Seminar - 20 October 2017

Rehab Options Injury Management / Management Support Seminar on Workers Compensation - Conflict & Convergence:  New Approaches to Old Claims


Hicksons Lawyers Presentation for Rehab Options Injury Management 


Agenda: Developments in NSW statutory claims

- Big Data

- Evidence Based Treatment

- Alignment of CTP and WC schemes

- Key WC scheme changes

- WIRO vs icare vs SIRA vs SafeWork NSW

- WHS issues 

Big Data

- Nudge theory

- Use of predictive modelling to triage claims

- Identification of statistical anomalies

- Fraud

- Lifestyle injuries - Stroke / Heart attack / Diabetes 

Evidence Based Treatment

- GPs don't model best practice - e.g. over-prescription of antibiotics

- Surgeons don't have incentives not to operate

- Independent review critical

- Relationship between treatment options and compensation

- icare's Medical Support Panel pilot

Alignment of CTP and WC schemes

- CTP scheme changes announced by SIRA

- Old system - 45c / $ of premiums to injured

- New system - 57c / $ of premiums to injured 

- Up front weekly benefits including at fault

- Minor injuries (soft tissue) - no common law

- 11% WPI threshold for extended weekly benefits

- New dispute resolution arrangements

Key WC scheme changes

- icare has taken over premium / policy issues

- CGU out & Allianz take over their claims

- QBE out & GIO take over their claims 

- EML the only scheme agent managing new claims from 2018

- Consequences of centralised icare control 

Power Struggle: 

WIRO / icare / SIRA / SafeWork NSW

- 3 new agencies created from old WorkCover

- WIRO the new player in 2012

- WIRO active on behalf of workers

- icare response - "customer focus"

- SIRA - control of new CTP reforms, dispute resolution in CTP and WC schemes

- SafeWork NSW - WHS in the context of a national scheme

WHS Issues

- Hard work done re national scheme

- Enforcement a major focus

- Role of unions

- Uptake of EUs

- Penalties against individuals

- Fair Work's role

- What is next?