Workers’ Compensation Oversight Panel
Fee Schedule/Data Collection Subcommittees (Combined)
March 16, 2015
MINUTES
Location: Department of Labor Fox Valley Annex
Called to Order: 3:10 p.m.
Members in Attendance: Barry Bakst, Lee Dotson, Anthony Frabizzio, Bruce Rudin, Theresa Smith, Rhonda West. Administration: Stephanie Parker, Donna Forrest (DOL); Oliver Cleary (DAG); OptumInsight (via telephone).
Record of Votes Taken:
1. Mr. Dotson made a motion to approve the 03/02/2015 meeting minutes. The motion was seconded and unanimously approved (all but Ms. Smith, who had not yet arrived).
2. Dr. Rudin made a motion to invite Jopari Solutions, Inc. to the next full Panel meeting. The motion was seconded and unanimously approved.
3. Executive Session to discuss the updated “Outlier Report,” which contained proprietary contents excluded from the definition of “public record” in 29 Del.C. §10002(l):
a. At 4:15 p.m., Mr. Dotson made a motion to enter into an Executive Session. The motion was seconded and unanimously approved.
b. At 5:03 p.m., Mr. Dotson made a motion to end the Executive Session. The motion was seconded and unanimously approved.
4. Dr. Rudin made a motion to recommend the Workers’ Compensation Oversight Panel (Panel) adopt the “Outlier Analysis” model Optuminsight presented at this meeting. The motion was seconded and unanimously approved.
5. Executive Session to revisit the “Outlier Report” discussion which contained proprietary contents excluded from the definition of “public record” in 29 Del.C. §10002(l):
a. At 5:15 p.m., Dr. Rudin made a motion to enter into an Executive Session. The motion was seconded and unanimously approved.
b. At 5:20 p.m., Mr. Frabizzio made a motion to end the Executive Session. The motion was seconded and unanimously approved.
Actions Agreed Upon:
1. OptumInsight agreed to provide the subcommittees with the percentage of Medicare by category for the 2015 fee schedule.
2. Ms. Forrest agreed to invite Jopari Solutions, Inc., to the next Panel meeting.
3. Ms. Forrest agreed to reach out to the International Association of Industrial Accident Boards and Commissions (stakeholder issues) as part of the research on e-billing best practices.
4. Mr. Frabizzio, Mr. Cleary, and Ms. Forrest agreed to meet with Mr. Rhoades to discuss possible regulatory changes to support the subcommittees’ recommendations regarding the model OptumInsight presented in its “Outlier Report.”
5. Dr. Bakst and Dr. Rudin agreed to further research the “Outlier Report” and OptumInsight’s model for any issues that may require further discussion by the subcommittee.
Adjourned: 5:30 p.m.
Future Panel Meeting Dates:
Monday, April 20, 2015
DOL Fox Valley Annex
4:00 p.m.
Future Subcommittee Meeting Dates:
None scheduled at this time.