Menu Close

Tag: 2022 News

Innovative Robotic Spine Implant Lab Opens in Carlsbad

Accelus is a privately held commercial stage medical technology company focused on accelerating the adoption of minimally invasive surgery (MIS) as the standard of care in surgical spine treatment. It has a portfolio of MIS spinal implants, leveraging its proprietary adaptive geometry technology, and a compact precision robotics platform.

The company is focused on improving procedures and outcomes, creating favorable economics, and providing broad accessibility across end markets, including ambulatory surgery centers.

Accelus is headquartered in Palm Beach Gardens, Florida, where its corporate offices, machine shop, biomechanical testing, quality, warehouse and distribution, as well as its Accelus Clinical Education (ACE) cadaver lab, is housed. Accelus’s second location in Boulder, CO, with its robotic and navigation R&D offices and lab, opened in late 2021.

Its third 5,722-square-foot Carlsbad California office opened in early 2022 and features the company’s second ACE surgical lab. The team in Carlsbad hosted their first surgical labs in late March 2022.

Accelus said it has developed a differentiated solution, combining innovative spinal implants with an affordable, easy-to-use robotic and navigation platform that creates broad accessibility by allowing surgeons to increase operative efficiencies with favorable physician and facility economics. This solution was designed to deliver improved clinical outcomes while creating immediate and meaningful cost reductions that delivers tangible benefits to providers, payers, and patients.

The company added that “Currently, the robotic market is the first-generation robotic entries, and like all first generation, you have a very kludgy, cumbersome, complex product offerings. And so, we really are coming in with something, that next generation that approximates the ergonomics in the workflow, that the current ORs are demanding.”

And the company just announced recent FDA approval of additions to it’s robotic spine surgery product lines.

On May 12, Accelus announced that it has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) for its FlareHawk TiHawk11 Interbody Fusion System. TiHawk11 is the latest addition to Accelus’s flagship FlareHawk® portfolio of spinal fusion cages, which are now available in a larger footprint with titanium at the bony interface.

“These interbody cages feature multi-planar expansion, adaptive geometry, and open architecture designed to facilitate safer insertion and deployment-unique properties that can minimize subsidence and maximize fusion,” said Dr. Peter Derman, a minimally invasive and endoscopic spine surgeon at Texas Back Institute who was involved in the design of TiHawk11.

Per the FDA 510(k) document, the FlareHawk Interbody Fusion System is indicated for “spinal intervertebral body fusion with autogenous bone graft and/or allogeneic bone graft composed of cancellous and/or corticocancellous bone in skeletally mature individuals with degenerative disc disease at one or two contiguous levels from L2 to S1, following discectomy.”

And on May 20, the company announced that it has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) for its Toro Lateral (Toro-L) Interbody Fusion System. Toro-L is a biplanar expandable lateral implant designed for a minimal insertion profile and maximum bone graft delivery directly through the inserter.

Toro-L features an insertion profile that is 14mm wide, expanding to the implant’s full width of either 21 or 24mm before further expanding to the surgeon’s desired height of up to 16mm. The implant has 3D-printed endplates, which have a roughened surface where the implant interfaces with bone due to the additive manufacturing process.

Earlier the company released it’s posterior screw line, the LineSider, and the Mongoose and the hyper-innovative Periscope screw, which is a telescoping pedicle screw.

Supreme Court – Missed-Break Premiums Are “Wages” With Penalties

Spectrum Security Services, Inc., provides secure custodial services to federal agencies. The company transports and guards prisoners and detainees who require outside medical attention or have other appointments outside custodial facilities.

Gustavo Naranjo was a guard for Spectrum. Naranjo was suspended and later fired after leaving his post to take a meal break, in violation of a Spectrum policy that required custodial employees to remain on duty during all meal breaks.

Naranjo filed a putative class action on behalf of Spectrum employees, alleging that Spectrum had violated state meal break requirements under the Labor Code and the applicable Industrial Welfare Commission (IWC) wage order. (Lab. Code, § 226.7; IWC wage order No. 4-2001, § 11.) The complaint sought an additional hour of pay – commonly referred to as “premium pay” – for each day on which Spectrum failed to provide employees a legally compliant meal break.

According to the complaint, Spectrum was required to report the premium pay on employees’ wage statements and timely provide the pay to employees upon their discharge or resignation, but had done neither. The complaint sought the damages and penalties prescribed by those statutes as well as prejudgment interest.

After a remand from the Court of Appeal (Naranjo I v. Spectrum Security Services, Inc. (2009) 172 Cal.App.4th 654) on several issues, the trial court certified a class for the meal break and related timely payment and wage statement claims and then held a trial in stages. The trial court entered judgment for the plaintiff class on the meal break and wage statement claims and awarded attorney fees and prejudgment interest at a rate of 10 percent.

Both sides appealed. The Court of Appeal affirmed the trial court’s determination that Spectrum had violated the meal break laws but reversed the court’s holding that a failure to pay meal break premiums could support claims under the wage statement and timely payment statutes. It also ordered the rate of prejudgment interest reduced from 10 to 7 percent. (Naranjo II v. Spectrum Security Services, Inc. (2019) 40 Cal.App.5th 444).

The California Supreme Court disagreed with the Court of Appeal, decision in Naranjo II, and concluded that the extra pay constitutes wages subject to the same timing and reporting rules as other forms of compensation for work, but agreed that the 7 percent default rate set by the state Constitution applies. (See Cal. Const., art. XV, § 1.) in its opinion in Naranjo III v Spectrum Security Services Inc. (2022) S258966.

California’s meal and rest break requirements date back to 1916 and 1932, respectively, when the newly created IWC included the requirements in a series of wage orders. For most of the century following the promulgation of the break requirements, the law offered limited tools for enforcement: “The only remedy available to employees . . . was injunctive relief aimed at preventing future abuse.”

In 2000, concerned that the injunctive remedy had not given employers enough incentive to comply with the law, the IWC added a new monetary remedy. Employees denied a meal or rest break on a given day would be due “one (1) hour of pay at the employee’s regular rate of compensation.” The Legislature followed suit the same year by enacting Labor Code section 226.7 providing essentially the same remedy.

An employee who remains on duty during lunch is providing the employer services; so too the employee who works without relief past the point when permission to stop to eat or rest was legally required. Section 226.7 reflects a determination that work in such circumstances is worth more – or should cost the employer more – than other work, and so requires payment of a premium. In this respect, missed-break premium pay is comparable to other forms of payment for working under conditions of hardship.

The extra pay thus constitutes wages subject to the same timing and reporting rules as other forms of compensation for work. When an employment relationship comes to an end, the Labor Code requires employers to promptly pay any unpaid wages to the departing employee.

Palo-Alto “Pay As You Go” Comp Insurance Grows 20% Monthly

We’ve seen a boom in the last several years around tech built for front-line, service, manual, and other workforces typically paid on an hourly wage. In one of the latest developments, Hourly.io — which has built an app that tracks working hours, generates payroll, and then calculates and assigns workers compensation insurance to individuals based on that — has closed in on $27 million in funding. Hourly.io is based in Palo Alto.

And according to the story on Yahoo News, Hourly now has some 1,000 customers – all in the state of California – in areas like construction, home services, accounting and retail, and will continue enhancing its product to target more verticals.

So what is Hourly going to do with the new $27 million in funding? “We’re planning to expand our insurtech platform outside the state of California and make it available to one-third of the U.S. population by the end of 2023. This is part of our larger vision to completely change the workers’ comp game – for good.”

Hourly says it is the first platform that lets employers run payroll, track time and attendance, and manage workers’ comp insurance premiums in one place. Why is this a good idea? “Basically by directly linking payroll and workers’ comp, premiums are based on your actual payroll – not a guess. Since we have a pay-as-you-go model, business owners only pay for the coverage they use every pay period.”

Hourly’s own birth came out of its founder’s own experiences. When Tom Sagi initially moved to the U.S., his first work experience was to help out in his family’s construction firm, where he was tasked with any and all odd jobs relating to admin and more. One of those involved handling payroll.

“We had 30-40 hourly employees, and I helped with everything on the business side including HR,” he recalled. “Every Friday the workers were paid, so I spent every Thursday collecting time cards in the field.” Working out workers comp insurance and payouts, he added, was a mandatory aspect of that, given the labor work involved.

“It was a headache to deal with,” he said. “What really should have only taken minutes to do took at least a day.” That was the impetus for building a platform to automate the process, from tracking time worked through to calculating payment and workers comp based on that.

Hourly’s rise is part of a bigger shift seen in tech built for the world of work. For the longest time, a lot of the most interesting innovations have been focused on so-called “knowledge workers” — those who typically get salaries, use computers and desks, and might well be paid much higher overall.

Hourly workers, however, have come into focus more recently for a number of reasons. Perhaps the strongest of these has been the communications and productivity evolutions arising from the ubiquity of smartphones.

Hourly.io is far from being the only startup tackling this general market, nor the specific task of fixing the very basic problems of organizing and paying these workers. Others that have raised money to grow their businesses include team management app Homebase; Fountain for sourcing and hiring hourly workers; another platform for matching shift workers to employers, Shiftsmart; Wagestream, a financial ‘super app’ for waged workers; When I Work to manage shift scheduling; and many others.

Like others in the insurance technology space, there remains a lot of room for automating and improving processes that have been barely touched for years. It also gives the company an interesting springboard to working across a wider range of products and services targeting waged workers, an opportunity those other startups are also tackling.

Hourly says that its revenues — based on two service tiers with varying levels of features for $40 plus $6/worker/month or $60 plus $10/worker/month — have been growing 20% month-over-month although it does not disclose actual revenue numbers.

Most California Vaccine Mandate Legislation Withdrawn for the Year

In January, progressive California Democrats vowed to adopt the toughest Covid vaccine requirements in the country. Their proposals would have required most Californians to get the shots to go to school or work – without allowing exemptions to get out of them.

Democrats unveiled eight bills to require vaccinations, combat misinformation, and improve vaccine data. Two were sweeping mandates that would have required employees of most indoor businesses to get shots and added Covid vaccines to the list of immunizations required for schools.

But, according to the report in Kaiser Health News, most of the proposed legislation imploded.

Months later, the lawmakers pulled their bills before the first votes. One major vaccine proposal survives, but faces an uphill battle. It would allow children ages 12 to 17 to get a covid-19 vaccine without parental permission.

“It’s important that we continue to push for vaccine mandates the most aggressively we possibly can,” state Assembly member Buffy Wicks (D-Oakland) told KHN in early 2022. She was the author of the workplace mandate bill.

In March, Wicks’ worker vaccine mandate proposal died. It was strongly opposed by firefighter and police unions, whose membership would have been subject to the requirement.

I don’t think the anti-vaxxers carry much weight in Sacramento with my colleagues,” Wicks said. “They’re a pretty insignificant part of the equation.” The public safety unions who opposed the bills “are the ones that carry the weight and influence in Sacramento,” she said.

Democrats also blamed the failure of their vaccine mandates on the changing nature and perception of the pandemic. They said the measures became unnecessary as case rates declined earlier this year and the public became less focused on the pandemic. Besides, they argued, the state isn’t vaccinating enough children, so requiring the shots for attendance would shut too many kids out of school.

Political pressure from business and public safety groups and from moderate Democrats – along with vocal opposition from anti-vaccine activists – also contributed.

Now, even as case rates start to balloon again, the window of opportunity to adopt covid vaccine mandates may have closed,” said Hemi Tewarson, executive director of the National Academy for State Health Policy. “Given the concerns around mandates and all the pushback states have received on this, they’re hesitant to really move forward,” Tewarson said. “Federal mandates have stalled in the courts. And legislation is just not being enacted.”

Other states have also largely failed to adopt covid vaccine requirements this year. Washington, D.C., was the only jurisdiction to pass legislation to add the covid vaccine to the list of required immunizations for K-12 students once the shots have received full federal authorization for kids of those ages. A public school mandate adopted by Louisiana in December 2021 was rescinded in May.

The most popular vaccine legislation has been to ban covid vaccine mandates of any kind, which at least 19 states did, according to the National Academy for State Health Policy.

Rite Aide Resolves California Employee Class Action for $12M

A federal judge in Northern California granted final approval to a $12 million settlement in a wage and hour class action against Rite Aid. The company operates retail drug stores throughout the United States, including approximately 544 stores in California.

California Rite Aid employees Kristal Nucci, Kelly Shaw and Ana Goswick filed a putative class action lawsuit against Rite Aid and its subsidiary, Thrifty Payless Inc., in 2019, claiming that the companies failed to reimburse them for navy blue shirts and khakit pants employees were required to wear.

The employees alleged that Rite Aid’s “Team Colors” policy, which required them to buy and wear navy blue tops and khaki pants to work, qualified as a uniform and that Rite Aid violated state wage law by failing to reimburse them for these expenses.

The claim is based upon California Labor Code Section 2802 which states: “An employer shall indemnify (i.e. reimburse) his or her employee for all necessary expenditures or losses incurred by the employee in direct consequence of the discharge of his or her duties, or of his or her obedience to the directions of the employer.”

Rite Aid responded, saying its store-issued vests were also an option, therefore it was a worker’s personal choice if they bought a uniform. It’s written company policy allows for what the parties call the “blue vest” alternative. The written company policy notes that “[i]n the event an associate is unable to report to work in team colors, Rite Aid will make available a company issued vest, which he/she will be required to wear.”

However, the workers argued it did not matter if a store-issued vest was an option because, in 71.5 percent of the stores, there were no blue vests available.

The complaint also included allegations of failure to pay minimum wages and claims under the Private Attorneys General Act, a California law that allows workers to sue on behalf of the state and other workers for labor law violations. Plaintiffs argue that “by requiring members of the putative class to purchase their own uniforms, Rite Aid effectively pushes their wages below the legal minimum.”

Plaintiffs’ claims for inaccurate wage statements and waiting time penalties, are based in part “on the theory that the amounts Rite Aid failed to reimburse for uniform expenses are themselves wages which, for example, are owed at termination for employment under Labor Code §§ 201 and 202.”

The class, certified in June 2020, includes about 25,000 nonexempt Rite Aid employees, excluding pharmacists, pharmacy interns and asset protection agents, who worked at any California store from March 19, 2015, through Feb. 3, 2022, the date of preliminary settlement approval.

The workers filed an unopposed motion for preliminary approval of the settlement in October, just a month before the case was set for trial, after four mediation sessions between 2019 and 2021.The settlement provides an average reimbursement of $600 gross and $365 net to each class member, which includes the cost of the uniform plus a compromised amount for potential penalties.

Another take away for employers is that employees who are required or expected to use their personal property for their work, including computers, cell phones, and tools, may also be able to recoup these expenses from their employer.

Note that California law in this area differs from federal law. The Fair Labor Standards Act (FLSA) does not require employers to reimburse employees for cell phone use.

However, there is a stipulation with the FLSA which says an employee’s earnings can’t be below the minimum wage. This means that an employer must reimburse business expenses such as the use of a cell phone if the employee’s wage falls below minimum wage after paying for the work-related expenses, according to the Society for Human Resource Management (SHRM).

Agoura Hills Physician Sentenced Under New Anti-Kickback Law

Dr. Akikur Reza Mohammad, 58, of West Hills, California was sentenced to 15 months in prison for his role in a conspiracy to broker patients as part of a multi-state patient referral kickback scheme in which recruiters were directed to bribe drug-addicted individuals to enroll in drug rehabilitation. The sentence followed his guilty plea on September 15, 2020.

Mohammad graduated from the Peoples Friendship University of Russia Faculty of Medicine in 1988, and currently still holds a valid license as a physician and surgeon in California.

He owned and operated the Las Virgenes Behavioral Health And Medical Clinic in Agoura Hills California. Several of his co-conspirators owned and operated a California marketing company. They orchestrated the scheme that involved bribing individuals addicted to heroin and other drugs to enter into drug rehabilitation centers, generating fees from those facilities in New Jersey, Maryland, California, and other states

The marketing company organized patient recruitment where Mohammed paid for patient referrals in exchange for kickbacks in part covered by reimbursements from health care programs. He received more than $439,000 from such programs.

The marketing company’s recruiters would encourage patients to remain at a facility for at least ten days to ensure reimbursement. The marketing company also steered patients to additional facilities to trigger extra payments without regard to medical necessity. Referral payments ranged from $5,000 to $10,000 per patient.

Mohammad pled guilty to violating the Eliminating Kickbacks in Recovery Act (“EKRA”) 18 U.S.C. § 220, one of the country’s first convictions under this statute targeting opioid kickbacks.

EKRA was enacted by Congress in October 2018 as part of a broader package of legislation aimed at combating the opioid crisis. The law bars the payment of kickbacks in exchange for the referral of patients to drug treatment facilities. Mohammad’s EKRA conviction is among the first such convictions in the country using the new charge.

Congress enacted EKRA as a part of the bipartisan Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018 (the “SUPPORT Act”), to respond to the opioid epidemic.

EKRA prohibits patient brokering and kickback arrangements involving recovery homes, clinical treatment facilities and clinical laboratories regardless of whether the service was paid by a government payor. Penalties for violation of EKRA include a fine of not more than $200,000, imprisonment of not more than ten years, or both, per violation.

However, EKRA goes further in prohibiting kickbacks for all recovery homes, clinical treatment facilities and clinical laboratories without requiring any tie to opioid or other drug treatment. Thus far, known enforcement cases under EKRA have focused on opioid and drug treatment cases.

Shortly after the enactment of EKRA, the Department of Justice (DOJ) created the Sober Homes Initiative in 2020 to focus on fraud schemes in the substance-abuse-treatment industry. Seeking to enforce EKRA, the Sober Homes Initiative focused on bringing criminal charges against medical providers believed to feed patient addictions in order to continue billing for their recovery.

Enforcement under EKRA can help shed light on questions remaining concerning the statute’s broad definitions, particularly around laboratory services, and its application in light of other federal laws such as the federal anti-kickback statute (AKS). Questions remain as to how EKRA interacts with the AKS, particularly for laboratory services, as the AKS has statutory and regulatory safe harbors that do not apply to EKRA-prohibited conduct.

In addition to the prison term, Mohammad was sentenced to three years of supervised release and ordered him to pay restitution of $493,104.

EDD Faces Another Wave of 47,000 Potentially Fraudulent Claims

California’s embattled Employment Development Department says they have seen yet another wave of fraud attempts. This time, again, hitting unemployment claims.

The fraudsters flooded EDD with unemployment insurance claims filed by paper and fax – including as many as 47,000 potentially fraudulent claims earlier this month.

EDD would normally expect to receive roughly seven thousand such applications in that timeframe. EDD did not pay the potentially fraudulent claims and its action prevented up to $560 million in potential unemployment insurance fraud.

Special Counsel McGregor Scott, named by EDD last year to coordinate investigations into EDD related fraud, has cited several sources for the scams, including transnational and domestic organized crime, prison inmates and grifters, or people who constantly look for ways to steal from the government.

EDD’s tough new fraud filters thwart a constant stream of new fraud attempts, schemes and criminal tactics” said EDD Fraud Special Counsel McGregor Scott. “These criminals again tried to pierce the Department’s defenses but we stopped them dead in their tracks,” Scott added.

The work of fraudsters in this case will likely slow claims for some paper-filing claimants as EDD separates the fraud attempts from legitimate claims. EDD is mailing notices to all paper and fax benefit applicants to quickly identity any legitimate claimant and disqualify all fraudulent ones.

EDD encourages Californians to stay vigilant against scam attacks. Scammers attempt to get personal information in many sophisticated and creative ways. Scammers may “phish” for victims by pretending to be banks, stores, or even government agencies. They do this over the phone, in e-mails, by text message, in the regular mail, and by other communications forms. Once scammers have stolen this information they may attempt to file false benefit claims.

The mailed notices explain that an issue must be resolved before any benefits are paid, and include information about fraud reporting. Any legitimate claimant who receives an EDD notice should respond with the requested verification right away and EDD will review and process the legitimate claim.

Some Californians may receive multiple notices from EDD if a scammer tried to file multiple claims in their name. EDD’s mailed notices are part of its fraud fighting system and help warn potential identity theft victims that fraudsters are attempting to use their personal information.

The biggest earlier abuses occurred in the federally-funded Pandemic Unemployment Assistance program (PUA), created early in the pandemic by Congress and President Donald Trump. It was intended to help those who did not qualify for traditional unemployment, such as independent contractors. An estimated $20 billion has been lost to those fraudulent California claims, according to EDD estimates.

Workers With Mild Symptoms of COVID May Not Be Protected by FEHA

Michelle Roman began working for Hertz Local Edition Corporation in 2018. By 2020, she had been promoted to the position of management associate at the National City, California branch.

During 2020, Roman and other employees rotated responsibility for conducting COVID-targeted screenings for employees entering the workplace. To perform these screenings she received training on COVID-safe policies and how to screen employees for COVID-related symptoms.

She understood that it was her responsibility “to know and adhere to the protocols,” one of which was that “employees showing . . . recognized indications of COVID-19 not be admitted to company facilities.” Recognized indications of COVID-19 included “feeling unwell and experiencing cough or shortness of breath.”

On September 4, after having vague symptoms for a few days while continuing to work, she tested positive for COVID-19 and reported the results to her employer. She was told that because she tested positive for COVID-19 and therefore was not allowed to work, she would receive 80 hours of COVID-19 pay in accordance with Hertz’s policies. She remained quarantined at home until September 18 when she received a negative result from a repeat test taken on September 16.

However she was terminated from employment for violating Hertz COVID protocols for coming to work between September 1-4 despite feeling sick, achy and tired and scheduling a COVID test for herself.

Roman filed suit against Hertz alleging disability discrimination based on an actual and/or perceived disability, wrongful termination in violation of public policy, failure to provide reasonable accommodation, failure to engage in the interactive process, and failure to timely pay wages. The trial court granted summary judgment in favor of Hertz in the case of Roman v Hertz, 20cv2462-BEN (May 2022)

The basis for most of Roman’s claims was that because she became infected with COVID-19 she suffered from a disability (or alternatively was perceived as suffering from a disability). Because she suffered from a disability, she claimed she was entitled to protection against discriminatory and adverse actions under FEHA.

Whether contracting COVID-19 qualifies as a disability under FEHA was a question of first impression. Without guidance from the California courts, the federal Court looked to regulations issued by the California Department of Fair Employment and Housing.

FEHA defines a physical disability as a physiological condition that affects one or more body systems. Cal. Govt. Code § 12926(m)(1)(A). The disability must also limit a major life activity. Id. § 12926(m)(2)(B). A condition limits a major life activity if it makes the achievement of the major life activity difficult. Id. § 12926(j)(1)(B), (m)(1)(B)(ii).

On the other hand, a disability is not a condition that is mild or does not limit a major life activity 2 Cal. Code Regs. § 11065(d)(9)(B).

If one has a disability, FEHA prohibits employers from firing or discriminating against an employee in “compensation or in terms, conditions, or privileges of employment” because of the disability. Cal. Gov. Code § 12940(a). FEHA instructs courts to construe its protections broadly.

Hertz contends that Roman’s COVID-19 infection falls under Cal. Code Regs. tit. 2, § 11065(d)(9)(B), which excludes certain conditions from FEHA’s definition of disability. Roman disagrees, claiming that her infection, although temporary, qualified as a disability.

The Court concluded that “temporary symptoms akin to the common cold or seasonal flu, COVID-19 will fall outside the FEHA definition of ailments considered a disability, pursuant to § 11065(d)(9)(B). Because the facts on summary judgment about Roman’s COVID-19 infection are not genuinely disputed, and because the symptoms of her infection were mild with little or no residual effects, Roman’s COVID-19 infection is excluded from FEHA’s definition of disability.”

The Court noted however that “it should not go without saying that for some individuals COVID-19 can cause exceedingly severe, even deadly, symptoms with long durations that would easily qualify as a FEHA disability.”

WCIRB Reports Lowest Premium in Decades and Higher Combined Ratios

The Workers’ Compensation Insurance Rating Bureau of California has released its Quarterly Experience Report. This report is an update on California statewide insurer experience valued as of December 31, 2021.

California written premium for 2021 is $0.3 billion or 2% below that for 2020 and $2.2 billion or 14% below that for 2019. Written premium declined sharply beginning in the second quarter of 2020due to the economic downturn resulting from the pandemic. The modest decrease in written premium for 2021 is driven by continued insurer rate decreases offsetting growth in employer payroll.

The average charged rate for 2021 is 7% below the rate for 2020 and is the lowest in decades. Since 2015, the Insurance Commissioner has approved 11 consecutive advisory pure premium rate decreases totaling over 50%. The WCIRB has proposed a 7.6% increase in advisory pure premium rates to be effective September 1, 2022.

The projected combined ratio for 2021, including COVID-19 claims, is 7 points higher than in 2020 and 33 points higher than the low point in 2016. Excluding COVID-19 claims, the projected combined ratio for 2021 is 111% and the projected ratio for 2020 is 100%, which are still higher than recent prior years. Combined ratios have been growing in California due to insurer rate decreases and modest growth in average claim severities.

Indemnity claims had been settling quicker through 2019, primarily driven by the reforms of SB 863 and SB 1160. Average claim closing rates declined sharply beginning in the second quarter of 2020 due to the pandemic. Average claim closing rates have started to plateau in 2021 but remain lower than the immediate pre-pandemic period.

The sharp decrease in 2020 claim frequency, excluding COVID-19 claims, was driven by the sharp economic downturn caused by the pandemic and stay-at-home orders. Non-COVID-19 claim frequency increased sharply in 2021 during the economic recovery. The change in non-COVID-19 claim frequency from 2019 to 2021 is -5%, which is more comparable to the modest declines in frequency during the immediate pre-pandemic period.

The share of indemnity claims arising from a COVID-19 diagnosis spiked during the “winter surge” in 2020. COVID-19 claims dropped sharply as the vaccines became widely available in the spring of 2021 and remained relatively low during the Delta variant period in the summer of 2021. A significant surge in the share of COVID-19 claims occurred in December 2021 and January 2022, driven by the Omicron variant.

Cumulative trauma (CT) claim rates increased through 2016 to be 80% above the 2005 level. CT claim rates were relatively consistent from 2016 through 2019. Preliminary data shows a sharp increase in CT claim rates in 2020, likely driven by shifts in claim patterns during the pandemic period.

The full report  WCIRB Quarterly Experience Report – As of December 31, 2021, is available in the Research section of the WCIRB website.

Vaccine Fail – Moderna Throws Away 30M Doses “Nobody Wants”

The World Economic Forum Annual Meeting 2022 is taking place in Davos, Switzerland between May 23-26. The Annual Meeting 2022 convenes at the most consequential geopolitical and geo-economic moment of the past three decades and against the backdrop of a once-in-a-century pandemic.

The meeting brings together over 2,000 leaders and experts from around the world, all committed to a “Davos Spirit” of improving the state of the world.

Speaking as a panelist at the Davos meeting, Moderna CEO Stéphane Bancel was complaining about having to “throw away” 30 million doses of Covid-19 vaccine because “nobody wants them. We have a big demand problem.”

Bancel’s comments come days after Bloomberg reported that EU health officials want to amend contracts with Pfizer and other vaccine makers in order to reduce supplies, as a number of European countries are overflowing with shots they can’t use — and they’re telling drug companies they don’t want to pay for more.

Health officials from European Union members including Poland, Slovakia, Romania, Bulgaria, Luxembourg, Finland, the Netherlands and the three Baltic states met to discuss amendments to contracts with producers such as Pfizer Inc., as supplies overflow and storage costs mount for shots with short shelf lives.

The push to change agreement terms highlights how the 27-nation bloc has shifted to a new phase in its battle against the virus. While demand is falling just a year after countries had to scramble to gain access to supplies, Bloomberg reports that “many EU members remain far from the goal of a 70% inoculation rate.”

And things are not much better in our nation, as US News reports that many areas of the U.S., states are scrambling to use stockpiles of doses before they expire and have to be added to the millions that have already gone to waste.

State health departments told The Associated Press they have tracked millions of doses that went to waste, including ones that expired, were in a multi-dose vial that couldn’t be used completely or had to be tossed for some other reason like temperature issues or broken vials.

Nearly 1.5 million doses in Michigan, 1.45 million in North Carolina, 1 million in Illinois and almost 725,000 doses in Washington couldn’t be used.

The percentage of wasted doses in California is only about 1.8%, but in a state that has received 84 million doses and administered more than 71 million of them, that equates to roughly 1.4 million doses. Providers there are asked to keep doses until they expire, then properly dispose of them, the California Department of Public Health said.

The national rate of wasted doses is about 9.5% of the more than 687 million doses that have been delivered as of late February, the Centers for Disease Control and Prevention said. That equates to about 65 million doses.

And more than a million doses of the Russian Sputnik vaccine just expired in Guatemala, because nobody wanted to take the shot.

In fact, supplies are so strong that the CDC now advises doctors that it’s OK to discard doses if it means opening up the standard multi-dose vials to vaccinate a single person and the rest has to be tossed.