| 00:00:02 | >> THANK YOU VERY MUCH FOR BEING
HERE TODAY. |
| 00:00:07 | I REALLY APPRECIATE IT.
EVENTUALLY, YOU'LL BE HEARING |
| 00:00:10 | FROM EVERY ONE OF US BACK HERE,
AND THE ADMINISTRATIVE BUREAU. |
| 00:00:13 | WE WILL FIGHT VERY HARD NOT TO
BE -- TRY VERY HARD NOT TO BE |
| 00:00:18 | DUPLICATIVE IN WHAT WE SAY.
WHEN WE ARE DONE, WE WILL TAKE |
| 00:00:23 | QUESTIONS FROM EVERYBODY HERE.
IF THEY REMAIN ON LINE, WE WILL |
| 00:00:26 | TAKE QUESTIONS FROM THEM IF THEY
HAVE ANY AT THE END. |
| 00:00:30 | AGAIN, THANK YOU FOR A MUCH FOR
BEING HERE AS WE INTRODUCE SOME |
| 00:00:34 | LEGISLATION AFFECTING THE BUREAU
OF WORKERS' COMPENSATION PAID IN |
| 00:00:39 | 2011, WE HAD A LOT OF GREAT
ACHIEVEMENTS AS WE START A NEW |
| 00:00:43 | PATH FORWARD.
UNDER LEADERSHIP OF OUR |
| 00:00:45 | ADMINISTRATOR, THE OHIO BUREAU
OF WORKERS' COMPENSATION TRULY |
| 00:00:49 | HAS TRANSFORMED THE NEW PATHWAY
FORWARD. |
| 00:00:51 | I'M COMFORTABLE WITH SAYING THAT
2011 WAS LIKE NO OTHER YEAR FOR |
| 00:00:54 | BWC.
LIKEWISE, I AM EXCITED TO SAY |
| 00:00:59 | THAT THESE ACCOMPLISHMENTS HAVE
DIRECTLY BENEFITED EMPLOYEES, |
| 00:01:02 | EMPLOYERS, AND TAXPAYERS.
THIS GENERAL ASSEMBLY, WE HAVE |
| 00:01:06 | PARTICIPATED IN TRANSFORMING HOW
WE VIEW, MANAGE, AND FIND A |
| 00:01:11 | HEALTH CARE.
IN OUR MEDICAID PROGRAM, WITH |
| 00:01:13 | OUR PRIVATE INSURANCE, AND NOW
WITH THE BUREAU OF WORKERS' |
| 00:01:16 | COMPENSATION.
HOUSE REPUBLICANS HAVE PLAYED A |
| 00:01:20 | SIGNIFICANT ROLE IN SUPPORTING
THE BUREAU OF WORKERS' |
| 00:01:22 | COMPENSATION, ACHIEVING MANY OF
THESE IMPORTANT GOALS, |
| 00:01:26 | INCLUDING SAVING OHIO BUSINESSES
AND LOCAL GOVERNMENT MORE THAN |
| 00:01:31 | $165 MILLION PER YEAR.
WE'VE BEEN ABLE TO ACHIEVE THESE |
| 00:01:33 | SAVINGS BY KEEPING FOCUSED ON
IMPROVING OUTCOMES FOR INJURED |
| 00:01:37 | WORKERS.
HOWEVER WE SUCCEEDED, AVERAGE |
| 00:01:42 | PRIVATE EMPLOYERS PLAYED BASE
RATES REDUCED BY 4%. |
| 00:01:45 | SITTING OHIO BUSINESSES $65
MILLION IN PREMIUMS PER YEAR. |
| 00:01:50 | PUBLIC EMPLOYER RIGHTS WERE
REDUCED BY 5%. |
| 00:01:56 | OVERALL, THE BUREAU OF WORKERS'
COMPENSATION BUDGET WAS REDUCED |
| 00:02:03 | BY 12% OVER THE BIENNIUM,
SITTING TAXPAYERS $80 MILLION. |
| 00:02:09 | THIS WAS ACCOMPLISHED IN HOUSE
BUILD 123. |
| 00:02:12 | MANY BUREAU OF WORKERS'
COMPETITION PROGRAMS WERE |
| 00:02:15 | CREATED, EXPANDED, TO BENEFIT
EMPLOYEES AND EMPLOYERS AROUND |
| 00:02:20 | IN THE STATE.
THE HIGHLIGHT OF THESE REFORMS |
| 00:02:22 | INCLUDE A FOUR-YEAR, $4 MILLION
WELLNESS GRANT PROGRAM, WHICH |
| 00:02:26 | WAS CREATED TO REWARD EMPLOYERS
OF $15,000 FOR ASTONISHING |
| 00:02:31 | WELLNESS PROGRAMS TO REDUCE
OBESITY, CHRONIC DISEASE, AND |
| 00:02:35 | THE EFFECTS OF THE AGING WORK
FORCE. |
| 00:02:37 | THIS I KNOW HAS BEEN SUCCESSFUL,
AND I'VE HEARD MANY, MANY |
| 00:02:42 | EMPLOYERS TALKING ABOUT IT AND I
KNOW THAT THE BUREAU IS RECEIVED |
| 00:02:46 | A LOT OF APPLICATIONS AND ARE
LOOKING FORWARD TO THE SUCCESS |
| 00:02:48 | OF THIS PROGRAM.
DESTINATION EXCELLENCE IS A NEW |
| 00:02:52 | RATING PLANS TO DOUBLE REWARD
EMPLOYERS THAT IS PUBLISHED |
| 00:02:56 | RISK-MANAGEMENT PLANS FOCUSED ON
IMPROVING SAFETY, PREVENTION, |
| 00:03:00 | RETURNED TO WORK RATES.
EXPANDING THE CITY COUNCIL |
| 00:03:04 | REBATE PROGRAM ALLOWS CORPORATE
RAIDING EMPLOYERS TO QUALIFY FOR |
| 00:03:07 | 2% PREMIUM DISCOUNTS,
DEMONSTRATING IMPROVEMENT TO |
| 00:03:12 | EMPLOYEE SAFETY.
THE FIRST-EVER BWC FORMULA FOR |
| 00:03:16 | MEDICATIONS WAS ESTABLISHED TO
IMPROVE THE EFFICIENCY OF |
| 00:03:19 | TREATMENT, LOWER THE
PRESCRIPTION DRUG COSTS, AND IT |
| 00:03:24 | IS ESTIMATED TO SAVE THE BUREAU
WORKERS COMPENSATION AROUND $15 |
| 00:03:27 | MILLION IN THE FIRST 18 MONTHS
ALONE. |
| 00:03:29 | THE GROW OHIO PROGRAM WAS
ESTABLISHED TO PROVIDE PREMIUM |
| 00:03:34 | DISCOUNTS FOR EMPLOYERS.
EMPLOYERS CAN OPT FOR A 25% |
| 00:03:37 | PREMIUM DISCOUNT FOR TWO YEARS
OR CAN IMMEDIATELY JOIN GROUP |
| 00:03:41 | RATINGS, SETTING UP TO 53%.
A ONE-TIME FORGIVENESS PROGRAM |
| 00:03:47 | WAS INTRODUCED THIS YEAR AS PART
OF THE COMMON SENSE INITIATIVE, |
| 00:03:50 | WHICH WAIVES PENALTIES AND
INTEREST, PRODUCING A PREMIUM |
| 00:03:55 | PAYMENT FOR THE FIRST TIME.
NOW THIS NEW LEGISLATION. |
| 00:04:00 | THE BUREAU OF WORKERS'
COMPENSATION AND HOUSE |
| 00:04:03 | REPUBLICANS ARE COMMITTED TO
CONTINUING IMPROVING OUTCOMES |
| 00:04:05 | FOR INJURED WORKERS, KNOWING
THAT THIS FOCUS ALSO HELPED |
| 00:04:08 | BUSINESSES AND THE BUREAU OF
WORKERS' COMPENSATION. |
| 00:04:11 | ALTHOUGH WE HAVE MADE GREAT
STRIDES WITHIN THE BUREAU ALONE, |
| 00:04:15 | IT IS CLEAR THAT WE NEED
LEGISLATION TO MAKE EVEN A |
| 00:04:17 | BIGGER IMPACT.
WE HAVE INTRODUCED THREE BILLS |
| 00:04:21 | THAT ARE MARKING WHAT WE CALL
THE BEGINNING OF TRANSFORMATION |
| 00:04:23 | IN OHIO.
AS PART OF THIS ERA, WHEN ASKED |
| 00:04:27 | THE BUREAU OF WORKERS'
COMPENSATION TO DO MORE FOR |
| 00:04:29 | INJURED WORKERS AND DO MORE FOR
BUSINESSES. |
| 00:04:32 | AS IMPORTANTLY, WE HAVE COME TO
EXPECT THE SAME HEALTH CARE |
| 00:04:35 | QUALITY IN THE BUREAU OF
WORKERS' COMPENSATION BUT WE |
| 00:04:40 | EXPECT FROM PRIVATE INSURANCE
PLANS, THAT WE EXPECT IN OUR |
| 00:04:43 | STATE AND FEDERAL HEALTH-CARE
PROGRAMS. |
| 00:04:45 | WITH THE PASSAGE OF THESE BILLS,
THERE WILL BE NO QUESTION THAT |
| 00:04:48 | THE OHIO BUREAU OF WORKERS'
COMPENSATION WORKS FOR THE |
| 00:04:52 | GREATEST PRODUCERS IN THE STATE,
OUR EMPLOYEES. |
| 00:04:54 | WE HAVE THREE BILLS.
THE FIRST THAT WILL BE DISCUSSED |
| 00:04:57 | WILL BE HOUSE BILL 516.
REPRESENTATIVES HENNE AND |
| 00:05:05 | HOTTINGER MANAGE THIS BILL.
HOUSE BILL 517, MYSELF AND |
| 00:05:13 | REPRESENTATIVES NEWBOLD WILL
MANAGE TO IT IS DIED SUPERIOR |
| 00:05:16 | HEALTH CARE FOR INJURED WORKERS
WITHIN THE BUREAU OF WORKERS' |
| 00:05:19 | COMPENSATION.
HOUSE BILL 518, REPRESENTATIVE |
| 00:05:23 | LANDIS AND I WILL MANAGE, AND
THAT WE HAVE QUITE BEST OUTCOME |
| 00:05:29 | -- COINED BEST OUTCOMES FOR
INJURED WORKERS. |
| 00:05:36 | REGARDING THE TRANSFORMATION AND
FOCUS, WE BELIEVE THAT BY |
| 00:05:38 | FOCUSING ON HELPING INJURED
WORKERS RETURNED TO WORK BY |
| 00:05:42 | MEASURING OUTCOMES, NOT JUST
VISITS, WE CAN CREATE A MUCH |
| 00:05:44 | BETTER FUNCTIONING BUREAU OF
WORKERS' COMPENSATION THAT |
| 00:05:47 | PRIMARILY IMPROVES THE LIVES OF
WORKERS WHILE WORKING FOR |
| 00:05:51 | BUSINESS OWNERS AND EMPLOYERS.
THE SUCCESS OF THIS LEGISLATION |
| 00:05:55 | HAS TWO MAJOR IMPLICATIONS.
ALWAYS FOCUSING ON IMPROVING THE |
| 00:05:59 | LIVES OF INJURED WORKERS AND THE
ABILITY TO GET BACK TO WORK. |
| 00:06:03 | WE HAVE FOCUSED ON MEETING THESE
GOALS. |
| 00:06:07 | WE KNOW THAT INJURED WORKERS
WILL BE BETTER SERVED, AND THE |
| 00:06:09 | COST OF DOING BUSINESS CAN BE NO
MORE. |
| 00:06:11 | THEREFORE, WE ARE FOCUSED ON
BWC TRANSFORMATION BECAUSE WE |
| 00:06:17 | BELIEVE THAT IT IMPROVES LIVES
OF WORKERS AND CREATES JOBS AT |
| 00:06:21 | THE SAME TIME.
AS WE LOOK AT THIS, IT WILL |
| 00:06:26 | TRULY BE A WIN-WIN FOR OHIO.
AT THIS POINT, WHAT I WOULD LIKE |
| 00:06:29 | TO DO IS INTRODUCE
REPRESENTATIVE HENNE, WHO WILL |
| 00:06:33 | PROVIDE AN OVERVIEW OF THE FIRST
PIECE OF LEGISLATION. |
| 00:06:35 | >> THANK YOU VERY MUCH.
WHAT IS EXCITING ABOUT THIS BILL |
| 00:06:39 | IS IT IS POINT MAN.
BY CONCENTRATING ON THE WORKERS |
| 00:06:44 | -- IT IS A WIN-WIN.
BY CONCENTRATING ON THE WORKERS |
| 00:06:49 | AND INCENTIVIZING THE EMPLOYER
TO PROVIDE A SAFE WORKING |
| 00:06:52 | ENVIRONMENT AND GIVING THE
WORKERS QUALITY CARE TO GET BACK |
| 00:06:55 | TO WORK QUICKER, IT IS A WIN FOR
THE BUSINESS AND THE EMPLOYER. |
| 00:07:01 | MY BUSINESS IS INSURANCE, AND
THERE IS TRUISMS ABOUT |
| 00:07:09 | INSURANCE.
ONE IS THAT THERE'S NOTHING |
| 00:07:10 | BETTER THAN PREVENTING LOSS.
THERE IS INTANGIBLES WITH |
| 00:07:14 | INSURANCE.
BY AVOIDING THE LOSS, WE ARE |
| 00:07:19 | INCENTIVIZING EMPLOYERS TO
PROVIDE A SAFE WORKING |
| 00:07:24 | ENVIRONMENT.
THERE IS NOTHING BETTER TO |
| 00:07:27 | MINIMIZE A LOSS THAN GETTING THE
BUSINESS BACK RUN AWAY WAS RUN |
| 00:07:35 | BEFORE.
PROVIDING QUALITY CARE AND |
| 00:07:37 | GETTING TO THE WORKER BACK TO
WORK QUICKER IS A WIN-WIN FOR |
| 00:07:40 | EVERYBODY.
516 MAKES A VARIETY OF CHANGES |
| 00:07:45 | TO BWC, WHICH BENEFIT INJURED
WORKERS AND EMPLOYERS STATEWIDE. |
| 00:07:51 | THESE CHANGES MODERNIZE THE
WORKERS' COMPENSATION SYSTEM AND |
| 00:07:53 | PROVIDE OPTIONS FOR EMPLOYERS
AND ENCOURAGE A RETURN TO WORK |
| 00:07:57 | FOR THE WORKER.
THE LEGISLATION REPRESENTS A |
| 00:08:02 | CONTINUED COMMITMENT TO
IMPROVING OUTCOMES FOR INJURED |
| 00:08:04 | WORKERS.
IT IS THE FOLLOWING -- IT |
| 00:08:08 | PERMITS STATE HOSPITALS TO
PARTICIPATE IN SELF INSURANCE. |
| 00:08:14 | CURRENTLY THE LAW ALLOWS STATE
UNIVERSITIES, NOT UNIVERSITY |
| 00:08:20 | HOSPITALS.
OVERSIGHT WOULD BE CORRECTED IN |
| 00:08:23 | THIS LEGISLATION.
IT WOULD PERMIT POLITICAL |
| 00:08:27 | SUBDIVISIONS TO PARTICIPATE IN
THE ONE-TIME PROGRAM. |
| 00:08:30 | CURRENTLY, ONLY PRIVATE
EMPLOYERS PARTICIPATE IN THIS |
| 00:08:32 | PROGRAM.
LEGISLATION EXPANDS THE PROGRAM |
| 00:08:37 | TO INCLUDE CITIES, SCHOOLS, AND
OTHER PUBLIC DISTRICT, PROVIDING |
| 00:08:42 | THEM WITH AN IMPORTANT TOOL FOR
THE WARRING THE WORKERS |
| 00:08:45 | COMPETITION COST IN THE EVENT --
LOWERING THE WORKERS' |
| 00:08:50 | COMPENSATION COSTS IN THE EVENT
OF A SIGNIFICANT LAG IT PROVIDES |
| 00:08:53 | RELIEF TO EMPLOYERS BY
MODIFYING ASSESSMENT FOR CLAIMS. |
| 00:08:56 | THERE ARE CURRENTLY ENOUGH
RESERVES TO MAKE CLAIMS AND |
| 00:09:01 | OBLIGATIONS FOR DWARF 2
ASSESSMENTS. |
| 00:09:08 | IT ALLOWS THE BUREAU TO PUBLISH
RULES ELECTRONICALLY RATHER THAN |
| 00:09:12 | IN PAPER FORM.
THIS TOOL WILL HELP REDUCE |
| 00:09:16 | COSTS.
IT WILL STANDARDIZE THE PROCESS |
| 00:09:19 | BY AFFECTING THE LEGISLATION.
THESE ARE THE ONLY FILINGS |
| 00:09:31 | REQUIRED TO BE SENT BY MAIL.
IT WILL ENCOURAGE THE BUREAU IN |
| 00:09:37 | ITS EFFORT TO BUILD INCENTIVES
FOR EMPLOYERS AND EMPLOYEES TO |
| 00:09:40 | BE ACTIVELY ENGAGED IN WORKPLACE
SAFETY AND WELLNESS PROGRAM. |
| 00:09:46 | REPRESENTATIVE NEWBOLD WILL TALK
ABOUT THE SECOND BILL. |
| 00:10:03 | >> THANK YOU, REPRESENTATIVE
HENNE. |
| 00:10:09 | THIS IS A BILL THAT I AM EXCITED
ABOUT, HONORED TO PARTICIPATE |
| 00:10:14 | IN.
ANYTHING WE CAN DO TO IMPROVE |
| 00:10:18 | OUR ABILITY TO GET BACK, IT
HELPS BUSINESSES IMPROVE OUR |
| 00:10:24 | ABILITY TO CONDUCT THE BUSINESS,
NOT ONLY IN OHIO BUT WITH OTHER |
| 00:10:29 | STATES.
THIS IS VERY EXCITING. |
| 00:10:32 | I AM COSPONSORING HOUSE BILL
517. |
| 00:10:37 | THIS WILL ENCOURAGE BETTER
MEDICAL CARE PRACTICES WITH THE |
| 00:10:41 | GOAL OF IMPROVING QUALITY AND
OUTCOMES FOR INJURED WORKERS THE |
| 00:10:47 | BILL WILL REDUCE BUREAUCRATIC
REQUIREMENTS FOR PROVIDERS AND |
| 00:10:49 | ALLOW THEM TO FOCUS ON PROVIDING
HIGH-QUALITY CARE IN THE INITIAL |
| 00:10:52 | STAGES OF THE KLAN.
-- CLAIM. |
| 00:10:55 | SOME OF THE KEY PROVISIONS
INCLUDE CREATING INCENTIVES |
| 00:11:00 | WITHIN THE HEALTH PART OF A
PROGRAM, REQUIRING BWC TO HOLD |
| 00:11:05 | ANCO'S AND PROVIDERS AT
ACCOUNTABLE, REPORTING ON |
| 00:11:13 | QUALITY AND OUTCOMES, RETURN-TO-
WORK RATES, AND DISTRIBUTE |
| 00:11:17 | RESULTS TO EMPLOYERS AND THE
PUBLIC. |
| 00:11:19 | THIS INTEREST COMPETITION AND
QUALITY WITHIN THE SYSTEM AND |
| 00:11:23 | GIVES WORKERS MEANINGFUL CHOICE.
ACQUIRING THE ADMINISTRATOR TO |
| 00:11:31 | CONTRACT WITH NCO'S TO CREATE
NETWORKS OF PROVIDERS TO ACHIEVE |
| 00:11:36 | QUALITY BENCHMARKS WITH A FOCUS
ON QUALITY CARE, RETURN TO WORK, |
| 00:11:42 | AND COST-EFFECTIVE TREATMENT FOR
INJURED WORKERS, ALLOW INJURED |
| 00:11:47 | WORKER FREEDOM TO CHOOSE $45
BILLION AND REQUIRED THE USE OF |
| 00:11:52 | NETWORK PROVIDERS.
THIS WILL PROVIDE INJURED |
| 00:11:54 | WORKERS WITH A MEANINGFUL
FRAMEWORK FOR GETTING BACK TO |
| 00:11:58 | FULL HEALTH AND BACK TO WORK.
PROVIDING INCENTIVES TO |
| 00:12:04 | PROVIDERS WHO EXCEED QUALITY
BENCHMARKS AND STREAMLINING THE |
| 00:12:09 | INITIAL TREATMENT PROCESS BY
ALLOWING BWC TO PAY PROVIDERS |
| 00:12:13 | FOR RENDERING CARE IN THE EARLY
STAGES OF A CLIMB, AGAIN, TO |
| 00:12:18 | REDUCE THE OVERALL CYCLE OF THE
INDIVIDUAL BEING OUT OF WORK. |
| 00:12:20 | THIS LEGISLATION AT FIRST AND
FOREMOST IS PRO-INJURED WORKER. |
| 00:12:27 | EACH PROVISION WILL NOT ONLY
IMPROVE OHIO'S BWC SYSTEM BUT |
| 00:12:33 | WILL IMPROVE THE QUALITY OF
CARE RECEIVED BY INJURED |
| 00:12:37 | WORKERS COULD BETTER CARE WILL
RESULT IN A QUICKER RETURN TO |
| 00:12:39 | WORK, LOWER BWC COSTS,
LOWER OVERALL MEDICAL COSTS IN |
| 00:12:51 | OUR STATE.
THANK YOU. |
| 00:12:52 | NOW, REPRESENTATIVE LANDIS.
>> THANK YOU, REPRESENTATIVE |
| 00:13:01 | NEWBOLD.
THANK YOU, LADIES AND GENTLEMEN, |
| 00:13:04 | FOR ATTENDING A PRESS
CONFERENCE. |
| 00:13:05 | THIS IS SO IMPORTANT, BECAUSE
IDEAS ABOUT 08 WORKERS. |
| 00:13:10 | AS MANY OF YOU KNOW, I SPENT THE
PRIVATE SECTOR COME IN THE STEEL |
| 00:13:15 | INDUSTRY, IN MANUFACTURING.
THIS WAS A PRIORITY OF MINE WHEN |
| 00:13:20 | COMING TO COLUMBUS.
AM HONORED TO BE CARRYING 518. |
| 00:13:27 | I THANK HER FOR THE OPPORTUNITY
TO WORK WITH HER. |
| 00:13:34 | THE PURPOSE IS TO HELP INJURED
WORKERS RETURNED TO WORK FASTER. |
| 00:13:38 | HAVING COME OUT OF THE
MANUFACTURING ENVIRONMENT, I |
| 00:13:41 | KNOW HOW IMPORTANT IT IS TO GET
THESE FOLKS THE BEST |
| 00:13:44 | REHABILITATION, BEST TREATMENT
WE CAN GET, AND ALLOW THEM TO |
| 00:13:47 | RETURN TO THE JOB AND TO THEIR
FAMILY LIVES. |
| 00:13:49 | THE BILL STRENGTHENS THE BUREAU
OF WORKERS' COMP ABILITY TO |
| 00:13:57 | CERTIFY PROVIDERS THAT PRESENT A
DANGER TO THE HEALTH AND SAFETY |
| 00:13:59 | OF INJURED WORKERS.
IT ALSO PROTECTS THE INTEGRITY |
| 00:14:02 | OF THE BUREAU'S BROAD
INVESTIGATIONS BY ENSURING THAT |
| 00:14:08 | EVIDENCE IS NOT SUBJECT TO
DISCOVER OR PUBLIC RECORDS UNTIL |
| 00:14:12 | THE INVESTIGATION IS COMPLETE.
FINALLY, IT PROVIDES CONSISTENCY |
| 00:14:17 | IN THE DECERTIFICATION PROCESS
BY REQUIRING THAT ALL APPEALS TO |
| 00:14:21 | BE FILED IN THE FRANKLINTOWN
COURT OF COMMON PLEAS. |
| 00:14:24 | PROTECTING INJURED WORKERS FROM
UNDERPERFORMING AND INTEREST |
| 00:14:30 | PROVIDERS IS A TOP PRIORITY FOR
THE OHIO HOUSE. |
| 00:14:32 | CREATING AN ENVIRONMENT THAT
INCLUDES ONLY THE BEST PROVIDERS |
| 00:14:35 | TO BENEFIT MAJOR WORKERS IN OUR
STATE AND IN ADDITION, |
| 00:14:40 | PROTECTING DOCUMENTS DURING
INVESTIGATIONS AND SIMPLIFYING |
| 00:14:43 | THE APPEALS PROCESS FOR
DECERTIFICATION PROVIDERS |
| 00:14:48 | PROVIDE AN IMPROVED FRAMEWORK
FOR THE BUREAU ON TWO IMPORTANT |
| 00:14:53 | ISSUES TREE JUST TO SUMMARIZE
WHAT THE CORE OF IT IS, NUMBER |
| 00:14:57 | ONE, IT CLARIFIES THE BUREAU
POSSIBILITY TO -- BUREAU'S |
| 00:15:05 | ABILITY TO DECERTIFY PROVIDERS
THAT PRESENT A DANGER. |
| 00:15:11 | IT REQUIRES THAT THE COURT OF
APPEALS, RELATING TO PROVIDER |
| 00:15:18 | DECERTIFICATION, TO BE FILED IN
FRANKLIN COUNTY. |
| 00:15:22 | THOSE ARE THE CORE VALUES OF
HOUSE BILL 518. |
| 00:15:25 | THANK YOU FOR YOUR ATTENTION.
I WOULD LIKE TO INTRODUCE THE |
| 00:15:30 | ADMINISTRATOR OF THE BUREAU OF
WORKERS' COMPENSATION, MR. |
| 00:15:34 | STEVE BUEHRER.
>> THANK YOU VERY MUCH, |
| 00:15:38 | REPRESENTATIVE AND
REPRESENTATIVES, FOR BEING HERE |
| 00:15:45 | TODAY.
WE APPRECIATE THE OPPORTUNITY TO |
| 00:15:47 | TALK ABOUT THESE PROPOSALS.
UNDER THE FIRST YEAR OF THE |
| 00:15:52 | LEADERSHIP OF THE GOVERNOR
KASICH AT THE BUREAU, WE HAVE |
| 00:15:58 | BEEN SUCCESSFUL ON SEVERAL
FRONTS. |
| 00:15:59 | WE'VE DECREASED BASE RATES,
WE'VE BROUGHT STABILITY TO THE |
| 00:16:05 | GREAT MAKING PROCESS, WE HAVE
COORDINATED PREMIUM DISCOUNTS |
| 00:16:09 | CALL DESTINATION EXCELLENCE.
WE HAVE BEGUN PROGRAMS TO |
| 00:16:13 | INCENTIVIZE NEW BUSINESSES IN
OHIO, TO CREATE HEALTHIER |
| 00:16:16 | WORKPLACES THROUGH OUR WORK AS
WELL AS GRANT PROGRAM AS WELL AS |
| 00:16:20 | THE SAFETY INITIATIVES.
THESE ARE THINGS THAT ARE GOOD, |
| 00:16:23 | THINGS THAT WO WILL HELP OUR
SYSTEM. |
| 00:16:27 | HOWEVER, IN SPITE OF THESE
ACHIEVEMENTS, STABILIZING AND |
| 00:16:31 | IMPROVING OUR SYSTEM, I CONTINUE
TO BE HAUNTED BY THE DECLINING |
| 00:16:34 | RATE OF RETURN FOR INJURED
WORKERS IN OHIO. |
| 00:16:37 | SOME OF YOU WHO HAVE BEEN IN
OTHER EVENTS WITH ME HAVE SEEN |
| 00:16:42 | THIS CHART.
WE'VE TALKED ABOUT IT ACROSS THE |
| 00:16:44 | STATE.
WHAT IT PORTRAYS IN THE PAST |
| 00:16:46 | FIVE YEARS IS THE OHIO RETURNED
TO WORK RIGHT. |
| 00:16:50 | IT HAS FALLEN FROM SOMETHING
CLOSE TO 76% TO BELOW 69%. |
| 00:16:57 | WHAT THAT MEANS IS THAT MORE AND
MORE WORKERS ARE TRAPPED FOR |
| 00:17:00 | LOGGER LONGER PERIODS OF TIME IN
THE WORKERS COMP SYSTEM. |
| 00:17:08 | MY BELIEF IS THAT ONCE AN INJURY
HAS OCCURRED, THE EMPLOYER AN |
| 00:17:12 | INJURED WORKER MUST HAVE A
SIMILAR GOAL -- GET THE INJURED |
| 00:17:15 | WORKER BACK TO WORK.
NOT ONLY IS THIS BEST FOR THE |
| 00:17:18 | EMPLOYER AND KEEPING COSTS LOW
AND ENSURING EFFICIENCY IN THE |
| 00:17:22 | WORKPLACE, BUT IT IS WHAT IS
BEST FOR THE INJURED WORKER. |
| 00:17:24 | WHAT I DISCUSSED THESE PROBLEMS
WITH THE GOVERNOR, HE HAS ASKED |
| 00:17:31 | ME TO GET AS MUCH ACCOMPLISHED
AS I CAN INTERNALLY WITHOUT |
| 00:17:36 | LEGISLATIVE HELP.
YET ENGAGED EMPLOYEES AND |
| 00:17:38 | STAKEHOLDERS FOR BETTER
TRIAGING OF CLAIMS, BETTER |
| 00:17:45 | MEDICAL MANAGEMENT, SMARTER AND
MORE CONTROLLED USE OF A |
| 00:17:47 | PHARMACEUTICALS, MORE
SETTLEMENTS, BETTER ACCESS TO |
| 00:17:48 | REHABILITATION.
THESE EFFORTS ARE ONGOING. |
| 00:17:52 | HOWEVER, TODAY WE HAVE COME TO
THE LEGISLATURE WITH A NARROW |
| 00:17:57 | SET OF REFORMS THAT WE BELIEVE
ARE NECESSARY TO TAKE THE NEXT |
| 00:18:00 | STEP IN PROVIDING BETTER
OUTCOMES FOR INJURED WORKERS. |
| 00:18:05 | TOO MANY WORKERS REMAIN IN OUR
SYSTEM WITHOUT A CLEAR PATH OF |
| 00:18:19 | RETURN TO WORK.
THROUGHOUT OUR SYSTEM, THERE ARE |
| 00:18:22 | POINTS WHERE THERE IS LACK OF
ACCOUNTABILITY FOR ALL PARTIES |
| 00:18:25 | INVOLVED IN AIDING HIS RETURN TO
WORK EFFORT. |
| 00:18:26 | THE CHART APPEAR HIGHLIGHTS WHAT
HAPPENS TO A PERSON WHO ENTERS |
| 00:18:32 | OUR SYSTEM.
THE OUTER RING -- IT IS WHAT |
| 00:18:38 | HAPPENS WHEN THERE IS AN INITIAL
VISIT. |
| 00:18:39 | FOR THE FIRST PERIOD OF TIME,
THEY CAN GO ANYWHERE THEY ONE |
| 00:18:53 | FOR CARE.
ONCE THAT ENDS, THEY HAVE |
| 00:18:55 | ENTERED THE NETWORK THAT IS
ESTABLISHED IN OUR SYSTEM OF |
| 00:19:00 | CERTIFIED PROVIDERS.
THERE ARE OVER 68,000 PROVIDERS |
| 00:19:06 | AND THE STATE OF OHIO THAT
INJURED WORKERS CAN CHOOSE TO GO |
| 00:19:08 | TO AS THEY LIKE.
IN THE MIDDLE IS SOMETHING THAT |
| 00:19:14 | SHOULD SET UP IN THE LEGISLATURE
SET UP NNINE -- NETWORKS OF |
| 00:19:21 | MCO PROVIDERS WHO ARE ATTACHED
TO EVERY EMPLOYER IN OHIO WHO |
| 00:19:26 | TRY TO WORK AND MAKE SURE THAT
INJURED WORKERS ARE RECEIVING |
| 00:19:28 | THE CARE THEY SHOULD AND THAT
THERE WAS COMMUNICATION ACROSS |
| 00:19:32 | BOTH PARTIES IN THE SYSTEM.
THE STATUTES SET UP WITH THESE |
| 00:19:35 | PROVIDER NETWORKS IN THE MID-
1990'S -- IN REALITY, THEY |
| 00:19:40 | FUNCTION, BECAUSE INJURED
WORKERS, AGAIN, ARE ALLOWED TO |
| 00:19:42 | GO ANYWHERE THEY ONE WITH IN THE
CERTIFIED NETWORK. |
| 00:19:45 | THE GOOD NEWS IS 93% OF THE
TIME, INJURED WORKERS WHO ENTER |
| 00:19:53 | THIS RETURN TO WORK WITHIN 45
DAYS. |
| 00:19:55 | THAT IS GOOD NEWS.
EACH YEAR, 7000 TO 8000 INJURED |
| 00:20:02 | WORKERS DO NOT, AND THEY WIN IN
THE SYSTEM WITHOUT A PATH TO |
| 00:20:05 | RECOVERY.
-- LINGER IN THE SYSTEM WITHOUT |
| 00:20:10 | PATH TO RECOVERY.
IF AN INJURED WORKER IS NOT BACK |
| 00:20:13 | TO WORK WITHIN 30 DAYS, THE
CHANCES OF EVER RETURNING TO |
| 00:20:15 | WORK DIMINISHED SIGNIFICANTLY.
WHAT WE FOUND IN THE OHIO SYSTEM |
| 00:20:20 | IS THAT FOR THOSE MISSING 45
DAYS, 57% OF THOSE WILL MISS |
| 00:20:26 | MORE THAN 120 DAYS AND BE ON A
PATH THAT IS NOT GOOD FOR THEM |
| 00:20:30 | OR ANYBODY ELSE.
ONE OF THE THINGS THIS BILL DOES |
| 00:20:36 | IS SAY THAT THE INJURED WORKERS
TO ENTER THE SYSTEM WILL HAVE 45 |
| 00:20:39 | DAYS TO GO WHEREVER IT AT WHAT
WOULD CERTIFY PROVIDERS, BUT IF |
| 00:20:43 | THEY HAVE NOT SEEN A RECOVERY,
HAVE NOT RETURNED TO WORK FOR 45 |
| 00:20:48 | DAYS, THEY MUST GO TO WHAT THE
STATUTE HAS ALREADY CREATED, THE |
| 00:20:53 | NETWORK OF PROVIDERS THAT MCO'S
WILL SET UP. |
| 00:20:56 | THAT IS ONE SIDE OF THESE VERY
IMPORTANT REFORMS. |
| 00:21:02 | THE OTHER SIDE IS THAT WE HAVE
PROBLEMS WITH GIVING |
| 00:21:09 | SERVICE TO INJURED WORKERS.
AS I MENTIONED BEFORE, FROM THE |
| 00:21:13 | MOMENT SOMEONE IS INJURED, THEY
HAVE ROUGHLY 72 HOURS TO GO |
| 00:21:15 | WHERE TIPPING WANT TO GO TO GET
SOME TYPE OF EMERGENCY CARE. |
| 00:21:21 | AND THE INJURED WORKER RIGHTS.
OUR SYSTEM WILL NOT PAY |
| 00:21:24 | PROVIDERS FOR ANY TYPE OF
SERVICE UNTIL BWC HAS MADE THE |
| 00:21:29 | INITIAL DETERMINATION ON THE
CLAIM, THE STATUTE GIVING US 28 |
| 00:21:32 | DAYS TO DO THAT.
IN REALITY, WE GET MOST OF THEM |
| 00:21:36 | DIED IN 10 DAYS, BUT THERE CAN
BE --DONE IN 10 DAYS, BUT IT CAN |
| 00:21:42 | BE AS LONG AS 28 DAYS.
WE WILL NOT PAY FOR MEDICAL |
| 00:21:46 | COMMIT UNTIL THE APPEALS
PERIOD, ANOTHER 14 DAYS, IN |
| 00:21:48 | ADDITION TO THE 28 PAST.
UNDER THOSE SCENARIOS, AN |
| 00:21:52 | INJURED WORKER CAN SIT AT HOME
WAITING FOR UP TO 30 TO 40 DAYS |
| 00:21:57 | TO IT THAN IF AN APPEAL AFTER
THE COMMERCE, THERE IS ANOTHER |
| 00:21:59 | STATUTORY PERIOD.
IN TOTAL, IT CAN BE UP TO 150 |
| 00:22:07 | DAYS FROM DATE OF ENTRY UNTIL
THE WORKER RECEIVES PAGE |
| 00:22:13 | TREATMENT UNDER THE WORKERS
COMP SYSTEM. |
| 00:22:17 | THAT IS NOT A POSITIVE WAY TO
DEAL WITH PEOPLE AND CONDITIONS |
| 00:22:19 | IF WE WANT BETTER OUTCOMES IN
THE SYSTEM. |
| 00:22:22 | WHAT THE BILL DOES I BUT IS TO
PROVIDE THE SYSTEM, ONCE THE |
| 00:22:27 | BUREAU WAS MADE THE INITIAL
DETERMINATION, WE WILL BE ABLE |
| 00:22:32 | TO MEET PAYMENTS ON BEHALF OF
THE IINJURED WORKER WHILE |
| 00:22:36 | THE APPEALS PROCESS MAKES ITS
WAY THROUGH THE SYSTEM WRIT |
| 00:22:39 | THEREBY GUARANTEEING THAT THE
INJURED WORKER IS GETTING HEALTH |
| 00:22:42 | CARE PROVIDED AS QUICKLY AS
POSSIBLE AT THE FRONT END AFTER |
| 00:22:45 | HIS INJURY HAS OCCURRED.
THAT, AND A NUTSHELL, IS WHAT |
| 00:22:52 | ONE OF THE MORE SIGNIFICANT
PIECES IN THIS BILL ARE. |
| 00:22:55 | THERE ARE OTHERS THAT WILL BEGIN
TO ADDRESS THE FIRST CHART WE |
| 00:22:58 | LOOKED AT, RETURN TO WORK IN THE
STATE OF OHIO. |
| 00:23:02 | WHAT WE'RE TRYING TO DO IS FIX A
VERY WELL-DEFINED PLAN -- |
| 00:23:08 | PROBLEM.
THAT IS GETTING ALL INJURED |
| 00:23:12 | WORKERS TO CARE THEY DESERVE AND
GET THEM BACK AS QUICKLY AS |
| 00:23:14 | POSSIBLE TO RESUME HIGH QUALITY
OF LIFE. |
| 00:23:18 | THIS LEGISLATION HOLDS EVERYONE
IN THE SYSTEM ACCOUNTABLE -- |
| 00:23:23 | INJURED WORKERS.
THE BILL SAYS THEY MUST COMPLY |
| 00:23:25 | WITH TREATMENT PROTOCOLS THAT
THEIR DOCTORS SET OUT TO |
| 00:23:28 | EMPLOYERS.
AS I MENTIONED, EMPLOYERS PAYING |
| 00:23:31 | FOR THE CARE EARLIER ON IN THE
SYSTEM. |
| 00:23:33 | PAYING FOR THE FIRST
PRESCRIPTION THAT THE INJURED |
| 00:23:36 | WORKER NEEDS AT THE PHARMACY,
EVEN BEFORE THE CLEMMONS BEEN |
| 00:23:39 | ALLOWED, IF IT IS LIKELY WILL BE
ALLOWED LATER. |
| 00:23:41 | WE WILL BEGIN TO MEASURE THAT
MORE THOROUGHLY. |
| 00:23:45 | WE ARE ASKING MCO'S TO DO A
BETTER JOB A PARTNER WITH US. |
| 00:23:53 | THE BILL CREATES A SCORECARD TO
MEASURE HOW EFFICIENT THEY ARE. |
| 00:23:57 | IN TOTAL, IT WILL IMPROVE THE
SYSTEM TO MAKE IT MORE |
| 00:23:59 | ACCOUNTABLE THROUGH FASTER
PAYMENTS FOR APPROPRIATE |
| 00:24:02 | SERVICE.
LET ME TELL YOU WHAT THIS BILL |
| 00:24:07 | OR A SERIES OF BILLS ARE NOT.
THESE ARE NOT PRIVATIZATION, |
| 00:24:10 | THESE ARE NOT COMPETITION, THESE
ARE NOT BENEFIT CUTS. |
| 00:24:13 | THOSE ARE ALL CONVERSATIONS FOR
ANOTHER DAY. |
| 00:24:17 | THESE BILLS TRY TO FOCUS ON WHAT
I BELIEVE IS THE MOST PRESSING |
| 00:24:19 | PROBLEM -- HOW DO WE HAVE BETTER
OUTCOMES FOR INJURED WORKERS IN |
| 00:24:23 | OUR SYSTEM?
LET ME MENTION A COUPLE OF |
| 00:24:26 | THINGS THAT I BELIEVE SOME OF
THE CRITICS OF THESE BILLS MAY |
| 00:24:30 | SAY.
THE FIRST IS THAT WE DON'T HAVE |
| 00:24:31 | ENOUGH PROVIDERS.
THAT IS WHY THE RETURN-TO-WORK |
| 00:24:34 | NUMBERS ARE WHAT THEY ARE.
BWC HAS 68,280 CERTIFIED |
| 00:24:40 | PROVIDERS.
THAT IS ONE PROVIDER FOR EVERY |
| 00:24:44 | TWO INJURED WORKERS THAT HAD A
CLAIM IN OHIO LAST YEAR. |
| 00:24:49 | FOLKS, THAT IS A SUFFICIENT
NUMBER OF PROVIDERS. |
| 00:24:53 | THAT IS NOT THAT WE CANNOT HAVE
A GOOD SPECIALISTS AND OUR |
| 00:25:00 | SYSTEM AND BE AVAILABLE TO
INJURED WORKERS. |
| 00:25:03 | THE INJURED WORKER DOES NOT KNOW
WHERE TO GO TO GET THE BEST TYPE |
| 00:25:10 | OF HELP BUT THINK OF OURSELVES
IF YOU WERE INJURED IN THE |
| 00:25:13 | WORKPLACE.
WHO WOULD YOU SEE FOR SPECIFIC |
| 00:25:15 | INJURIES?
IT WOULD BE A DAUNTING TASK. |
| 00:25:18 | IN REALITY, WHEN THEY FACED THE
DAUNTING TASK, SOME OF THEM FIND |
| 00:25:22 | THE RIGHT PROVIDERS AND SOME
DON'T. |
| 00:25:25 | FOR SOME WHO DON'T FIND THE
RIGHT PROVIDER, IT CAN LEAD TO |
| 00:25:30 | TOTAL DISABILITY AND IN SOME
CASES, DEATH. |
| 00:25:32 | SOME OPPONENTS MAY ARGUE THAT
THIS IS RADICAL AND OUT OF THE |
| 00:25:39 | NORM.
FOLKS, THAT IS BLATANTLY UNTRUE. |
| 00:25:42 | THERE ARE MANY STATES THAT
REQUIRE CERTAIN NETWORK |
| 00:25:45 | POSITIONS FROM THE VERY FIRST
DAY OF A CLAIM. |
| 00:25:47 | IN AUGUST, THE EMPLOYER PICKS
THE EMPLOYEES AFTER. |
| 00:25:51 | NEITHER OF THOSE THINGS IS GOING
ON IN THIS BILL. |
| 00:25:54 | OHIO POLLEY W IT CONTAINS MC --
OHIO LAW CONTAINS MCO NETWORK |
| 00:26:02 | PROVIDERS.
THIS DOES WHAT WAS CONTEMPLATED |
| 00:26:05 | IN THE MID-1990'S BY THE
LEGISLATURE WHO GREETED THESE |
| 00:26:08 | PANELS OF HIGH QUALITY POSITIONS
THAT GET PEOPLE BACK TO WORK AND |
| 00:26:11 | ON THE JOB.
THIS LEGISLATION SAYS THAT THE |
| 00:26:14 | STATUTE TORELLI CREATED
NETWORKS WILL OPERATE THE WAY |
| 00:26:17 | THEY WERE MEANT TO OPERATE THOSE
MANY YEARS AGO. |
| 00:26:21 | THEN, ONLY AFTER 45 DAYS OF THE
EMPLOYEE'S FAILURE TO GET BACK |
| 00:26:27 | TO WORK.
THE FINAL ARGUMENT IS THAT THE |
| 00:26:29 | SYSTEM IS FINE.
LEAVE IT ALONE. |
| 00:26:31 | I COULDN'T DISAGREE MORE FOR
THOSE INJURED WORKERS WHO ENTER |
| 00:26:35 | OUR SYSTEM AND NEVER LEAVE.
THE SYSTEM IS NOT FIND. |
| 00:26:40 | -- NOT FINE FOR SHARON, A
CLAIMANT WHO ENTERED OUR |
| 00:26:51 | SYSTEM, WHO TRIPPED OVER IANDA
-- OVER AR RUG AND FELL ON |
| 00:27:02 | HER EASTRIDGE IS TOTALLY
DISABLED TODAY AFTER FALLING ON |
| 00:27:04 | A RUG.
A MAN WHO BURNED HIS FEET |
| 00:27:13 | AFTER WALKING ON HOT ASPHALT AND
BEING PERMANENTLY DISABLED. |
| 00:27:19 | IT IS NOT A GOOD SYSTEM FOR
MARGARET, AN ASSEMBLY WORKER WHO |
| 00:27:23 | CAUGHT HER HAND ON A BROKEN LEG
ALL IN 2004 AND SIX YEARS LATER, |
| 00:27:27 | AFTER MORE THAN $250,000 IN
TREATMENTS, IS TOTALLY DISABLED |
| 00:27:32 | AND WILL NEVER WORK AGAIN.
THIS SYSTEM IS NOT WORKING FOR |
| 00:27:35 | THE INJURED WORKERS WHO HAVE
SEEN A SINGLE CHIROPRACTOR 800 |
| 00:27:38 | TIMES.
AND A LARGE NUMBER OF THEM HAVE |
| 00:27:42 | SEEN CHIROPRACTOR'S 500 TIMES IN
THEIR CLAIMS. |
| 00:27:47 | IT CERTAINLY DOES NOT WORK FOR
EIGHT DIFFERENT INJURED WORKERS |
| 00:27:52 | TO EXERCISE MEDICAL FREE CHOICE
TO FIND THE DECERTIFIED DOCTOR |
| 00:28:00 | WHO DIED OF DRUG OVERDOSES UNDER
HIS CARE. |
| 00:28:02 | WE NEED TO BRING SENSIBLE
REFORMS TO THIS SYSTEM. |
| 00:28:06 | LET ME GIVE YOU A CUOUPLE OF
STATS IN CLOSING TRADE 15,000 |
| 00:28:15 | WORKERS REMAIN OFF WORK EVERY
DAY IN OHIO. |
| 00:28:20 | 10 AT THOUSAND OF THOSE 15,000
HAVE BEEN OFF FOR MORE THAN ONE |
| 00:28:25 | YEAR IN OUR SYSTEM.
90 PEOPLE EACH MONTH WILL NEVER |
| 00:28:29 | GO BACK TO WORK AGAIN, AND
BECOME PERMANENTLY, TOTALLY |
| 00:28:34 | DISABLED.
I AM PLEASED THAT 93% OF OUR |
| 00:28:39 | INJURED WORKERS GET BACK TO
WORK WITHIN 45 DAYS. |
| 00:28:42 | WE SHOULD CELEBRATE THAT.
BUT I WILL NOT QUIT PUSHING FOR |
| 00:28:45 | REFORM THAT LEADS TO A BETTER
OUTCOME FOR ALL INJURED WORKERS |
| 00:28:49 | WHO CAN RECOVER AND WANT TO DO
SO. |
| 00:28:52 | I APPRECIATE LEGISLATORS WHO ARE
JOINING ME TODAY TO SAID THAT |
| 00:28:59 | ENOUGH IS ENOUGH.
WE SHOULD MOVE FORWARD AS |
| 00:29:02 | SENSIBLE WITH AN HOURLY TAILORED
LEGISLATION THAT WILL IMPROVE |
| 00:29:05 | THE SYSTEM FOR EMPLOYERS AND
INJURED WORKERS ALIKE. |
| 00:29:10 | THANK YOU.
I AM PLEASED TO INTRODUCE THE |
| 00:29:12 | CHAIRMAN OF THE COMMITTEE, JAY
HOTTINGER, TO TALK ABOUT THE |
| 00:29:17 | TIMEFRAME FOR HANDLING THESE
BILLS. |
| 00:29:18 | >> THE GOOD NEWS IS THAT I AM
THE LAST SPEAKER. |
| 00:29:22 | LET ME SAY THAT YOU MIGHT ASK
WHY WE ARE HERE AND, MORE |
| 00:29:27 | IMPORTANTLY, WHY SHOULD OHIOANS
CARE? |
| 00:29:31 | HOPEFULLY, AFTER HEARING FROM
SOME OF MY COLLEAGUES, WE HAVE A |
| 00:29:38 | BETTER UNDERSTANDING OF THAT.
I AM IN MY 18TH YEAR OF THE |
| 00:29:41 | GENERAL ASSEMBLY.
DURING THAT TIME PERIOD, FEW |
| 00:29:43 | ISSUES HAVE BROUGHT ABOUT AS
MANY PHONE CALLS AND |
| 00:29:49 | CONSTITUENCY INQUIRIES AS ISSUES
INVOLVING WORKERS' COMPENSATION. |
| 00:29:52 | SOMETIMES IT COMES FROM INJURED
WORKERS, SOMETIMES IT IS COMING |
| 00:29:58 | FROM THE BUSINESSES, EMPLOYERS,
SOMETIMES IT COMES FROM |
| 00:30:02 | PROSPECTIVE BUSINESSES.
LAST WEEK I WAS AT A COLUMBUS |
| 00:30:07 | CHAMBER OF COMMERCE EVENT AND I
WAS INVOLVED ON A PANEL, AND |
| 00:30:12 | THERE WERE EXCITING PANELS, AND
GUESS WHICH ONE AT THE LEAST |
| 00:30:14 | AMOUNT OF THE TENANTS?
BUREAU OF WORKERS' COMPENSATION. |
| 00:30:20 | NO ONE WANTED TO SPEND FRIDAY
AFTERNOON OR MORNING ON WORKERS' |
| 00:30:24 | COMPENSATION ISSUES.
THESE ARE VERY SIGNIFICANT FOR |
| 00:30:28 | OHIO.
UNDER THE ADMINISTRATIVE BUREAU |
| 00:30:32 | AND HIS TEAM, THE BUREAU HAS
MADE SOME NICE PROGRESS, |
| 00:30:36 | SIGNIFICANT PROGRESS IN THE
PAST 15 MONTHS. |
| 00:30:39 | NOW IT IS TIME FOR US TO JOIN IN
THAT EFFORT LEGISLATIVELY. |
| 00:30:43 | AS I HOPE WE'VE MADE ABUNDANTLY
CLEAR, AND IF NOT, I WILL STATE |
| 00:30:49 | IT ONE MORE TIME, WE STRONGLY
BELIEVE THAT THE BUREAU OF |
| 00:30:55 | WORKERS' COMPENSATION PLACE A
SIGNIFICANT, CRITICAL ROLE IN IT |
| 00:31:00 | OHIO'S ECONOMIC DEVELOPMENT
EFFORTS. |
| 00:31:01 | THE AGENCY MUST BE A CRUCIAL
PIECE, IT MUST BE A CORNER PIECE |
| 00:31:09 | TO OUR CONTINUED QUEST FOR
ECONOMIC RECOVERY. |
| 00:31:12 | IF WE ARE TO OBTAIN ANY SORT OF
SUSTAINABLE PROGRESS ON THE JOBS |
| 00:31:17 | FRONT, A BWC THAT IS CONTINUING
TO IMPROVE MEDICAL CARE FOR |
| 00:31:25 | INJURED WORKERS AND ACHIEVING
THE BEST POSSIBLE OUTCOME FOR |
| 00:31:27 | THOSE INJURED WORKERS A IS
CRITICAL AND IS A MUST. |
| 00:31:32 | DIRECTOR, YOU AND YOUR TEAM HAVE
MADE GREAT PROGRESS ALONG THOSE |
| 00:31:36 | LINES.
MAKING IMPROVEMENTS AND TYING |
| 00:31:42 | THEM BACK TO WORK CREATES A WIN-
WIN SITUATION. |
| 00:31:47 | I THINK WE ALL RECOGNIZE THIS,
BUT IT BEARS REPEATING -- WHEN |
| 00:31:52 | AN INJURED WORKER IS
REHABILITATED AND ABLE TO RETURN |
| 00:31:55 | BACK TO THE WORK FORCE, THAT IS
A WIN-WIN FOR EVERYONE. |
| 00:31:59 | IT IS A WIN FOR THE INJURED
WORKER, A WIN FOR HIS OR HER |
| 00:32:03 | FAMILY, A WIN FOR THE BUSINESS,
WILL BE GETTING THE PRODUCTIVITY |
| 00:32:08 | AGAIN, IT WENT FOR THE BUREAU,
WENT FOR THE STATE OF OHIO. |
| 00:32:13 | THE DIRECTOR TALKS ABOUT THE
FACT THAT WE SHOULD BE VERY |
| 00:32:16 | PROUD OF THE FACT THAT MANY
FI -- THAT 93% ARE RETURNING |
| 00:32:21 | BACK TO WORK IN DAYS.
THAT IS CRITICAL AS WELL. |
| 00:32:25 | THEREFORE, WE ARE GOING TO BE
WORKING ON THESE MEANINGFUL |
| 00:32:30 | ISSUES THAT HAVE A MEANINGFUL
IMPACT ON OUR ECONOMIC RECOVERY |
| 00:32:34 | EFFORTS.
THEREFORE, THE THREE BILLS WERE |
| 00:32:38 | INTRODUCED YESTERDAY.
LATER, THIS AFTERNOON, THE FULL |
| 00:32:43 | COMMITTEE WILL BE MEETING WITH
THE SPONSOR TESTIMONY FOR THE |
| 00:32:48 | THREE BILLS.
ALSO, YOU MIGHT HAVE SEEMED THAT |
| 00:32:52 | AT THE BEGINNING OF THE
LEGISLATIVE SESSION, AND |
| 00:32:56 | INSURANCE SUBCOMMITTEE WHICH WAS
CREATED, BUREAU OF WORKERS' |
| 00:33:00 | COMPENSATION REFORM COMMITTEE,
WAS CHAIRED BY THE VICE-CHAIRMAN |
| 00:33:04 | OF THE INSURANCE COMMITTEE,
REPRESENTATIVE BOB HACKETT. |
| 00:33:09 | THE CHAIRMAN IS GOING TO BE
HOLDING FURTHER TESTIMONY AND |
| 00:33:14 | HEARINGS SO THAT THE BILLS CAN
BE THOROUGHLY VETTED. |
| 00:33:16 | THAT IS ACTUALLY GOING TO START
THIS WEEK. |
| 00:33:21 | CONSEQUENTLY, SUBSEQUENTLY, WE
WILL BE MEETING ON SUBSEQUENT |
| 00:33:30 | OCCASIONS AS WELL.
HE IS GOING TO BE LISTENING TO |
| 00:33:34 | PROPONENTS AND OPPONENTS AND
INTERESTED PARTIES VETTING THOSE |
| 00:33:36 | BILLS, AND HOPE AND INTENTION IS
THAT THE FIRST OF MAY, THE |
| 00:33:43 | SUBCOMMITTEE CAN RECOMMEND
LEGISLATION BACK TO THE WHOLE |
| 00:33:46 | INSURANCE COMMITTEE.
SOMETIME, IT IS THE INTENT TO |
| 00:33:52 | HAVE THE VOTES ON THESE PIECES
OF LEGISLATION SOME TIME IN |
| 00:33:55 | EARLY MAY.
WITH THAT, WE THANK YOU FOR |
| 00:34:00 | BEING HERE.
I AM GOING TO TURN IT BACK TO |
| 00:34:03 | REPRESENTATIVE SEARS TO
ORCHESTRATE QUESTION AND |
| 00:34:09 | ANSWERS.
>> THANK YOU, AND THANK YOU FOR |
| 00:34:13 | BEING HERE.
WE HAVE FOLKS ON THE PHONE? |
| 00:34:18 | THEY LEFT US?
WE WANT TO LET THEM ASK |
| 00:34:23 | QUESTIONS, TOO, BUT THEY WHAT
NOW -- WON'T NOW. |
| 00:34:27 | >> [UNINTELLIGIBLE]
7% OF PEOPLE WHO ARE NOT BACKED |
| 00:34:42 | BY AT 25 DAYS --
[UNINTELLIGIBLE] |
| 00:34:44 | >> THANK YOU FOR THE QUESTION.
WHEN THE HEALTH PARTNERSHIP |
| 00:34:53 | PROGRAM WAS SET UP IN THE EARLY
1990'S, THE LAW ESTABLISHES THAT |
| 00:34:57 | EVERY CERTIFIED MANAGED CARE
ORGANIZATION WOULD HAVE A PANEL |
| 00:35:01 | OF PROVIDERS TO PROVIDE CARE TO
INJURED WORKERS. |
| 00:35:05 | THERE HAS NEVER BEEN A TOOL THAT
COMPELLED THOSE WORKERS TO GO TO |
| 00:35:08 | THOSE FOCUSED TRAIN PROVIDERS.
THE LAW AS IT STANDS TODAY, AS I |
| 00:35:14 | MENTIONED, ALLOWED THE INJURED
WORKER AFTER THE INITIAL |
| 00:35:17 | EMERGENCY VISIT TO GO ANYWHERE
HE OR SHE CHOOSES, WITHIN THE |
| 00:35:23 | 68,000 PROVIDERS THAT BWC
CURRENTLY HAS. |
| 00:35:27 | WHAT HAPPENS IS THAT SOME OF
THEM GET TO THE RIGHT DOCTOR -- |
| 00:35:32 | MAYBE THEY DO NOT HAVE SERIOUS
INJURIES OR WHATEVER THE FACTS |
| 00:35:34 | ARE.
93% OF THE TIME THEY GET BACK TO |
| 00:35:37 | WORK WITHIN 45 DAYS.
7% OF OUR WORKERS AND AN ANNUAL |
| 00:35:42 | BASIS -- SOMETHING LIKE 7000 TO
8000 WORKER NUMBER -- ENTERED |
| 00:35:50 | HIS MIDDLE CIRCLE AND NEVER
REAPPEAR. |
| 00:35:52 | THEY GET LOST IN THE PROVIDER
NETWORK AND OTHER ISSUES AND |
| 00:35:57 | NEVER REAPPEAR.
WHAT THIS BILL SAYS IS WE WILL |
| 00:36:00 | ALLOW INJURED WORKERS TO
CONTINUE TO CHOOSE ANY CERTIFIED |
| 00:36:03 | PHYSICIAN THEY WANT OUT OF THE
BOX, BUT AFTER 45 DAYS, WHEN WE |
| 00:36:08 | KNOW THAT THE CLOCK IS STARTING
TO TAKE AGAINST THEM FOR EVER |
| 00:36:12 | HAVING A POSITIVE OUTCOME, AFTER
45 DAYS, WE ARE GOING TO ASK |
| 00:36:17 | THAT THEY GO TO THE CERTIFIED
PROVIDER -- THIS IS CERTIFIED IN |
| 00:36:22 | THE LAW -- THAT THEY HAVE ON
SITE TO HELP THEM GET A |
| 00:36:27 | DIFFERENT SET OF OPINIONS AND
HOPEFULLY RETURN TO WORK. |
| 00:36:29 | >> [UNINTELLIGIBLE]
IF THEY DON'T, PAYMENTS GET |
| 00:36:38 | CUT?
>> THEY CAN GET IT DONE ANYWHERE |
| 00:36:43 | THEY WHANT.
WE PAY FROM DOLLAR ONE FOR THE |
| 00:36:51 | INJURED WORKER'S CONDITION.
WE PAY AS MUCH AS WE WANT WHILE |
| 00:36:55 | THEY CONTINUED TO SEE A
CERTIFIED PROVIDER. |
| 00:36:57 | >> [UNINTELLIGIBLE]
>> DATE OF INJURY. |
| 00:37:04 | I DELIBERATELY DON'T KNOW ALL
THE FACTS. |
| 00:37:16 | THERE ARE HUNDREDS AND HUNDREDS,
IF NOT THOUSANDS, OF EXAMPLES. |
| 00:37:23 | I KNOW SPECIFICALLY FOR THE LADY
WHO CUT HER HAND ON A LIGHT |
| 00:37:28 | BULB, SHE WENT TO THE URGENT
CARE FACILITY, GOT A FEW |
| 00:37:32 | STITCHES IN HER HAND, EVERYBODY
THOUGHT IT WAS FINE. |
| 00:37:33 | IN HER PARTICULAR CASE, THE
PROVIDER MISSED THE DIAGNOSIS. |
| 00:37:37 | SHE HAD OTHER ISSUES.
THE EMPLOYER WAS UNSUCCESSFUL |
| 00:37:43 | GETTING HER BACK TO BITE DUTY.
THERE WAS THE EMPLOYER SIDE OF |
| 00:37:47 | IT.
SHE HAD OTHER HEALTH ISSUES IN |
| 00:37:49 | HER LIFE.
ALL THE THE, SHE GOT DEPEND ON |
| 00:37:52 | PHARMACEUTICAL -- ULTIMATELY,
SHE BECAME DEPENDENT ON A |
| 00:37:59 | PHARMACEUTICALS.
WANT THINGS SNOWBALLED AFTER |
| 00:38:01 | ANOTHER WHAT SHOULD HAVE BEEN A
VERY SIMPLE ENTRY ADDED ALL |
| 00:38:06 | THESE THINGS BECAUSE IT LINGERED
IN OUR SYSTEM. |
| 00:38:08 | >> [UNINTELLIGIBLE]
>> THEY WOULD STUDY THE INJURED |
| 00:38:14 | WORKER, AND WE WOULD WATCH, AND
ALREADY THEY ARE WATCHING. |
| 00:38:20 | THEY HAVE OUR RESPONSIBILITY TO
MONITOR THESE CRIMES. |
| 00:38:23 | -- CLAIMS.
ONCE WE GET TO 35 DAYS, 40 DAYS, |
| 00:38:29 | AND THE PERSON IS NOT BACK TO
WORK, AT THAT POINT THE MCCO |
| 00:38:35 | SHOULD BE CONTACTING MARGARET,
IN THIS CASE, AND SAY THAT ON |
| 00:38:39 | THE 45TH DAY, IF YOU ARE NOT
BACK TO WORK, WE ARE GOING TO |
| 00:38:43 | ASK YOU TO SEE ONE OF OUR
CERTIFIED NETWORK PROVIDERS. |
| 00:38:45 | THERE AREN'T EMPLOYER-DESIGNATED
DOCTORS, THESE ARE NOT A COUPLE |
| 00:38:52 | HACKS FROM THE DARK SIDE OF
TOWN. |
| 00:38:55 | THESE ARE PEOPLE WHO LEFT AND
CERTIFIED, AND I PROBABLY GOING |
| 00:38:58 | TO BE THE SAME TYPES OF
PROVIDERS THAT WE ALL EXPERIENCE |
| 00:39:01 | IN OUR HEALTH-CARE PLANS NO
MATTER WHO YOUR PRIVATE HEALTH- |
| 00:39:05 | CARE PLANS THE IS.
THESE WILL BE LARGE NETWORKS OF |
| 00:39:07 | DOCTORS.
IF THERE'S NOT A SPECIALIST IN |
| 00:39:11 | THE NETWORK, IF THE INJURED
WORKERS LIVING SOMEWHERE WHERE |
| 00:39:15 | THERE'S NOT A CERTIFIED
PROVIDER, HE WILL BE EXEMPTED |
| 00:39:17 | OUT OF REQUIREMENT.
AFTER MARGARET IS GONE FOR 45 |
| 00:39:20 | DAYS AND HAS NOT GOTTEN BACK
FROM THAT SIMPLE CUT ON HER |
| 00:39:24 | HAND, THE MCO WILL ASK THAT
SHE BE TREATED TO THE NETWORK OF |
| 00:39:30 | PROVIDERS THEY HAVE ON HAND.
>> [UNINTELLIGIBLE] |
| 00:39:35 | >> FOR THE MEDICAL CARE.
>> OUR WORKERS CONTINUING TO GET |
| 00:39:43 | WORKERS COMP BENEFIT?
BUT JACK? |
| 00:39:48 | -- A CHECK?
>> WE ARE NOT IMPACTING |
| 00:39:55 | INDEMNITY PAYMENTS, OR ARE WE?
WE'RE NOT ATTACKING THEM IF |
| 00:40:00 | THEY CHOOSE NOT.
WE WOULD NOT PAY THE MEDICAL AND |
| 00:40:02 | MORE -- ANYMORE.
[UNINTELLIGIBLE] |
| 00:40:06 | >> THE BILLS DO CONTAINED -- IF
WORKERS ARE REFUSING TO GO TO |
| 00:40:13 | APPOINTMENTS THAT THE DOCTORS
HAVE PRESCRIBED, THEY WILL NOT |
| 00:40:15 | GET PAID UNDER THESE BILLS.
THAT IS A PRETTY MUCH COMMON- |
| 00:40:20 | SENSE IDEA.
IF THE BUREAU HAS PAID FOR A |
| 00:40:22 | DOCTOR TO TELL THEM THEY NEED TO
GO SEE A SPECIALIST OR GO TO A |
| 00:40:27 | SPECIFIC TYPE OF TREATMENT, AT
THAT POINT THEY HAVE DECIDED TO |
| 00:40:30 | QUIT 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 |
| 00:40:47 | ABOUT COSTS.
WE'RE NOT TALKING ABOUT SOMEBODY |
| 00:40:50 | WHO HAS MULTIPLE ISSUES GOING
ON, AND BECAUSE OF ANOTHER |
| 00:40:54 | ISSUE, THEY HAVE THE ABILITY TO
CONTINUE TREATMENT -- IN ABILITY |
| 00:40:59 | TO CONTINUE TREATMENT.
WE ARE TALKING ABOUT SOMEBODY |
| 00:41:01 | WHO HAS NOT IMPROVED THEIR
POSITION. |
| 00:41:06 | WE'RE TALKING ABOUT FOR A GOOD
CAUSE. |
| 00:41:08 | IT TAKES ALL THREE SYSTEMS, IT
TAKES THE EMPLOYEE, BUREAU OF |
| 00:41:16 | WORKERS' COMPENSATION, THE
EMPLOYER, ALONG WITH THE |
| 00:41:18 | PROVIDER IN THAT MAK -- THAT
MIX, TO MAKE EVERYTHING WORK |
| 00:41:24 | RIGHT.
IF YOU TAKE AWAY EVERYONE'S |
| 00:41:26 | RESPONSIBILITY, IT IS NOT MOVING
FORWARD. |
| 00:41:30 | WE HAVE SEEN EXAMPLES OF THAT
WITH MEDICAID, DISEASE |
| 00:41:36 | MANAGEMENT.
WE HAVE SEEN IT WITH PRIVATE |
| 00:41:38 | HEALTH CARE.
WE HAVE DONE IT WITH VA PROGRAM |
| 00:41:42 | SPREAD THE ONLY PUBLICLY FUNDED,
OR PRIVATELY FUNDED, A SYSTEM |
| 00:41:47 | THAT TREATS EMPLOYEES AND
PATIENTS LIKE OUR RAN OFF AND |
| 00:41:54 | RAN BOUGHT AD WITH BENEFITS IS
THE WORKERS --OUR GRANDMA AND |
| 00:41:59 | GRANDPA HAD WITH BENEFITS IS THE
WORKERS COMP SYSTEM. |
| 00:42:05 | >> [UNINTELLIGIBLE]
I WONDER IF THIS MIGHT CAUSE |
| 00:42:12 | PROBLEMS WITH WORKERS WHO HAVE
TROUBLE FINDING A SPECIALIST. |
| 00:42:15 | >> I WOULD DISAGREE WITH THAT
FACT. |
| 00:42:20 | INJURED WORKERS CAN GO ANYWHERE
THEY WHAT IN THE UNIVERSE OF |
| 00:42:26 | 68,000 PROVIDERS DURING THEIR
FIRST 45 DAYS. |
| 00:42:29 | IN NO WAY IS THIS GOING TO BE
REDUCED. |
| 00:42:32 | WHAT IT IS GOING TO DO IS AFTER
THE INITIAL PERIODS HAS PASSED, |
| 00:42:39 | THERE ARE PROVIDERS WHO HAVE NOT
BEEN THE APPROPRIATE CONTACT FOR |
| 00:42:42 | THE INJURED WORKER -- IT WILL
FOCUS THAT ON THOSE PROVIDERS |
| 00:42:47 | WHO DO HAVE A TRACK RECORD,
WHETHER HIS OCCUPATIONAL |
| 00:42:51 | MEDICINE OR SPECIALIZED, THAT
WILL HELP THEM GET BACK TO WORK |
| 00:42:56 | AS SOON AS THEY CAN.
WE SHOULD NOT BE LOSING |
| 00:43:01 | MARGARETS, JAMESES, WHO START
WITH SIMPLE INJURIES THAT |
| 00:43:10 | ESCALATE INTO BIG PROBLEMS.
>> IF WE SEE A FALL OFF BECAUSE |
| 00:43:14 | OF THE DECERTIFICATION, OR
WHENEVER, MAYBE THEY JUST CHOOSE |
| 00:43:19 | NOT TO PARTICIPATE IN NEW RULES
OR QUALITY MEASURES -- IF WE |
| 00:43:23 | HAVE THE ABILITY TO MAKE SURE
WE'RE GETTING BETTER OUTCOMES, |
| 00:43:28 | WE ALSO OF THE ABILITY TO TAKE
THOSE PROVIDERS AND GET BACK TO |
| 00:43:32 | WORK AND PAY THEM MORE.
THERE IS THE ABILITY TO SEE SOME |
| 00:43:36 | SHARED SAVINGS.
LOOK WHAT WE'RE DOING ON THE |
| 00:43:40 | MEDICAID SIDE AND HOW WE ARE
ABLE TO PAY FOR PERFORMANCE. |
| 00:43:45 | IF YOU COULD MEASURE IT AND
IMPROVE IT, YOU COULD FIND IT. |
| 00:43:48 | -- FUND IT.
IF YOU ARE NOT, IT ALL YOU CAN |
| 00:43:55 | DO IS MEASURE REIMBURSEMENTS.
IT IS THE OPPORTUNITY TO EXPAND |
| 00:44:00 | THE PROVIDER LIST IN A WAY THAT
IS MEANINGFUL TO GETTING FOLKS |
| 00:44:03 | BACK TO WORK.
>> EASIER TO DECERTIFY |
| 00:44:11 | PROVIDERS?
>> IT IS REALLY A CLARIFICATION |
| 00:44:16 | OF LANGUAGE.
WE RECENTLY -- HOW FOR THE |
| 00:44:24 | BUREAU COULD GO, WHAT IS THE
APPROPRIATE HEARING OF THE |
| 00:44:27 | APPEALS PROCESS FOR A DOCTOR?
THE BILL IS AN ATTEMPT TO |
| 00:44:31 | CLARIFY WHAT THE BUREAU ALREADY
DOES BUT MAKE IT PLANN -- |
| 00:44:35 | PLAINER.
>> THE PANELS ALREADY EXIST IN |
| 00:44:41 | LAW, BUT TO THEY AND ASSIST IN
REALITY, TOO? |
| 00:44:44 | -- EXIST IN REALITY, TOO?
>> YES. |
| 00:44:50 | MANY HAVE THEIR PANELS IN PLACE.
SOMETIMES WORKERS GO TO THE |
| 00:44:56 | PANEL'S ALREADY, BUT IN REALITY,
SOME NEVER DO. |
| 00:45:01 | .
>> OHOW DO YOU GUAGE -- GAUGE |
| 00:45:10 | THE SENSE -- 45 DAYS?
>> I THINK IT GOES BACK TO THE |
| 00:45:18 | FIRST CHART.
I HOPE THAT SCARY RED LIGHT GOES |
| 00:45:20 | IN THE OTHER DIRECTION, OR LEAST
GOES FLAT. |
| 00:45:23 | THINK OF THE SOCIETAL IMPACT
OF GETTING THOSE PEOPLE BACK |
| 00:45:31 | WHERE HE OR SHE IS PROVIDING
FOR HIMSELF, PROVIDING FOR THE |
| 00:45:35 | FAMILY PRAYED SO OFTEN WHEN A
PERSON REACHES TOTAL VISIBILITY |
| 00:45:38 | IN OUR SYSTEM, NOT ONLY DID THEY
PETITE TO RECEIVE -- CONTINUE |
| 00:45:44 | TO RECEIVE BWC PAYMENTS, AT ITS
BILLS AND TO -- IT SPILLS INTO |
| 00:45:52 | OTHER AREAS.
>> WHAT SORT OF PROCESS CAN |
| 00:45:58 | WORKERS GO --
[UNINTELLIGIBLE] |
| 00:46:00 | >> I CAN JUST SPEAK FROM THE
LEGISLATIVE STANDPOINT. |
| 00:46:05 | EVERY SINGLE ONE OF BUS BEHIND
ME HAS TALKED WITH BOTH |
| 00:46:09 | BUSINESSES AND EMPLOYEES ON THE
PITFALLS OF THE WORKERS COMP |
| 00:46:16 | SYSTEM.
IT IS LIKE YOUR OLD FASHIONED |
| 00:46:24 | TRADITIONAL HEALTH-INSURANCE
PLANS TO. |
| 00:46:25 | IF SOMEBODY DOES NOT BY ME TO
THE RIGHT CHOICE, I AM LOST. |
| 00:46:29 | IN EVERY OTHER PART OF OUR LIFE,
WHERE WE ARE CONSUMERS, WE DO |
| 00:46:35 | RESEARCH AND WE LOOK FOR THE
BEST THING TO PURCHASE AND THE |
| 00:46:39 | MOST COST-EFFECTIVE SERVICE TO
PURCHASE. |
| 00:46:40 | IN HEALTH CARE, WE JUST GO, I
DON'T KNOW, HERE'S MY CARD, DO |
| 00:46:49 | WHAT EVERYONE.
I THINK EMPLOYEES -- DO WHATEVER |
| 00:46:54 | YOU WANT.
I THINK EMPLOYEES WOULD LIKE THE |
| 00:46:56 | OPPORTUNITY TO HAVE SOMEBODY
GUIDE THEM, SO LONG AS THEY NOTE |
| 00:47:00 | THEY HAVE AN IMPACT.
THEY NEED SOME WANT TO WRAP |
| 00:47:03 | THEIR ARMS AROUND THEM AND MAKE
SURE THAT THEY ARE GETTING THE |
| 00:47:07 | RIGHT KIND OF CARE BY THE RIGHT
KIND OF PROVIDER. |
| 00:47:10 | WE'VE TALKED WITH MANY, MANY
EMPLOYEES REPRESENTATIVE |
| 00:47:13 | HOTTINGER MENTIONED IT IN HIS
COMMENTS. |
| 00:47:17 | ONE OF THE NUMBER ONE THINKS WE
HEAR FROM CONSTITUENTS, WORKERS |
| 00:47:20 | COMP ISSUES.
ONE THAT THINGS WE HEAR FROM |
| 00:47:25 | EMPLOYERS WHEN WE TALK TO THEM
IS THE WORKERS COMP ISSUE. |
| 00:47:27 | EVERYONE WANTS CARE TO BE GIVEN,
THEY JUST WANTED TO BE DONE |
| 00:47:36 | RIGHT.
THIS HAS BEEN A LONG PROCESS. |
| 00:47:38 | ONE OF THE FIRST COMPOSITIONS WE
HAD IN THE GENERAL ASSEMBLY, IN |
| 00:47:42 | 2008, WHEN I STARTED HERE, WAS
LET'S START TALKING ABOUT |
| 00:47:46 | WORKERS' COMPENSATION, THAT SET
QUALITY AND OUTCOMES. |
| 00:47:49 | WE ARE DOING IT ON THE MEDICAID
SIDE, THE PRIVATE HEALTH-CARE |
| 00:47:54 | SITE.
WHY ARE WE LEAVING EVERYBODY |
| 00:47:55 | ELSE ABANDONED?
>> I WOULD ONLY ADD ON THE |
| 00:48:00 | REPRESENTATIVE'S COMMENTS THAT
WE HAVE GONE OUT TO TRY TO SHOW |
| 00:48:06 | THAT CHARGE TO ANYONE WHO WOULD
LISTEN. |
| 00:48:07 | LABOR UNIONS, MEMBERS OF THE
BOARD FOR A FAIRLY DIVERSE GROUP |
| 00:48:14 | OF FOLKS.
THEY UNDERSTAND AND ACKNOWLEDGE |
| 00:48:17 | THAT THIS IS A PROBLEM.
WE TRIED TO SUGGEST A PACKAGE |
| 00:48:20 | THAT IS FOCUSED ENOUGH TO SAY
YES, THERE ARE GIVES AND TAKES |
| 00:48:24 | HERE, BUT IT IS ALL FOCUSED A
BANK GOES BETTER OUTCOMES. |
| 00:48:29 | THIS IS NOT RADICAL REFORM, THIS
IS NOT AN ENORMOUS, SYSTEM-WIDE |
| 00:48:34 | SHAKE THE FOUNDATION REFORM.
IDEAS ABOUT HOW WE HAVE THOSE |
| 00:48:37 | BETTER OUTCOMES, WHICH IS
SOMETHING THAT -- IT IS ABOUT |
| 00:48:41 | HOW WE HAVE THESE BETTER
OUTCOMES, WHICH IS SOMETHING |
| 00:48:44 | THEY AGREE ON.
>> [UNINTELLIGIBLE] |
| 00:48:45 | >> I DO NOT KNOW THE ANSWER TO
THAT. |
| 00:48:49 | IT IS ALWAYS SO DIFFICULT TO
COMPARE STATES, BECAUSE THE |
| 00:48:54 | BENEFIT STRUCTURES ARE SO
DIFFERENT. |
| 00:48:56 | THE WAY THEY APPROACH PROVIDERS
IS SO DIFFERENT. |
| 00:48:59 | SOME STATES PRESCRIBE THE
PROVIDER OF THE FIRST DAY OF |
| 00:49:02 | INJURY.
THEY ARE IN A PANEL IMMEDIATELY. |
| 00:49:07 | IN SOME STATES, IT IS THE
EMPLOYER WHO IS PICKING WHAT |
| 00:49:14 | LEGISLATION IS GOING TO BE PAID
IDEAS ARE TO HAVE ONE STATE |
| 00:49:19 | AGAINST EACH OTHER IN THE -- ARE
PARTI -- IT IS HARD TO HAVE ONE |
| 00:49:25 | STATE AGAINST EACH OTHER IN THAT
REGARD. |
| 00:49:26 | >> THERE IS NO GREAT ABILITY TO
BENCHMARK, UNNECESSARILY. |
| 00:49:31 | YOU CAN INTUITIVELY BENCHMARK
SOME MEASURES, BUT THERE'S NO |
| 00:49:37 | ABSOLUTE AND HEALTH CARE.
IT IS GREAT TO LOOK AT OUR AT |
| 00:49:43 | NUMBERS, BUT THE EMPLOYEE IS NOT
AN AGGREGATE. |
| 00:49:45 | THAT MAKES IT INTUITIVELY HARD.
LESS THAN 20% OF THE PEOPLE AND |
| 00:49:54 | NOT FOR -- AMOUNT TO 42% OF THE
COST. |
| 00:49:58 | MEDICARE BY DISABILITY, MEDICAID
AND INCOME. |
| 00:50:02 | IF SOMEONE STAYS ON, THE
EXCESSIVE AMOUNT OF TIME, THE 7% |
| 00:50:09 | GROUP OF PEOPLE AND UP BECAUSE
THEY AND NOT WORKING, AND |
| 00:50:12 | POTENTIALLY TO THE MEDICAID --
THE TOW UP FALLING POTENTIALLY |
| 00:50:19 | INTO THE MEDICATE YOU CAN SEE
BENCHMARKING BASED ON THAT. |
| 00:50:24 | >> WE WILL TELL YOU THAT TIMELY
DELIVERY OF HEALTH CARE HELPS SO |
| 00:50:32 | MUCH BETTER.
A LOT OF US HAVE CALLED FOR |
| 00:50:37 | PEOPLE WANT TO GET BACK TO WORK
AND THE SYSTEM IS SLOWING DOWN. |
| 00:50:39 | THE NEXT 72 HOURS TO 45 DAYS, WE
WANT TO GET QUALITY HEALTH CARE |
| 00:50:46 | TO THOSE PEOPLE MUCH QUICKER.
THAT IS WHY WE KEEP TALKING |
| 00:50:49 | ABOUT IT BEING A WIN-WIN.
WE REALLY THINK IT IS A GREAT |
| 00:50:55 | THING FOR THE WORKERS.
>> THE AFL-CIO IS MAKING |
| 00:50:59 | COMPARISONS --
[UNINTELLIGIBLE] |
| 00:51:01 | CAN YOU RESPOND TO THAT?
>> I WOULD DEFY THEM TO PUT |
| 00:51:16 | DOWN GOOD INFORMATION HOW THEY
RECEIVED THIS IS TAKING ANYTHING |
| 00:51:21 | AWAY FROM AN INJURED WORKER.
IF YOU LOOK AT THE CHART, AT |
| 00:51:27 | SOME STAGE IN HERE, THEY HAVE
LITERALLY BEEN ABANDONED WITH |
| 00:51:30 | THE INJURY OR DISEASE OR SOME
KIND OF ILLNESS. |
| 00:51:34 | WE HAVE ABANDONED THEM TO FIND
FOR THEMSELVES -- FUND FOR |
| 00:51:39 | THEMSELVES.
MY OFFICE, AS MY LEGISLATIVE |
| 00:51:46 | AIDE WILL TELL YOU, HAS BEEN
RINGING WITH LOTS OF FOLKS |
| 00:51:51 | COMING TO WORK WITH ME.
THE FIRM'S PRI -- FIRMS |
| 00:51:58 | PRIMARILY REPRESENT THE INJURED
WORKER. |
| 00:52:01 | I SPECIALIZE IN WORKERS, TITIAN
AND I HAVE HEARD FROM THEM. |
| 00:52:07 | -- WORKERS COMPENSATION AND I
HAVE HEARD FROM THEM. |
| 00:52:13 | I DEFY THEM TO FIND SOMETHING
THAT IS PUNITIVE AND TAKING |
| 00:52:20 | AWAY.
THIS IS ABOUT HELPING INJURED |
| 00:52:22 | WORKERS MANAGE WHAT IS GOING ON
WITH THEIR CLAIM TO THEIR |
| 00:52:24 | BENEFIT.
>> THE IDEA THAT ALLOWING |
| 00:52:28 | PRIVATE COMPANIES TO MEET WITH
BWC AND -- |
| 00:52:34 | [UNINTELLIGIBLE]
WHAT DO YOU SAY TO BUSINESS |
| 00:52:39 | OWNERS WHO ARE BAFFLED WITH THE
MONOPOLY SYSTEM -- |
| 00:52:46 | >> THAT IS SUCH A GREAT
QUESTION, AND WHEN I FIRST CAME |
| 00:52:51 | IN HERE, BEFORE I WAS A STATE
REPRESENTATIVE, WHEN I CAME DOWN |
| 00:52:56 | HERE TO SIT IN ON COMMITTEE
MEETINGS AND HAVE THE FUN |
| 00:53:00 | HARASSING THESE GUYS, THAT WAS
ALWAYS MY VISION. |
| 00:53:07 | WE NEED COMPETITION, A COMBATIVE
SIDE TO THIS. |
| 00:53:09 | -- COMPETITIVE SIDE TO THIS.
THE MORE I HAVE LEARNED |
| 00:53:15 | INSTEAD, I FIND IT INTERESTING
THAT WE HAVE A SYSTEM THAT HAS |
| 00:53:18 | THE ABILITY TO FUNCTION WELL.
WE JUST NEED TO BRING IT UP TO |
| 00:53:22 | DATE AND MAKE IT USER-FRIENDLY
AND KEEP IT FOCUSED NOT ON THE |
| 00:53:27 | SYSTEM BUT ON A SPECIFIC
INDIVIDUAL. |
| 00:53:29 | IT IS IMPOSSIBLE FOR ME TO TELL
ANY BUSINESS OWNER THAT A |
| 00:53:35 | PRIVATE COMPETITIVE MARKETPLACE
IS GOING TO BE BETTER WHEN I |
| 00:53:40 | DON'T KNOW HOW GOOD WE CAN GET
OUR OWN SYSTEM. |
| 00:53:41 | THAT HAS BEEN ONE OF THE THINGS
THAT IS MOST IN LENDING TO MAY |
| 00:53:46 | -- ENLIGHTENING TO ME, PROBABLY
THAT. |
| 00:53:53 | IT IS INTUITIVE TO THINK THAT
WE MUST BE WRONG. |
| 00:54:02 | YET IN A BIG WAY, OUR CURRENT
SYSTEM FUNCTIONS AN AWFUL LOT |
| 00:54:05 | LIKE AN INSURANCE PLANS THE
RIGHT NOW. |
| 00:54:07 | IT SO HAPPENS TO BE A STATE ONE.
I HAVE ARGUED THAT ISSUE MYSELF. |
| 00:54:15 | I HAVE DONE PLUSES AND MINUSES
AND REALIZED IT IS IMPOSSIBLE TO |
| 00:54:24 | CHANGE SOMETHING WHAT IT IS YET.
WHAT WE'RE DOING IS CREATING A |
| 00:54:31 | BEST PRACTICE GROWTH THAT WE CAN
THEN HAVE THAT CONVERSATION WITH |
| 00:54:34 | LATER.
>> I HAVE ALSO SETTLED WORKERS |
| 00:54:43 | COMP WITH OTHER STATES.
I WENT TO CLIENTS AND SAID, |
| 00:54:51 | WHAT DO I NEED TO DO TO MAKE
BUSINESS BETTER IN OHIO? |
| 00:54:54 | WORKERS' COMP WAS HIGH ON THE
LIST, BUT THEY DON'T KNOW IF THE |
| 00:55:00 | SYSTEM WORKS AS GOOD AS OTHER
STATES ARE NOT. |
| 00:55:02 | THEY JUST WHAT THE SYSTEM TO
WORK BETTER. |
| 00:55:05 | -- WANT THE SYSTEM TO WORK
BETTER. |
| 00:55:09 | GETTING 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 |
| 00:55:21 | TODAY.
WE WANTED LEGISLATION THAT WAS |
| 00:55:26 | BOTH MEANINGFUL BUT AT THE SAME
TIME SUSTAINABLE. |
| 00:55:29 | JIM ASKED BEFORE, OUR HOPE IN
INTRODUCING THE LEGISLATION WAS |
| 00:55:36 | NOT ENGAGED IN CONTROVERSIAL
ISSUES, BUT TO SAY HERE'S THE |
| 00:55:43 | PROGRESS WE'VE MADE, HERE IS
WHAT WE CAN STILL DO THAT IS |
| 00:55:46 | MEANINGFUL, SIGNIFICANT,
SOMETHING THAT WE CAN DO TODAY. |
| 00:55:49 | >> TO COMMENT TO THE UNION
GROUP, IT IS INTERESTING THAT |
| 00:56:00 | WOULD SUGGEST THAT WE HAVE
MANAGED CARE, DISEASE |
| 00:56:04 | MANAGEMENT, SOMETHING THEIR
EMPLOYEES SHOULD NOT GET. |
| 00:56:06 | YET EVERY MONTH WHEN THEY PAID
THE HEALTH INSURANCE PROGRAMS |
| 00:56:11 | AND FUND PROGRAMS ON THE HEALTH
INSURANCE SITE, THEY PROVIDE |
| 00:56:16 | THEM WITH ALL THOSE BENEFITS.
WHY IS THE PURCHASER OF AN HMO |
| 00:56:24 | PROGRAM, DISEASE MANAGEMENT,
CASE MANAGEMENT, ALL THAT |
| 00:56:27 | ASSISTANCE AND OVERSIGHT -- WHY
IS THEIRE THE PURCHASER OF IT -- |
| 00:56:34 | WHY WOULD YOU FIND IT OFFENSIVE
TO HAVE THAT TRANSFER OVER AND |
| 00:56:41 | HAVE THE SAME BENEFITS TRANSFER
TO SOMEBODY WHO WAS INJURED ON A |
| 00:56:43 | WORK SITE?
I WOULD YOU DENY AN EMPLOYEE |
| 00:56:46 | INJURED ON THE JOB WHAT YOU ARE
PAYING MONEY TO GET WHEN THEY |
| 00:56:50 | ARE INJURED AT HOME?
MAKES NO SENSE. |
| 00:56:52 | >> ON YOUR COMMENTS, COMMENTS
YOU WERE REFERRING TO, WITHIN |
| 00:57:01 | THE FIRST THREE MONTHS, I WENT
TO THAT ORGANIZATION AND ASKED |
| 00:57:04 | TO BE PART OF A BROAD DIALOGUE
ON REFORM. |
| 00:57:08 | THEY CHOSE NOT TO DO THAT.
I'D GUESS 8, IF NOT 10 WEEKS |
| 00:57:16 | AGO, I TOOK THESE CHARTS AND
SAID, "HERE IS THE PROBLEM, HELP |
| 00:57:21 | US FIND SOLUTIONS."
THEY CHOSE NOT TO PARTICIPATE ON |
| 00:57:25 | THAT.
I HOPE THEY DO. |
| 00:57:27 | THIS IS THE FOLKS THAT ARE THE
SYSTEM AND THE |
| 00:57:33 | DOOR IS OPEN.
I SPOKE AT THEIR WORKERS' COMP |
| 00:57:38 | MEETING FOUR WEEKS AGO AND
THERE'S THE SAME PROBLEM. |
| 00:57:41 | AGAIN, NO RESPONSE IN HELPING US
RESOLVING ISSUES. |
| 00:57:44 | THE SAME IS TRUE FOR THE STATE
CONVENTION WHERE I EXPLAINED |
| 00:57:50 | THE WORK CHART AND ASK THEM TO
HELP US CRAFT. |
| 00:57:56 | I HOPE THEY DO PARTICIPATE.
I AM SURE THEIR REPRESENTATIVES |
| 00:58:01 | ARE OPEN TO THE IDEA.
>> ANY OTHER QUESTIONS? |
| 00:58:06 | I INVITE YOU TO JOIN US IN THE
INSURANCE COMMITTEE MEETING. |
| 00:58:10 | OR THE SUBCOMMITTEE IF YOU'RE A
GLUTTON FOR DETAILS. |
| 00:58:16 | A LOOK FORWARD TO YOUR COMMENTS
OR QUESTIONS. |
| 00:58:20 | THE SAID COMMITTEE IS AT 10:00
A.M. ON THURSDAY. |
Note : Transcripts are compiled from uncorrected captions
