THE SAME TIME.
AS WE LOOK AT THIS, IT WILL
00:06:26TRULY BE A WIN-WIN FOR OHIO.
AT THIS POINT, WHAT I WOULD LIKE
00:06:29TO DO IS INTRODUCE
REPRESENTATIVE HENNE, WHO WILL
00:06:33PROVIDE AN OVERVIEW OF THE FIRST
PIECE OF LEGISLATION.
00:06:35>> THANK YOU VERY MUCH.
WHAT IS EXCITING ABOUT THIS BILL
00:06:39IS IT IS POINT MAN.
BY CONCENTRATING ON THE WORKERS
00:06:44-- IT IS A WIN-WIN.
BY CONCENTRATING ON THE WORKERS
00:06:49AND INCENTIVIZING THE EMPLOYER
TO PROVIDE A SAFE WORKING
00:06:52ENVIRONMENT AND GIVING THE
WORKERS QUALITY CARE TO GET BACK
00:06:55TO WORK QUICKER, IT IS A WIN FOR
THE BUSINESS AND THE EMPLOYER.
00:07:01MY BUSINESS IS INSURANCE, AND
THERE IS TRUISMS ABOUT
00:07:09INSURANCE.
ONE IS THAT THERE'S NOTHING
00:07:10BETTER THAN PREVENTING LOSS.
THERE IS INTANGIBLES WITH
00:07:14INSURANCE.
BY AVOIDING THE LOSS, WE ARE
00:07:19INCENTIVIZING EMPLOYERS TO
PROVIDE A SAFE WORKING
00:07:24ENVIRONMENT.
THERE IS NOTHING BETTER TO
00:07:27MINIMIZE A LOSS THAN GETTING THE
BUSINESS BACK RUN AWAY WAS RUN
00:07:35BEFORE.
PROVIDING QUALITY CARE AND
00:07:37GETTING TO THE WORKER BACK TO
WORK QUICKER IS A WIN-WIN FOR
00:07:40EVERYBODY.
516 MAKES A VARIETY OF CHANGES
00:07:45TO BWC, WHICH BENEFIT INJURED
WORKERS AND EMPLOYERS STATEWIDE.
00:07:51THESE CHANGES MODERNIZE THE
WORKERS' COMPENSATION SYSTEM AND
00:07:53PROVIDE OPTIONS FOR EMPLOYERS
AND ENCOURAGE A RETURN TO WORK
00:07:57FOR THE WORKER.
THE LEGISLATION REPRESENTS A
00:08:02CONTINUED COMMITMENT TO
IMPROVING OUTCOMES FOR INJURED
00:08:04WORKERS.
IT IS THE FOLLOWING -- IT
00:08:08PERMITS STATE HOSPITALS TO
PARTICIPATE IN SELF INSURANCE.
00:08:14CURRENTLY THE LAW ALLOWS STATE
UNIVERSITIES, NOT UNIVERSITY
00:08:20HOSPITALS.
OVERSIGHT WOULD BE CORRECTED IN
00:08:23THIS LEGISLATION.
IT WOULD PERMIT POLITICAL
00:08:27SUBDIVISIONS TO PARTICIPATE IN
THE ONE-TIME PROGRAM.
00:08:30CURRENTLY, ONLY PRIVATE
EMPLOYERS PARTICIPATE IN THIS
00:08:32PROGRAM.
LEGISLATION EXPANDS THE PROGRAM
00:08:37TO INCLUDE CITIES, SCHOOLS, AND
OTHER PUBLIC DISTRICT, PROVIDING
00:08:42THEM WITH AN IMPORTANT TOOL FOR
THE WARRING THE WORKERS
00:08:45COMPETITION COST IN THE EVENT --
LOWERING THE WORKERS'
00:08:50COMPENSATION COSTS IN THE EVENT
OF A SIGNIFICANT LAG IT PROVIDES
00:08:53RELIEF TO EMPLOYERS BY
MODIFYING ASSESSMENT FOR CLAIMS.
00:08:56THERE ARE CURRENTLY ENOUGH
RESERVES TO MAKE CLAIMS AND
00:09:01OBLIGATIONS FOR DWARF 2
ASSESSMENTS.
00:09:08IT ALLOWS THE BUREAU TO PUBLISH
RULES ELECTRONICALLY RATHER THAN
00:09:12IN PAPER FORM.
THIS TOOL WILL HELP REDUCE
00:09:16COSTS.
IT WILL STANDARDIZE THE PROCESS
00:09:19BY AFFECTING THE LEGISLATION.
THESE ARE THE ONLY FILINGS
00:09:31REQUIRED TO BE SENT BY MAIL.
IT WILL ENCOURAGE THE BUREAU IN
00:09:37ITS EFFORT TO BUILD INCENTIVES
FOR EMPLOYERS AND EMPLOYEES TO
00:09:40BE ACTIVELY ENGAGED IN WORKPLACE
SAFETY AND WELLNESS PROGRAM.
00:09:46REPRESENTATIVE NEWBOLD WILL TALK
ABOUT THE SECOND BILL.
00:10:03>> THANK YOU, REPRESENTATIVE
HENNE.
00:10:09THIS IS A BILL THAT I AM EXCITED
ABOUT, HONORED TO PARTICIPATE
00:10:14IN.
ANYTHING WE CAN DO TO IMPROVE
00:10:18OUR ABILITY TO GET BACK, IT
HELPS BUSINESSES IMPROVE OUR
00:10:24ABILITY TO CONDUCT THE BUSINESS,
NOT ONLY IN OHIO BUT WITH OTHER
00:10:29STATES.
THIS IS VERY EXCITING.
00:10:32I AM COSPONSORING HOUSE BILL
517.
00:10:37THIS WILL ENCOURAGE BETTER
MEDICAL CARE PRACTICES WITH THE
00:10:41GOAL OF IMPROVING QUALITY AND
OUTCOMES FOR INJURED WORKERS THE
00:10:47BILL WILL REDUCE BUREAUCRATIC
REQUIREMENTS FOR PROVIDERS AND
00:10:49ALLOW THEM TO FOCUS ON PROVIDING
HIGH-QUALITY CARE IN THE INITIAL
00:10:52STAGES OF THE KLAN.
-- CLAIM.
00:10:55SOME OF THE KEY PROVISIONS
INCLUDE CREATING INCENTIVES
00:11:00WITHIN THE HEALTH PART OF A
PROGRAM, REQUIRING BWC TO HOLD
00:11:05ANCO'S AND PROVIDERS AT
ACCOUNTABLE, REPORTING ON
00:11:13QUALITY AND OUTCOMES, RETURN-TO-
WORK RATES, AND DISTRIBUTE
00:11:17RESULTS TO EMPLOYERS AND THE
PUBLIC.
00:11:19THIS INTEREST COMPETITION AND
QUALITY WITHIN THE SYSTEM AND
00:11:23GIVES WORKERS MEANINGFUL CHOICE.
ACQUIRING THE ADMINISTRATOR TO
00:11:31CONTRACT WITH NCO'S TO CREATE
NETWORKS OF PROVIDERS TO ACHIEVE
00:11:36QUALITY BENCHMARKS WITH A FOCUS
ON QUALITY CARE, RETURN TO WORK,
00:11:42AND COST-EFFECTIVE TREATMENT FOR
INJURED WORKERS, ALLOW INJURED
00:11:47WORKER FREEDOM TO CHOOSE $45
BILLION AND REQUIRED THE USE OF
00:11:52NETWORK PROVIDERS.
THIS WILL PROVIDE INJURED
00:11:54WORKERS WITH A MEANINGFUL
FRAMEWORK FOR GETTING BACK TO
00:11:58FULL HEALTH AND BACK TO WORK.
PROVIDING INCENTIVES TO
00:12:04PROVIDERS WHO EXCEED QUALITY
BENCHMARKS AND STREAMLINING THE
00:12:09INITIAL TREATMENT PROCESS BY
ALLOWING BWC TO PAY PROVIDERS
00:12:13FOR RENDERING CARE IN THE EARLY
STAGES OF A CLIMB, AGAIN, TO
00:12:18REDUCE THE OVERALL CYCLE OF THE
INDIVIDUAL BEING OUT OF WORK.
00:12:20THIS LEGISLATION AT FIRST AND
FOREMOST IS PRO-INJURED WORKER.
00:12:27EACH PROVISION WILL NOT ONLY
IMPROVE OHIO'S BWC SYSTEM BUT
00:12:33WILL IMPROVE THE QUALITY OF
CARE RECEIVED BY INJURED
00:12:37WORKERS COULD BETTER CARE WILL
RESULT IN A QUICKER RETURN TO
00:12:39WORK, LOWER BWC COSTS,
LOWER OVERALL MEDICAL COSTS IN
00:12:51OUR STATE.
THANK YOU.
00:12:52NOW, REPRESENTATIVE LANDIS.
>> THANK YOU, REPRESENTATIVE
00:13:01NEWBOLD.
THANK YOU, LADIES AND GENTLEMEN,
00:13:04FOR ATTENDING A PRESS
CONFERENCE.
00:13:05THIS IS SO IMPORTANT, BECAUSE
IDEAS ABOUT 08 WORKERS.
00:13:10AS MANY OF YOU KNOW, I SPENT THE
PRIVATE SECTOR COME IN THE STEEL
00:13:15INDUSTRY, IN MANUFACTURING.
THIS WAS A PRIORITY OF MINE WHEN
00:13:20COMING TO COLUMBUS.
AM HONORED TO BE CARRYING 518.
00:13:27I THANK HER FOR THE OPPORTUNITY
TO WORK WITH HER.
00:13:34THE PURPOSE IS TO HELP INJURED
WORKERS RETURNED TO WORK FASTER.
00:13:38HAVING COME OUT OF THE
MANUFACTURING ENVIRONMENT, I
00:13:41KNOW HOW IMPORTANT IT IS TO GET
THESE FOLKS THE BEST
00:13:44REHABILITATION, BEST TREATMENT
WE CAN GET, AND ALLOW THEM TO
00:13:47RETURN TO THE JOB AND TO THEIR
FAMILY LIVES.
00:13:49THE BILL STRENGTHENS THE BUREAU
OF WORKERS' COMP ABILITY TO
00:13:57CERTIFY PROVIDERS THAT PRESENT A
DANGER TO THE HEALTH AND SAFETY
00:13:59OF INJURED WORKERS.
IT ALSO PROTECTS THE INTEGRITY
00:14:02OF THE BUREAU'S BROAD
INVESTIGATIONS BY ENSURING THAT
00:14:08EVIDENCE IS NOT SUBJECT TO
DISCOVER OR PUBLIC RECORDS UNTIL
00:14:12THE INVESTIGATION IS COMPLETE.
FINALLY, IT PROVIDES CONSISTENCY
00:14:17IN THE DECERTIFICATION PROCESS
BY REQUIRING THAT ALL APPEALS TO
00:14:21BE FILED IN THE FRANKLINTOWN
COURT OF COMMON PLEAS.
00:14:24PROTECTING INJURED WORKERS FROM
UNDERPERFORMING AND INTEREST
00:14:30PROVIDERS IS A TOP PRIORITY FOR
THE OHIO HOUSE.
00:14:32CREATING AN ENVIRONMENT THAT
INCLUDES ONLY THE BEST PROVIDERS
00:14:35TO BENEFIT MAJOR WORKERS IN OUR
STATE AND IN ADDITION,
00:14:40PROTECTING DOCUMENTS DURING
INVESTIGATIONS AND SIMPLIFYING
00:14:43THE APPEALS PROCESS FOR
DECERTIFICATION PROVIDERS
00:14:48PROVIDE AN IMPROVED FRAMEWORK
FOR THE BUREAU ON TWO IMPORTANT
00:14:53ISSUES TREE JUST TO SUMMARIZE
WHAT THE CORE OF IT IS, NUMBER
00:14:57ONE, IT CLARIFIES THE BUREAU
POSSIBILITY TO -- BUREAU'S
00:15:05ABILITY TO DECERTIFY PROVIDERS
THAT PRESENT A DANGER.
00:15:11IT REQUIRES THAT THE COURT OF
APPEALS, RELATING TO PROVIDER
00:15:18DECERTIFICATION, TO BE FILED IN
FRANKLIN COUNTY.
00:15:22THOSE ARE THE CORE VALUES OF
HOUSE BILL 518.
00:15:25THANK YOU FOR YOUR ATTENTION.
I WOULD LIKE TO INTRODUCE THE
00:15:30ADMINISTRATOR OF THE BUREAU OF
WORKERS' COMPENSATION, MR.
00:15:34STEVE BUEHRER.
>> THANK YOU VERY MUCH,
00:15:38REPRESENTATIVE AND
REPRESENTATIVES, FOR BEING HERE
00:15:45TODAY.
WE APPRECIATE THE OPPORTUNITY TO
00:15:47TALK ABOUT THESE PROPOSALS.
UNDER THE FIRST YEAR OF THE
00:15:52LEADERSHIP OF THE GOVERNOR
KASICH AT THE BUREAU, WE HAVE
00:15:58BEEN SUCCESSFUL ON SEVERAL
FRONTS.
00:15:59WE'VE DECREASED BASE RATES,
WE'VE BROUGHT STABILITY TO THE
00:16:05GREAT MAKING PROCESS, WE HAVE
COORDINATED PREMIUM DISCOUNTS
00:16:09CALL DESTINATION EXCELLENCE.
WE HAVE BEGUN PROGRAMS TO
00:16:13INCENTIVIZE NEW BUSINESSES IN
OHIO, TO CREATE HEALTHIER
00:16:16WORKPLACES THROUGH OUR WORK AS
WELL AS GRANT PROGRAM AS WELL AS
00:16:20THE SAFETY INITIATIVES.
THESE ARE THINGS THAT ARE GOOD,
00:16:23THINGS THAT WO WILL HELP OUR
SYSTEM.
00:16:27HOWEVER, IN SPITE OF THESE
ACHIEVEMENTS, STABILIZING AND
00:16:31IMPROVING OUR SYSTEM, I CONTINUE
TO BE HAUNTED BY THE DECLINING
00:16:34RATE OF RETURN FOR INJURED
WORKERS IN OHIO.
00:16:37SOME OF YOU WHO HAVE BEEN IN
OTHER EVENTS WITH ME HAVE SEEN
00:16:42THIS CHART.
WE'VE TALKED ABOUT IT ACROSS THE
00:16:44STATE.
WHAT IT PORTRAYS IN THE PAST
00:16:46FIVE YEARS IS THE OHIO RETURNED
TO WORK RIGHT.
00:16:50IT HAS FALLEN FROM SOMETHING
CLOSE TO 76% TO BELOW 69%.
00:16:57WHAT THAT MEANS IS THAT MORE AND
MORE WORKERS ARE TRAPPED FOR
00:17:00LOGGER LONGER PERIODS OF TIME IN
THE WORKERS COMP SYSTEM.
00:17:08MY BELIEF IS THAT ONCE AN INJURY
HAS OCCURRED, THE EMPLOYER AN
00:17:12INJURED WORKER MUST HAVE A
SIMILAR GOAL -- GET THE INJURED
00:17:15WORKER BACK TO WORK.
NOT ONLY IS THIS BEST FOR THE
00:17:18EMPLOYER AND KEEPING COSTS LOW
AND ENSURING EFFICIENCY IN THE
00:17:22WORKPLACE, BUT IT IS WHAT IS
BEST FOR THE INJURED WORKER.
00:17:24WHAT I DISCUSSED THESE PROBLEMS
WITH THE GOVERNOR, HE HAS ASKED
00:17:31ME TO GET AS MUCH ACCOMPLISHED
AS I CAN INTERNALLY WITHOUT
00:17:36LEGISLATIVE HELP.
YET ENGAGED EMPLOYEES AND
00:17:38STAKEHOLDERS FOR BETTER
TRIAGING OF CLAIMS, BETTER
00:17:45MEDICAL MANAGEMENT, SMARTER AND
MORE CONTROLLED USE OF A
00:17:47PHARMACEUTICALS, MORE
SETTLEMENTS, BETTER ACCESS TO
00:17:48REHABILITATION.
THESE EFFORTS ARE ONGOING.
00:17:52HOWEVER, TODAY WE HAVE COME TO
THE LEGISLATURE WITH A NARROW
00:17:57SET OF REFORMS THAT WE BELIEVE
ARE NECESSARY TO TAKE THE NEXT
00:18:00STEP IN PROVIDING BETTER
OUTCOMES FOR INJURED WORKERS.
00:18:05TOO MANY WORKERS REMAIN IN OUR
SYSTEM WITHOUT A CLEAR PATH OF
00:18:19RETURN TO WORK.
THROUGHOUT OUR SYSTEM, THERE ARE
00:18:22POINTS WHERE THERE IS LACK OF
ACCOUNTABILITY FOR ALL PARTIES
00:18:25INVOLVED IN AIDING HIS RETURN TO
WORK EFFORT.
00:18:26THE CHART APPEAR HIGHLIGHTS WHAT
HAPPENS TO A PERSON WHO ENTERS
00:18:32OUR SYSTEM.
THE OUTER RING -- IT IS WHAT
00:18:38HAPPENS WHEN THERE IS AN INITIAL
VISIT.
00:18:39FOR THE FIRST PERIOD OF TIME,
THEY CAN GO ANYWHERE THEY ONE
00:18:53FOR CARE.
ONCE THAT ENDS, THEY HAVE
00:18:55ENTERED THE NETWORK THAT IS
ESTABLISHED IN OUR SYSTEM OF
00:19:00CERTIFIED PROVIDERS.
THERE ARE OVER 68,000 PROVIDERS
00:19:06AND THE STATE OF OHIO THAT
INJURED WORKERS CAN CHOOSE TO GO
00:19:08TO AS THEY LIKE.
IN THE MIDDLE IS SOMETHING THAT
00:19:14SHOULD SET UP IN THE LEGISLATURE
SET UP NNINE -- NETWORKS OF
00:19:21MCO PROVIDERS WHO ARE ATTACHED
TO EVERY EMPLOYER IN OHIO WHO
00:19:26TRY TO WORK AND MAKE SURE THAT
INJURED WORKERS ARE RECEIVING
00:19:28THE CARE THEY SHOULD AND THAT
THERE WAS COMMUNICATION ACROSS
00:19:32BOTH PARTIES IN THE SYSTEM.
THE STATUTES SET UP WITH THESE
00:19:35PROVIDER NETWORKS IN THE MID-
1990'S -- IN REALITY, THEY
00:19:40FUNCTION, BECAUSE INJURED
WORKERS, AGAIN, ARE ALLOWED TO
00:19:42GO ANYWHERE THEY ONE WITH IN THE
CERTIFIED NETWORK.
00:19:45THE GOOD NEWS IS 93% OF THE
TIME, INJURED WORKERS WHO ENTER
00:19:53THIS RETURN TO WORK WITHIN 45
DAYS.
00:19:55THAT IS GOOD NEWS.
EACH YEAR, 7000 TO 8000 INJURED
00:20:02WORKERS DO NOT, AND THEY WIN IN
THE SYSTEM WITHOUT A PATH TO
00:20:05RECOVERY.
-- LINGER IN THE SYSTEM WITHOUT
00:20:10PATH TO RECOVERY.
IF AN INJURED WORKER IS NOT BACK
00:20:13TO WORK WITHIN 30 DAYS, THE
CHANCES OF EVER RETURNING TO
00:20:15WORK DIMINISHED SIGNIFICANTLY.
WHAT WE FOUND IN THE OHIO SYSTEM
00:20:20IS THAT FOR THOSE MISSING 45
DAYS, 57% OF THOSE WILL MISS
00:20:26MORE THAN 120 DAYS AND BE ON A
PATH THAT IS NOT GOOD FOR THEM
00:20:30OR ANYBODY ELSE.
ONE OF THE THINGS THIS BILL DOES
00:20:36IS SAY THAT THE INJURED WORKERS
TO ENTER THE SYSTEM WILL HAVE 45
00:20:39DAYS TO GO WHEREVER IT AT WHAT
WOULD CERTIFY PROVIDERS, BUT IF
00:20:43THEY HAVE NOT SEEN A RECOVERY,
HAVE NOT RETURNED TO WORK FOR 45
00:20:48DAYS, THEY MUST GO TO WHAT THE
STATUTE HAS ALREADY CREATED, THE
00:20:53NETWORK OF PROVIDERS THAT MCO'S
WILL SET UP.
00:20:56THAT IS ONE SIDE OF THESE VERY
IMPORTANT REFORMS.
00:21:02THE OTHER SIDE IS THAT WE HAVE
PROBLEMS WITH GIVING
00:21:09SERVICE TO INJURED WORKERS.
AS I MENTIONED BEFORE, FROM THE
00:21:13MOMENT SOMEONE IS INJURED, THEY
HAVE ROUGHLY 72 HOURS TO GO
00:21:15WHERE TIPPING WANT TO GO TO GET
SOME TYPE OF EMERGENCY CARE.
00:21:21AND THE INJURED WORKER RIGHTS.
OUR SYSTEM WILL NOT PAY
00:21:24PROVIDERS FOR ANY TYPE OF
SERVICE UNTIL BWC HAS MADE THE
00:21:29INITIAL DETERMINATION ON THE
CLAIM, THE STATUTE GIVING US 28
00:21:32DAYS TO DO THAT.
IN REALITY, WE GET MOST OF THEM
00:21:36DIED IN 10 DAYS, BUT THERE CAN
BE --DONE IN 10 DAYS, BUT IT CAN
00:21:42BE AS LONG AS 28 DAYS.
WE WILL NOT PAY FOR MEDICAL
00:21:46COMMIT UNTIL THE APPEALS
PERIOD, ANOTHER 14 DAYS, IN
00:21:48ADDITION TO THE 28 PAST.
UNDER THOSE SCENARIOS, AN
00:21:52INJURED WORKER CAN SIT AT HOME
WAITING FOR UP TO 30 TO 40 DAYS
00:21:57TO IT THAN IF AN APPEAL AFTER
THE COMMERCE, THERE IS ANOTHER
00:21:59STATUTORY PERIOD.
IN TOTAL, IT CAN BE UP TO 150
00:22:07DAYS FROM DATE OF ENTRY UNTIL
THE WORKER RECEIVES PAGE
00:22:13TREATMENT UNDER THE WORKERS
COMP SYSTEM.
00:22:17THAT IS NOT A POSITIVE WAY TO
DEAL WITH PEOPLE AND CONDITIONS
00:22:19IF WE WANT BETTER OUTCOMES IN
THE SYSTEM.
00:22:22WHAT THE BILL DOES I BUT IS TO
PROVIDE THE SYSTEM, ONCE THE
00:22:27BUREAU WAS MADE THE INITIAL
DETERMINATION, WE WILL BE ABLE
00:22:32TO MEET PAYMENTS ON BEHALF OF
THE IINJURED WORKER WHILE
00:22:36THE APPEALS PROCESS MAKES ITS
WAY THROUGH THE SYSTEM WRIT
00:22:39THEREBY GUARANTEEING THAT THE
INJURED WORKER IS GETTING HEALTH
00:22:42CARE PROVIDED AS QUICKLY AS
POSSIBLE AT THE FRONT END AFTER
00:22:45HIS INJURY HAS OCCURRED.
THAT, AND A NUTSHELL, IS WHAT
00:22:52ONE OF THE MORE SIGNIFICANT
PIECES IN THIS BILL ARE.
00:22:55THERE ARE OTHERS THAT WILL BEGIN
TO ADDRESS THE FIRST CHART WE
00:22:58LOOKED AT, RETURN TO WORK IN THE
STATE OF OHIO.
00:23:02WHAT WE'RE TRYING TO DO IS FIX A
VERY WELL-DEFINED PLAN --
00:23:08PROBLEM.
THAT IS GETTING ALL INJURED
00:23:12WORKERS TO CARE THEY DESERVE AND
GET THEM BACK AS QUICKLY AS
00:23:14POSSIBLE TO RESUME HIGH QUALITY
OF LIFE.
00:23:18THIS LEGISLATION HOLDS EVERYONE
IN THE SYSTEM ACCOUNTABLE --
00:23:23INJURED WORKERS.
THE BILL SAYS THEY MUST COMPLY
00:23:25WITH TREATMENT PROTOCOLS THAT
THEIR DOCTORS SET OUT TO
00:23:28EMPLOYERS.
AS I MENTIONED, EMPLOYERS PAYING
00:23:31FOR THE CARE EARLIER ON IN THE
SYSTEM.
00:23:33PAYING FOR THE FIRST
PRESCRIPTION THAT THE INJURED
00:23:36WORKER NEEDS AT THE PHARMACY,
EVEN BEFORE THE CLEMMONS BEEN
00:23:39ALLOWED, IF IT IS LIKELY WILL BE
ALLOWED LATER.
00:23:41WE WILL BEGIN TO MEASURE THAT
MORE THOROUGHLY.
00:23:45WE ARE ASKING MCO'S TO DO A
BETTER JOB A PARTNER WITH US.
00:23:53THE BILL CREATES A SCORECARD TO
MEASURE HOW EFFICIENT THEY ARE.
00:23:57IN TOTAL, IT WILL IMPROVE THE
SYSTEM TO MAKE IT MORE
00:23:59ACCOUNTABLE THROUGH FASTER
PAYMENTS FOR APPROPRIATE
00:24:02SERVICE.
LET ME TELL YOU WHAT THIS BILL
00:24:07OR A SERIES OF BILLS ARE NOT.
THESE ARE NOT PRIVATIZATION,
00:24:10THESE ARE NOT COMPETITION, THESE
ARE NOT BENEFIT CUTS.
00:24:13THOSE ARE ALL CONVERSATIONS FOR
ANOTHER DAY.
00:24:17THESE BILLS TRY TO FOCUS ON WHAT
I BELIEVE IS THE MOST PRESSING
00:24:19PROBLEM -- HOW DO WE HAVE BETTER
OUTCOMES FOR INJURED WORKERS IN
00:24:23OUR SYSTEM?
LET ME MENTION A COUPLE OF
00:24:26THINGS THAT I BELIEVE SOME OF
THE CRITICS OF THESE BILLS MAY
00:24:30SAY.
THE FIRST IS THAT WE DON'T HAVE
00:24:31ENOUGH PROVIDERS.
THAT IS WHY THE RETURN-TO-WORK
00:24:34NUMBERS ARE WHAT THEY ARE.
BWC HAS 68,280 CERTIFIED
00:24:40PROVIDERS.
THAT IS ONE PROVIDER FOR EVERY
00:24:44TWO INJURED WORKERS THAT HAD A
CLAIM IN OHIO LAST YEAR.
00:24:49FOLKS, THAT IS A SUFFICIENT
NUMBER OF PROVIDERS.
00:24:53THAT IS NOT THAT WE CANNOT HAVE
A GOOD SPECIALISTS AND OUR
00:25:00SYSTEM AND BE AVAILABLE TO
INJURED WORKERS.
00:25:03THE INJURED WORKER DOES NOT KNOW
WHERE TO GO TO GET THE BEST TYPE
00:25:10OF HELP BUT THINK OF OURSELVES
IF YOU WERE INJURED IN THE
00:25:13WORKPLACE.
WHO WOULD YOU SEE FOR SPECIFIC
00:25:15INJURIES?
IT WOULD BE A DAUNTING TASK.
00:25:18IN REALITY, WHEN THEY FACED THE
DAUNTING TASK, SOME OF THEM FIND
00:25:22THE RIGHT PROVIDERS AND SOME
DON'T.
00:25:25FOR SOME WHO DON'T FIND THE
RIGHT PROVIDER, IT CAN LEAD TO
00:25:30TOTAL DISABILITY AND IN SOME
CASES, DEATH.
00:25:32SOME OPPONENTS MAY ARGUE THAT
THIS IS RADICAL AND OUT OF THE
00:25:39NORM.
FOLKS, THAT IS BLATANTLY UNTRUE.
00:25:42THERE ARE MANY STATES THAT
REQUIRE CERTAIN NETWORK
00:25:45POSITIONS FROM THE VERY FIRST
DAY OF A CLAIM.
00:25:47IN AUGUST, THE EMPLOYER PICKS
THE EMPLOYEES AFTER.
00:25:51NEITHER OF THOSE THINGS IS GOING
ON IN THIS BILL.
00:25:54OHIO POLLEY W IT CONTAINS MC --
OHIO LAW CONTAINS MCO NETWORK
00:26:02PROVIDERS.
THIS DOES WHAT WAS CONTEMPLATED
00:26:05IN THE MID-1990'S BY THE
LEGISLATURE WHO GREETED THESE
00:26:08PANELS OF HIGH QUALITY POSITIONS
THAT GET PEOPLE BACK TO WORK AND
00:26:11ON THE JOB.
THIS LEGISLATION SAYS THAT THE
00:26:14STATUTE TORELLI CREATED
NETWORKS WILL OPERATE THE WAY
00:26:17THEY WERE MEANT TO OPERATE THOSE
MANY YEARS AGO.
00:26:21THEN, ONLY AFTER 45 DAYS OF THE
EMPLOYEE'S FAILURE TO GET BACK
00:26:27TO WORK.
THE FINAL ARGUMENT IS THAT THE
00:26:29SYSTEM IS FINE.
LEAVE IT ALONE.
00:26:31I COULDN'T DISAGREE MORE FOR
THOSE INJURED WORKERS WHO ENTER
00:26:35OUR SYSTEM AND NEVER LEAVE.
THE SYSTEM IS NOT FIND.
00:26:40-- NOT FINE FOR SHARON, A
CLAIMANT WHO ENTERED OUR
00:26:51SYSTEM, WHO TRIPPED OVER IANDA
-- OVER AR RUG AND FELL ON
00:27:02HER EASTRIDGE IS TOTALLY
DISABLED TODAY AFTER FALLING ON
00:27:04A RUG.
A MAN WHO BURNED HIS FEET
00:27:13AFTER WALKING ON HOT ASPHALT AND
BEING PERMANENTLY DISABLED.
00:27:19IT IS NOT A GOOD SYSTEM FOR
MARGARET, AN ASSEMBLY WORKER WHO
00:27:23CAUGHT HER HAND ON A BROKEN LEG
ALL IN 2004 AND SIX YEARS LATER,
00:27:27AFTER MORE THAN $250,000 IN
TREATMENTS, IS TOTALLY DISABLED
00:27:32AND WILL NEVER WORK AGAIN.
THIS SYSTEM IS NOT WORKING FOR
00:27:35THE INJURED WORKERS WHO HAVE
SEEN A SINGLE CHIROPRACTOR 800
00:27:38TIMES.
AND A LARGE NUMBER OF THEM HAVE
00:27:42SEEN CHIROPRACTOR'S 500 TIMES IN
THEIR CLAIMS.
00:27:47IT CERTAINLY DOES NOT WORK FOR
EIGHT DIFFERENT INJURED WORKERS
00:27:52TO EXERCISE MEDICAL FREE CHOICE
TO FIND THE DECERTIFIED DOCTOR
00:28:00WHO DIED OF DRUG OVERDOSES UNDER
HIS CARE.
00:28:02WE NEED TO BRING SENSIBLE
REFORMS TO THIS SYSTEM.
00:28:06LET ME GIVE YOU A CUOUPLE OF
STATS IN CLOSING TRADE 15,000
00:28:15WORKERS REMAIN OFF WORK EVERY
DAY IN OHIO.
00:28:2010 AT THOUSAND OF THOSE 15,000
HAVE BEEN OFF FOR MORE THAN ONE
00:28:25YEAR IN OUR SYSTEM.
90 PEOPLE EACH MONTH WILL NEVER
00:28:29GO BACK TO WORK AGAIN, AND
BECOME PERMANENTLY, TOTALLY
00:28:34DISABLED.
I AM PLEASED THAT 93% OF OUR
00:28:39INJURED WORKERS GET BACK TO
WORK WITHIN 45 DAYS.
00:28:42WE SHOULD CELEBRATE THAT.
BUT I WILL NOT QUIT PUSHING FOR
00:28:45REFORM THAT LEADS TO A BETTER
OUTCOME FOR ALL INJURED WORKERS
00:28:49WHO CAN RECOVER AND WANT TO DO
SO.
00:28:52I APPRECIATE LEGISLATORS WHO ARE
JOINING ME TODAY TO SAID THAT
00:28:59ENOUGH IS ENOUGH.
WE SHOULD MOVE FORWARD AS
00:29:02SENSIBLE WITH AN HOURLY TAILORED
LEGISLATION THAT WILL IMPROVE
00:29:05THE SYSTEM FOR EMPLOYERS AND
INJURED WORKERS ALIKE.
00:29:10THANK YOU.
I AM PLEASED TO INTRODUCE THE
00:29:12CHAIRMAN OF THE COMMITTEE, JAY
HOTTINGER, TO TALK ABOUT THE
00:29:17TIMEFRAME FOR HANDLING THESE
BILLS.
00:29:18>> THE GOOD NEWS IS THAT I AM
THE LAST SPEAKER.
00:29:22LET ME SAY THAT YOU MIGHT ASK
WHY WE ARE HERE AND, MORE
00:29:27IMPORTANTLY, WHY SHOULD OHIOANS
CARE?
00:29:31HOPEFULLY, AFTER HEARING FROM
SOME OF MY COLLEAGUES, WE HAVE A
00:29:38BETTER UNDERSTANDING OF THAT.
I AM IN MY 18TH YEAR OF THE
00:29:41GENERAL ASSEMBLY.
DURING THAT TIME PERIOD, FEW
00:29:43ISSUES HAVE BROUGHT ABOUT AS
MANY PHONE CALLS AND
00:29:49CONSTITUENCY INQUIRIES AS ISSUES
INVOLVING WORKERS' COMPENSATION.
00:29:52SOMETIMES IT COMES FROM INJURED
WORKERS, SOMETIMES IT IS COMING
00:29:58FROM THE BUSINESSES, EMPLOYERS,
SOMETIMES IT COMES FROM
00:30:02PROSPECTIVE BUSINESSES.
LAST WEEK I WAS AT A COLUMBUS
00:30:07CHAMBER OF COMMERCE EVENT AND I
WAS INVOLVED ON A PANEL, AND
00:30:12THERE WERE EXCITING PANELS, AND
GUESS WHICH ONE AT THE LEAST
00:30:14AMOUNT OF THE TENANTS?
BUREAU OF WORKERS' COMPENSATION.
00:30:20NO ONE WANTED TO SPEND FRIDAY
AFTERNOON OR MORNING ON WORKERS'
00:30:24COMPENSATION ISSUES.
THESE ARE VERY SIGNIFICANT FOR
00:30:28OHIO.
UNDER THE ADMINISTRATIVE BUREAU
00:30:32AND HIS TEAM, THE BUREAU HAS
MADE SOME NICE PROGRESS,
00:30:36SIGNIFICANT PROGRESS IN THE
PAST 15 MONTHS.
00:30:39NOW IT IS TIME FOR US TO JOIN IN
THAT EFFORT LEGISLATIVELY.
00:30:43AS I HOPE WE'VE MADE ABUNDANTLY
CLEAR, AND IF NOT, I WILL STATE
00:30:49IT ONE MORE TIME, WE STRONGLY
BELIEVE THAT THE BUREAU OF
00:30:55WORKERS' COMPENSATION PLACE A
SIGNIFICANT, CRITICAL ROLE IN IT
00:31:00OHIO'S ECONOMIC DEVELOPMENT
EFFORTS.
00:31:01THE AGENCY MUST BE A CRUCIAL
PIECE, IT MUST BE A CORNER PIECE
00:31:09TO OUR CONTINUED QUEST FOR
ECONOMIC RECOVERY.
00:31:12IF WE ARE TO OBTAIN ANY SORT OF
SUSTAINABLE PROGRESS ON THE JOBS
00:31:17FRONT, A BWC THAT IS CONTINUING
TO IMPROVE MEDICAL CARE FOR
00:31:25INJURED WORKERS AND ACHIEVING
THE BEST POSSIBLE OUTCOME FOR
00:31:27THOSE INJURED WORKERS A IS
CRITICAL AND IS A MUST.
00:31:32DIRECTOR, YOU AND YOUR TEAM HAVE
MADE GREAT PROGRESS ALONG THOSE
00:31:36LINES.
MAKING IMPROVEMENTS AND TYING
00:31:42THEM BACK TO WORK CREATES A WIN-
WIN SITUATION.
00:31:47I THINK WE ALL RECOGNIZE THIS,
BUT IT BEARS REPEATING -- WHEN
00:31:52AN INJURED WORKER IS
REHABILITATED AND ABLE TO RETURN
00:31:55BACK TO THE WORK FORCE, THAT IS
A WIN-WIN FOR EVERYONE.
00:31:59IT IS A WIN FOR THE INJURED
WORKER, A WIN FOR HIS OR HER
00:32:03FAMILY, A WIN FOR THE BUSINESS,
WILL BE GETTING THE PRODUCTIVITY
00:32:08AGAIN, IT WENT FOR THE BUREAU,
WENT FOR THE STATE OF OHIO.
00:32:13THE DIRECTOR TALKS ABOUT THE
FACT THAT WE SHOULD BE VERY
00:32:16PROUD OF THE FACT THAT MANY
FI -- THAT 93% ARE RETURNING
00:32:21BACK TO WORK IN DAYS.
THAT IS CRITICAL AS WELL.
00:32:25THEREFORE, WE ARE GOING TO BE
WORKING ON THESE MEANINGFUL
00:32:30ISSUES THAT HAVE A MEANINGFUL
IMPACT ON OUR ECONOMIC RECOVERY
00:32:34EFFORTS.
THEREFORE, THE THREE BILLS WERE
00:32:38INTRODUCED YESTERDAY.
LATER, THIS AFTERNOON, THE FULL
00:32:43COMMITTEE WILL BE MEETING WITH
THE SPONSOR TESTIMONY FOR THE
00:32:48THREE BILLS.
ALSO, YOU MIGHT HAVE SEEMED THAT
00:32:52AT THE BEGINNING OF THE
LEGISLATIVE SESSION, AND
00:32:56INSURANCE SUBCOMMITTEE WHICH WAS
CREATED, BUREAU OF WORKERS'
00:33:00COMPENSATION REFORM COMMITTEE,
WAS CHAIRED BY THE VICE-CHAIRMAN
00:33:04OF THE INSURANCE COMMITTEE,
REPRESENTATIVE BOB HACKETT.
00:33:09THE CHAIRMAN IS GOING TO BE
HOLDING FURTHER TESTIMONY AND
00:33:14HEARINGS SO THAT THE BILLS CAN
BE THOROUGHLY VETTED.
00:33:16THAT IS ACTUALLY GOING TO START
THIS WEEK.
00:33:21CONSEQUENTLY, SUBSEQUENTLY, WE
WILL BE MEETING ON SUBSEQUENT
00:33:30OCCASIONS AS WELL.
HE IS GOING TO BE LISTENING TO
00:33:34PROPONENTS AND OPPONENTS AND
INTERESTED PARTIES VETTING THOSE
00:33:36BILLS, AND HOPE AND INTENTION IS
THAT THE FIRST OF MAY, THE
00:33:43SUBCOMMITTEE CAN RECOMMEND
LEGISLATION BACK TO THE WHOLE
00:33:46INSURANCE COMMITTEE.
SOMETIME, IT IS THE INTENT TO
00:33:52HAVE THE VOTES ON THESE PIECES
OF LEGISLATION SOME TIME IN
00:33:55EARLY MAY.
WITH THAT, WE THANK YOU FOR
00:34:00BEING HERE.
I AM GOING TO TURN IT BACK TO
00:34:03REPRESENTATIVE SEARS TO
ORCHESTRATE QUESTION AND
00:34:09ANSWERS.
>> THANK YOU, AND THANK YOU FOR
00:34:13BEING HERE.
WE HAVE FOLKS ON THE PHONE?
00:34:18THEY LEFT US?
WE WANT TO LET THEM ASK
00:34:23QUESTIONS, TOO, BUT THEY WHAT
NOW -- WON'T NOW.
00:34:27>> [UNINTELLIGIBLE]
7% OF PEOPLE WHO ARE NOT BACKED
00:34:42BY AT 25 DAYS --
[UNINTELLIGIBLE]
00:34:44>> THANK YOU FOR THE QUESTION.
WHEN THE HEALTH PARTNERSHIP
00:34:53PROGRAM WAS SET UP IN THE EARLY
1990'S, THE LAW ESTABLISHES THAT
00:34:57EVERY CERTIFIED MANAGED CARE
ORGANIZATION WOULD HAVE A PANEL
00:35:01OF PROVIDERS TO PROVIDE CARE TO
INJURED WORKERS.
00:35:05THERE HAS NEVER BEEN A TOOL THAT
COMPELLED THOSE WORKERS TO GO TO
00:35:08THOSE FOCUSED TRAIN PROVIDERS.
THE LAW AS IT STANDS TODAY, AS I
00:35:14MENTIONED, ALLOWED THE INJURED
WORKER AFTER THE INITIAL
00:35:17EMERGENCY VISIT TO GO ANYWHERE
HE OR SHE CHOOSES, WITHIN THE
00:35:2368,000 PROVIDERS THAT BWC
CURRENTLY HAS.
00:35:27WHAT HAPPENS IS THAT SOME OF
THEM GET TO THE RIGHT DOCTOR --
00:35:32MAYBE THEY DO NOT HAVE SERIOUS
INJURIES OR WHATEVER THE FACTS
00:35:34ARE.
93% OF THE TIME THEY GET BACK TO
00:35:37WORK WITHIN 45 DAYS.
7% OF OUR WORKERS AND AN ANNUAL
00:35:42BASIS -- SOMETHING LIKE 7000 TO
8000 WORKER NUMBER -- ENTERED
00:35:50HIS MIDDLE CIRCLE AND NEVER
REAPPEAR.
00:35:52THEY GET LOST IN THE PROVIDER
NETWORK AND OTHER ISSUES AND
00:35:57NEVER REAPPEAR.
WHAT THIS BILL SAYS IS WE WILL
00:36:00ALLOW INJURED WORKERS TO
CONTINUE TO CHOOSE ANY CERTIFIED
00:36:03PHYSICIAN THEY WANT OUT OF THE
BOX, BUT AFTER 45 DAYS, WHEN WE
00:36:08KNOW THAT THE CLOCK IS STARTING
TO TAKE AGAINST THEM FOR EVER
00:36:12HAVING A POSITIVE OUTCOME, AFTER
45 DAYS, WE ARE GOING TO ASK
00:36:17THAT THEY GO TO THE CERTIFIED
PROVIDER -- THIS IS CERTIFIED IN
00:36:22THE LAW -- THAT THEY HAVE ON
SITE TO HELP THEM GET A
00:36:27DIFFERENT SET OF OPINIONS AND
HOPEFULLY RETURN TO WORK.
00:36:29>> [UNINTELLIGIBLE]
IF THEY DON'T, PAYMENTS GET
00:36:38CUT?
>> THEY CAN GET IT DONE ANYWHERE
00:36:43THEY WHANT.
WE PAY FROM DOLLAR ONE FOR THE
00:36:51INJURED WORKER'S CONDITION.
WE PAY AS MUCH AS WE WANT WHILE
00:36:55THEY CONTINUED TO SEE A
CERTIFIED PROVIDER.
00:36:57>> [UNINTELLIGIBLE]
>> DATE OF INJURY.
00:37:04I DELIBERATELY DON'T KNOW ALL
THE FACTS.
00:37:16THERE ARE HUNDREDS AND HUNDREDS,
IF NOT THOUSANDS, OF EXAMPLES.
00:37:23I KNOW SPECIFICALLY FOR THE LADY
WHO CUT HER HAND ON A LIGHT
00:37:28BULB, SHE WENT TO THE URGENT
CARE FACILITY, GOT A FEW
00:37:32STITCHES IN HER HAND, EVERYBODY
THOUGHT IT WAS FINE.
00:37:33IN HER PARTICULAR CASE, THE
PROVIDER MISSED THE DIAGNOSIS.
00:37:37SHE HAD OTHER ISSUES.
THE EMPLOYER WAS UNSUCCESSFUL
00:37:43GETTING HER BACK TO BITE DUTY.
THERE WAS THE EMPLOYER SIDE OF
00:37:47IT.
SHE HAD OTHER HEALTH ISSUES IN
00:37:49HER LIFE.
ALL THE THE, SHE GOT DEPEND ON
00:37:52PHARMACEUTICAL -- ULTIMATELY,
SHE BECAME DEPENDENT ON A
00:37:59PHARMACEUTICALS.
WANT THINGS SNOWBALLED AFTER
00:38:01ANOTHER WHAT SHOULD HAVE BEEN A
VERY SIMPLE ENTRY ADDED ALL
00:38:06THESE THINGS BECAUSE IT LINGERED
IN OUR SYSTEM.
00:38:08>> [UNINTELLIGIBLE]
>> THEY WOULD STUDY THE INJURED
00:38:14WORKER, AND WE WOULD WATCH, AND
ALREADY THEY ARE WATCHING.
00:38:20THEY HAVE OUR RESPONSIBILITY TO
MONITOR THESE CRIMES.
00:38:23-- CLAIMS.
ONCE WE GET TO 35 DAYS, 40 DAYS,
00:38:29AND THE PERSON IS NOT BACK TO
WORK, AT THAT POINT THE MCCO
00:38:35SHOULD BE CONTACTING MARGARET,
IN THIS CASE, AND SAY THAT ON
00:38:39THE 45TH DAY, IF YOU ARE NOT
BACK TO WORK, WE ARE GOING TO
00:38:43ASK YOU TO SEE ONE OF OUR
CERTIFIED NETWORK PROVIDERS.
00:38:45THERE AREN'T EMPLOYER-DESIGNATED
DOCTORS, THESE ARE NOT A COUPLE
00:38:52HACKS FROM THE DARK SIDE OF
TOWN.
00:38:55THESE ARE PEOPLE WHO LEFT AND
CERTIFIED, AND I PROBABLY GOING
00:38:58TO BE THE SAME TYPES OF
PROVIDERS THAT WE ALL EXPERIENCE
00:39:01IN OUR HEALTH-CARE PLANS NO
MATTER WHO YOUR PRIVATE HEALTH-
00:39:05CARE PLANS THE IS.
THESE WILL BE LARGE NETWORKS OF
00:39:07DOCTORS.
IF THERE'S NOT A SPECIALIST IN
00:39:11THE NETWORK, IF THE INJURED
WORKERS LIVING SOMEWHERE WHERE
00:39:15THERE'S NOT A CERTIFIED
PROVIDER, HE WILL BE EXEMPTED
00:39:17OUT OF REQUIREMENT.
AFTER MARGARET IS GONE FOR 45
00:39:20DAYS AND HAS NOT GOTTEN BACK
FROM THAT SIMPLE CUT ON HER
00:39:24HAND, THE MCO WILL ASK THAT
SHE BE TREATED TO THE NETWORK OF
00:39:30PROVIDERS THEY HAVE ON HAND.
>> [UNINTELLIGIBLE]
00:39:35>> FOR THE MEDICAL CARE.
>> OUR WORKERS CONTINUING TO GET
00:39:43WORKERS COMP BENEFIT?
BUT JACK?
00:39:48-- A CHECK?
>> WE ARE NOT IMPACTING
00:39:55INDEMNITY PAYMENTS, OR ARE WE?
WE'RE NOT ATTACKING THEM IF
00:40:00THEY CHOOSE NOT.
WE WOULD NOT PAY THE MEDICAL AND
00:40:02MORE -- ANYMORE.
[UNINTELLIGIBLE]
00:40:06>> THE BILLS DO CONTAINED -- IF
WORKERS ARE REFUSING TO GO TO
00:40:13APPOINTMENTS THAT THE DOCTORS
HAVE PRESCRIBED, THEY WILL NOT
00:40:15GET PAID UNDER THESE BILLS.
THAT IS A PRETTY MUCH COMMON-
00:40:20SENSE IDEA.
IF THE BUREAU HAS PAID FOR A
00:40:22DOCTOR TO TELL THEM THEY NEED TO
GO SEE A SPECIALIST OR GO TO A
00:40:27SPECIFIC TYPE OF TREATMENT, AT
THAT POINT THEY HAVE DECIDED TO
00:40:30QUIT THE BWC MEDICAL SYSTEM.
>> [UNINTELLIGIBLE]
00:40:35>> UNDER CURRENT LAW, BENEFITS
ARE SUSPENDED UNTIL THEY RESUME.
00:40:41>> THEY WOULD FORFEIT, AND THERE
IS SPECIFIC LANGUAGE THAT TALKS
00:40:47ABOUT COSTS.
WE'RE NOT TALKING ABOUT SOMEBODY
00:40:50WHO HAS MULTIPLE ISSUES GOING
ON, AND BECAUSE OF ANOTHER
00:40:54ISSUE, THEY HAVE THE ABILITY TO
CONTINUE TREATMENT -- IN ABILITY
00:40:59TO CONTINUE TREATMENT.
WE ARE TALKING ABOUT SOMEBODY
00:41:01WHO HAS NOT IMPROVED THEIR
POSITION.
00:41:06WE'RE TALKING ABOUT FOR A GOOD
CAUSE.
00:41:08IT TAKES ALL THREE SYSTEMS, IT
TAKES THE EMPLOYEE, BUREAU OF
00:41:16WORKERS' COMPENSATION, THE
EMPLOYER, ALONG WITH THE
00:41:18PROVIDER IN THAT MAK -- THAT
MIX, TO MAKE EVERYTHING WORK
00:41:24RIGHT.
IF YOU TAKE AWAY EVERYONE'S
00:41:26RESPONSIBILITY, IT IS NOT MOVING
FORWARD.
00:41:30WE HAVE SEEN EXAMPLES OF THAT
WITH MEDICAID, DISEASE
00:41:36MANAGEMENT.
WE HAVE SEEN IT WITH PRIVATE
00:41:38HEALTH CARE.
WE HAVE DONE IT WITH VA PROGRAM
00:41:42SPREAD THE ONLY PUBLICLY FUNDED,
OR PRIVATELY FUNDED, A SYSTEM
00:41:47THAT TREATS EMPLOYEES AND
PATIENTS LIKE OUR RAN OFF AND
00:41:54RAN BOUGHT AD WITH BENEFITS IS
THE WORKERS --OUR GRANDMA AND
00:41:59GRANDPA HAD WITH BENEFITS IS THE
WORKERS COMP SYSTEM.
00:42:05>> [UNINTELLIGIBLE]
I WONDER IF THIS MIGHT CAUSE
00:42:12PROBLEMS WITH WORKERS WHO HAVE
TROUBLE FINDING A SPECIALIST.
00:42:15>> I WOULD DISAGREE WITH THAT
FACT.
00:42:20INJURED WORKERS CAN GO ANYWHERE
THEY WHAT IN THE UNIVERSE OF
00:42:2668,000 PROVIDERS DURING THEIR
FIRST 45 DAYS.
00:42:29IN NO WAY IS THIS GOING TO BE
REDUCED.
00:42:32WHAT IT IS GOING TO DO IS AFTER
THE INITIAL PERIODS HAS PASSED,
00:42:39THERE ARE PROVIDERS WHO HAVE NOT
BEEN THE APPROPRIATE CONTACT FOR
00:42:42THE INJURED WORKER -- IT WILL
FOCUS THAT ON THOSE PROVIDERS
00:42:47WHO DO HAVE A TRACK RECORD,
WHETHER HIS OCCUPATIONAL
00:42:51MEDICINE OR SPECIALIZED, THAT
WILL HELP THEM GET BACK TO WORK
00:42:56AS SOON AS THEY CAN.
WE SHOULD NOT BE LOSING
00:43:01MARGARETS, JAMESES, WHO START
WITH SIMPLE INJURIES THAT
00:43:10ESCALATE INTO BIG PROBLEMS.
>> IF WE SEE A FALL OFF BECAUSE
00:43:14OF THE DECERTIFICATION, OR
WHENEVER, MAYBE THEY JUST CHOOSE
00:43:19NOT TO PARTICIPATE IN NEW RULES
OR QUALITY MEASURES -- IF WE
00:43:23HAVE THE ABILITY TO MAKE SURE
WE'RE GETTING BETTER OUTCOMES,
00:43:28WE ALSO OF THE ABILITY TO TAKE
THOSE PROVIDERS AND GET BACK TO
00:43:32WORK AND PAY THEM MORE.
THERE IS THE ABILITY TO SEE SOME
00:43:36SHARED SAVINGS.
LOOK WHAT WE'RE DOING ON THE
00:43:40MEDICAID SIDE AND HOW WE ARE
ABLE TO PAY FOR PERFORMANCE.
00:43:45IF YOU COULD MEASURE IT AND
IMPROVE IT, YOU COULD FIND IT.
00:43:48-- FUND IT.
IF YOU ARE NOT, IT ALL YOU CAN
00:43:55DO IS MEASURE REIMBURSEMENTS.
IT IS THE OPPORTUNITY TO EXPAND
00:44:00THE PROVIDER LIST IN A WAY THAT
IS MEANINGFUL TO GETTING FOLKS
00:44:03BACK TO WORK.
>> EASIER TO DECERTIFY
00:44:11PROVIDERS?
>> IT IS REALLY A CLARIFICATION
00:44:16OF LANGUAGE.
WE RECENTLY -- HOW FOR THE
00:44:24BUREAU COULD GO, WHAT IS THE
APPROPRIATE HEARING OF THE
00:44:27APPEALS PROCESS FOR A DOCTOR?
THE BILL IS AN ATTEMPT TO
00:44:31CLARIFY WHAT THE BUREAU ALREADY
DOES BUT MAKE IT PLANN --
00:44:35PLAINER.
>> THE PANELS ALREADY EXIST IN
00:44:41LAW, BUT TO THEY AND ASSIST IN
REALITY, TOO?
00:44:44-- EXIST IN REALITY, TOO?
>> YES.
00:44:50MANY HAVE THEIR PANELS IN PLACE.
SOMETIMES WORKERS GO TO THE
00:44:56PANEL'S ALREADY, BUT IN REALITY,
SOME NEVER DO.
00:45:01.
>> OHOW DO YOU GUAGE -- GAUGE
00:45:10THE SENSE -- 45 DAYS?
>> I THINK IT GOES BACK TO THE
00:45:18FIRST CHART.
I HOPE THAT SCARY RED LIGHT GOES
00:45:20IN THE OTHER DIRECTION, OR LEAST
GOES FLAT.
00:45:23THINK OF THE SOCIETAL IMPACT
OF GETTING THOSE PEOPLE BACK
00:45:31WHERE HE OR SHE IS PROVIDING
FOR HIMSELF, PROVIDING FOR THE
00:45:35FAMILY PRAYED SO OFTEN WHEN A
PERSON REACHES TOTAL VISIBILITY
00:45:38IN OUR SYSTEM, NOT ONLY DID THEY
PETITE TO RECEIVE -- CONTINUE
00:45:44TO RECEIVE BWC PAYMENTS, AT ITS
BILLS AND TO -- IT SPILLS INTO
00:45:52OTHER AREAS.
>> WHAT SORT OF PROCESS CAN
00:45:58WORKERS GO --
[UNINTELLIGIBLE]
00:46:00>> I CAN JUST SPEAK FROM THE
LEGISLATIVE STANDPOINT.
00:46:05EVERY SINGLE ONE OF BUS BEHIND
ME HAS TALKED WITH BOTH
00:46:09BUSINESSES AND EMPLOYEES ON THE
PITFALLS OF THE WORKERS COMP
00:46:16SYSTEM.
IT IS LIKE YOUR OLD FASHIONED
00:46:24TRADITIONAL HEALTH-INSURANCE
PLANS TO.
00:46:25IF SOMEBODY DOES NOT BY ME TO
THE RIGHT CHOICE, I AM LOST.
00:46:29IN EVERY OTHER PART OF OUR LIFE,
WHERE WE ARE CONSUMERS, WE DO
00:46:35RESEARCH AND WE LOOK FOR THE
BEST THING TO PURCHASE AND THE
00:46:39MOST COST-EFFECTIVE SERVICE TO
PURCHASE.
00:46:40IN HEALTH CARE, WE JUST GO, I
DON'T KNOW, HERE'S MY CARD, DO
00:46:49WHAT EVERYONE.
I THINK EMPLOYEES -- DO WHATEVER
00:46:54YOU WANT.
I THINK EMPLOYEES WOULD LIKE THE
00:46:56OPPORTUNITY TO HAVE SOMEBODY
GUIDE THEM, SO LONG AS THEY NOTE
00:47:00THEY HAVE AN IMPACT.
THEY NEED SOME WANT TO WRAP
00:47:03THEIR ARMS AROUND THEM AND MAKE
SURE THAT THEY ARE GETTING THE
00:47:07RIGHT KIND OF CARE BY THE RIGHT
KIND OF PROVIDER.
00:47:10WE'VE TALKED WITH MANY, MANY
EMPLOYEES REPRESENTATIVE
00:47:13HOTTINGER MENTIONED IT IN HIS
COMMENTS.
00:47:17ONE OF THE NUMBER ONE THINKS WE
HEAR FROM CONSTITUENTS, WORKERS
00:47:20COMP ISSUES.
ONE THAT THINGS WE HEAR FROM
00:47:25EMPLOYERS WHEN WE TALK TO THEM
IS THE WORKERS COMP ISSUE.
00:47:27EVERYONE WANTS CARE TO BE GIVEN,
THEY JUST WANTED TO BE DONE
00:47:36RIGHT.
THIS HAS BEEN A LONG PROCESS.
00:47:38ONE OF THE FIRST COMPOSITIONS WE
HAD IN THE GENERAL ASSEMBLY, IN
00:47:422008, WHEN I STARTED HERE, WAS
LET'S START TALKING ABOUT
00:47:46WORKERS' COMPENSATION, THAT SET
QUALITY AND OUTCOMES.
00:47:49WE ARE DOING IT ON THE MEDICAID
SIDE, THE PRIVATE HEALTH-CARE
00:47:54SITE.
WHY ARE WE LEAVING EVERYBODY
00:47:55ELSE ABANDONED?
>> I WOULD ONLY ADD ON THE
00:48:00REPRESENTATIVE'S COMMENTS THAT
WE HAVE GONE OUT TO TRY TO SHOW
00:48:06THAT CHARGE TO ANYONE WHO WOULD
LISTEN.
00:48:07LABOR UNIONS, MEMBERS OF THE
BOARD FOR A FAIRLY DIVERSE GROUP
00:48:14OF FOLKS.
THEY UNDERSTAND AND ACKNOWLEDGE
00:48:17THAT THIS IS A PROBLEM.
WE TRIED TO SUGGEST A PACKAGE
00:48:20THAT IS FOCUSED ENOUGH TO SAY
YES, THERE ARE GIVES AND TAKES
00:48:24HERE, BUT IT IS ALL FOCUSED A
BANK GOES BETTER OUTCOMES.
00:48:29THIS IS NOT RADICAL REFORM, THIS
IS NOT AN ENORMOUS, SYSTEM-WIDE
00:48:34SHAKE THE FOUNDATION REFORM.
IDEAS ABOUT HOW WE HAVE THOSE
00:48:37BETTER OUTCOMES, WHICH IS
SOMETHING THAT -- IT IS ABOUT
00:48:41HOW WE HAVE THESE BETTER
OUTCOMES, WHICH IS SOMETHING
00:48:44THEY AGREE ON.
>> [UNINTELLIGIBLE]
00:48:45>> I DO NOT KNOW THE ANSWER TO
THAT.
00:48:49IT IS ALWAYS SO DIFFICULT TO
COMPARE STATES, BECAUSE THE
00:48:54BENEFIT STRUCTURES ARE SO
DIFFERENT.
00:48:56THE WAY THEY APPROACH PROVIDERS
IS SO DIFFERENT.
00:48:59SOME STATES PRESCRIBE THE
PROVIDER OF THE FIRST DAY OF
00:49:02INJURY.
THEY ARE IN A PANEL IMMEDIATELY.
00:49:07IN SOME STATES, IT IS THE
EMPLOYER WHO IS PICKING WHAT
00:49:14LEGISLATION IS GOING TO BE PAID
IDEAS ARE TO HAVE ONE STATE
00:49:19AGAINST EACH OTHER IN THE -- ARE
PARTI -- IT IS HARD TO HAVE ONE
00:49:25STATE AGAINST EACH OTHER IN THAT
REGARD.
00:49:26>> THERE IS NO GREAT ABILITY TO
BENCHMARK, UNNECESSARILY.
00:49:31YOU CAN INTUITIVELY BENCHMARK
SOME MEASURES, BUT THERE'S NO
00:49:37ABSOLUTE AND HEALTH CARE.
IT IS GREAT TO LOOK AT OUR AT
00:49:43NUMBERS, BUT THE EMPLOYEE IS NOT
AN AGGREGATE.
00:49:45THAT MAKES IT INTUITIVELY HARD.
LESS THAN 20% OF THE PEOPLE AND
00:49:54NOT FOR -- AMOUNT TO 42% OF THE
COST.
00:49:58MEDICARE BY DISABILITY, MEDICAID
AND INCOME.
00:50:02IF SOMEONE STAYS ON, THE
EXCESSIVE AMOUNT OF TIME, THE 7%
00:50:09GROUP OF PEOPLE AND UP BECAUSE
THEY AND NOT WORKING, AND
00:50:12POTENTIALLY TO THE MEDICAID --
THE TOW UP FALLING POTENTIALLY
00:50:19INTO THE MEDICATE YOU CAN SEE
BENCHMARKING BASED ON THAT.
00:50:24>> WE WILL TELL YOU THAT TIMELY
DELIVERY OF HEALTH CARE HELPS SO
00:50:32MUCH BETTER.
A LOT OF US HAVE CALLED FOR
00:50:37PEOPLE WANT TO GET BACK TO WORK
AND THE SYSTEM IS SLOWING DOWN.
00:50:39THE NEXT 72 HOURS TO 45 DAYS, WE
WANT TO GET QUALITY HEALTH CARE
00:50:46TO THOSE PEOPLE MUCH QUICKER.
THAT IS WHY WE KEEP TALKING
00:50:49ABOUT IT BEING A WIN-WIN.
WE REALLY THINK IT IS A GREAT
00:50:55THING FOR THE WORKERS.
>> THE AFL-CIO IS MAKING
00:50:59COMPARISONS --
[UNINTELLIGIBLE]
00:51:01CAN YOU RESPOND TO THAT?
>> I WOULD DEFY THEM TO PUT
00:51:16DOWN GOOD INFORMATION HOW THEY
RECEIVED THIS IS TAKING ANYTHING
00:51:21AWAY FROM AN INJURED WORKER.
IF YOU LOOK AT THE CHART, AT
00:51:27SOME STAGE IN HERE, THEY HAVE
LITERALLY BEEN ABANDONED WITH
00:51:30THE INJURY OR DISEASE OR SOME
KIND OF ILLNESS.
00:51:34WE HAVE ABANDONED THEM TO FIND
FOR THEMSELVES -- FUND FOR
00:51:39THEMSELVES.
MY OFFICE, AS MY LEGISLATIVE
00:51:46AIDE WILL TELL YOU, HAS BEEN
RINGING WITH LOTS OF FOLKS
00:51:51COMING TO WORK WITH ME.
THE FIRM'S PRI -- FIRMS
00:51:58PRIMARILY REPRESENT THE INJURED
WORKER.
00:52:01I SPECIALIZE IN WORKERS, TITIAN
AND I HAVE HEARD FROM THEM.
00:52:07-- WORKERS COMPENSATION AND I
HAVE HEARD FROM THEM.
00:52:13I DEFY THEM TO FIND SOMETHING
THAT IS PUNITIVE AND TAKING
00:52:20AWAY.
THIS IS ABOUT HELPING INJURED
00:52:22WORKERS MANAGE WHAT IS GOING ON
WITH THEIR CLAIM TO THEIR
00:52:24BENEFIT.
>> THE IDEA THAT ALLOWING
00:52:28PRIVATE COMPANIES TO MEET WITH
BWC AND --
00:52:34[UNINTELLIGIBLE]
WHAT DO YOU SAY TO BUSINESS
00:52:39OWNERS WHO ARE BAFFLED WITH THE
MONOPOLY SYSTEM --
00:52:46>> THAT IS SUCH A GREAT
QUESTION, AND WHEN I FIRST CAME
00:52:51IN HERE, BEFORE I WAS A STATE
REPRESENTATIVE, WHEN I CAME DOWN
00:52:56HERE TO SIT IN ON COMMITTEE
MEETINGS AND HAVE THE FUN
00:53:00HARASSING THESE GUYS, THAT WAS
ALWAYS MY VISION.
00:53:07WE NEED COMPETITION, A COMBATIVE
SIDE TO THIS.
00:53:09-- COMPETITIVE SIDE TO THIS.
THE MORE I HAVE LEARNED
00:53:15INSTEAD, I FIND IT INTERESTING
THAT WE HAVE A SYSTEM THAT HAS
00:53:18THE ABILITY TO FUNCTION WELL.
WE JUST NEED TO BRING IT UP TO
00:53:22DATE AND MAKE IT USER-FRIENDLY
AND KEEP IT FOCUSED NOT ON THE
00:53:27SYSTEM BUT ON A SPECIFIC
INDIVIDUAL.
00:53:29IT IS IMPOSSIBLE FOR ME TO TELL
ANY BUSINESS OWNER THAT A
00:53:35PRIVATE COMPETITIVE MARKETPLACE
IS GOING TO BE BETTER WHEN I
00:53:40DON'T KNOW HOW GOOD WE CAN GET
OUR OWN SYSTEM.
00:53:41THAT HAS BEEN ONE OF THE THINGS
THAT IS MOST IN LENDING TO MAY
00:53:46-- ENLIGHTENING TO ME, PROBABLY
THAT.
00:53:53IT IS INTUITIVE TO THINK THAT
WE MUST BE WRONG.
00:54:02YET IN A BIG WAY, OUR CURRENT
SYSTEM FUNCTIONS AN AWFUL LOT
00:54:05LIKE AN INSURANCE PLANS THE
RIGHT NOW.
00:54:07IT SO HAPPENS TO BE A STATE ONE.
I HAVE ARGUED THAT ISSUE MYSELF.
00:54:15I HAVE DONE PLUSES AND MINUSES
AND REALIZED IT IS IMPOSSIBLE TO
00:54:24CHANGE SOMETHING WHAT IT IS YET.
WHAT WE'RE DOING IS CREATING A
00:54:31BEST PRACTICE GROWTH THAT WE CAN
THEN HAVE THAT CONVERSATION WITH
00:54:34LATER.
>> I HAVE ALSO SETTLED WORKERS
00:54:43COMP WITH OTHER STATES.
I WENT TO CLIENTS AND SAID,
00:54:51WHAT DO I NEED TO DO TO MAKE
BUSINESS BETTER IN OHIO?
00:54:54WORKERS' COMP WAS HIGH ON THE
LIST, BUT THEY DON'T KNOW IF THE
00:55:00SYSTEM WORKS AS GOOD AS OTHER
STATES ARE NOT.
00:55:02THEY JUST WHAT THE SYSTEM TO
WORK BETTER.
00:55:05-- WANT THE SYSTEM TO WORK
BETTER.
00:55:09GETTING THE WORKER BACK TO WORK
IS KEY FOR EMPLOYERS.
00:55:11>> WE WANT A FOCUS ON WHAT WE
CAN FIX AND WHAT WE CAN REFORM
00:55:21TODAY.
WE WANTED LEGISLATION THAT WAS
00:55:26BOTH MEANINGFUL BUT AT THE SAME
TIME SUSTAINABLE.
00:55:29JIM ASKED BEFORE, OUR HOPE IN
INTRODUCING THE LEGISLATION WAS
00:55:36NOT ENGAGED IN CONTROVERSIAL
ISSUES, BUT TO SAY HERE'S THE
00:55:43PROGRESS WE'VE MADE, HERE IS
WHAT WE CAN STILL DO THAT IS
00:55:46MEANINGFUL, SIGNIFICANT,
SOMETHING THAT WE CAN DO TODAY.
00:55:49>> TO COMMENT TO THE UNION
GROUP, IT IS INTERESTING THAT
00:56:00WOULD SUGGEST THAT WE HAVE
MANAGED CARE, DISEASE
00:56:04MANAGEMENT, SOMETHING THEIR
EMPLOYEES SHOULD NOT GET.
00:56:06YET EVERY MONTH WHEN THEY PAID
THE HEALTH INSURANCE PROGRAMS
00:56:11AND FUND PROGRAMS ON THE HEALTH
INSURANCE SITE, THEY PROVIDE
00:56:16THEM WITH ALL THOSE BENEFITS.
WHY IS THE PURCHASER OF AN HMO
00:56:24PROGRAM, DISEASE MANAGEMENT,
CASE MANAGEMENT, ALL THAT
00:56:27ASSISTANCE AND OVERSIGHT -- WHY
IS THEIRE THE PURCHASER OF IT --
00:56:34WHY WOULD YOU FIND IT OFFENSIVE
TO HAVE THAT TRANSFER OVER AND
00:56:41HAVE THE SAME BENEFITS TRANSFER
TO SOMEBODY WHO WAS INJURED ON A
00:56:43WORK SITE?
I WOULD YOU DENY AN EMPLOYEE
00:56:46INJURED ON THE JOB WHAT YOU ARE
PAYING MONEY TO GET WHEN THEY
00:56:50ARE INJURED AT HOME?
MAKES NO SENSE.
00:56:52>> ON YOUR COMMENTS, COMMENTS
YOU WERE REFERRING TO, WITHIN
00:57:01THE FIRST THREE MONTHS, I WENT
TO THAT ORGANIZATION AND ASKED
00:57:04TO BE PART OF A BROAD DIALOGUE
ON REFORM.
00:57:08THEY CHOSE NOT TO DO THAT.
I'D GUESS 8, IF NOT 10 WEEKS
00:57:16AGO, I TOOK THESE CHARTS AND
SAID, "HERE IS THE PROBLEM, HELP
00:57:21US FIND SOLUTIONS."
THEY CHOSE NOT TO PARTICIPATE ON
00:57:25THAT.
I HOPE THEY DO.
00:57:27THIS IS THE FOLKS THAT ARE THE
SYSTEM AND THE
00:57:33DOOR IS OPEN.
I SPOKE AT THEIR WORKERS' COMP
00:57:38MEETING FOUR WEEKS AGO AND
THERE'S THE SAME PROBLEM.
00:57:41AGAIN, NO RESPONSE IN HELPING US
RESOLVING ISSUES.
00:57:44THE SAME IS TRUE FOR THE STATE
CONVENTION WHERE I EXPLAINED
00:57:50THE WORK CHART AND ASK THEM TO
HELP US CRAFT.
00:57:56I HOPE THEY DO PARTICIPATE.
I AM SURE THEIR REPRESENTATIVES
00:58:01ARE OPEN TO THE IDEA.
>> ANY OTHER QUESTIONS?
00:58:06I INVITE YOU TO JOIN US IN THE
INSURANCE COMMITTEE MEETING.
00:58:10OR THE SUBCOMMITTEE IF YOU'RE A
GLUTTON FOR DETAILS.
00:58:16A LOOK FORWARD TO YOUR COMMENTS
OR QUESTIONS.
00:58:20THE SAID COMMITTEE IS AT 10:00
A.M. ON THURSDAY.
Note : Transcripts are compiled from uncorrected captions