Democrat Proposal A Major Cost Driver For Employers

California employers can expect to pay more, a lot more, if a proposed bill to create a state-run wraparound medical provider network (MPN) becomes law. Experts note that employers will pay millions to develop and maintain this state-run all-encompassing network. The proposed change will drive up the cost of care by losing network discounts on … Read More »

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Injuries Were Treated As Fast Or Faster During The Pandemic

Industry veterans expressed concerns last year about an interesting trend in emerging workers’ comp data. It showed a sharp drop off in medical treatment during the stay-at-home periods ordered in response to the COVID-19 pandemic. Studies have shown that delays in the initial treatment of an injury have long-term, costly effects on workers’ comp claims. … Read More »

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Fourth Quarter Surge In COVID-19 Workers’ Comp Claims

Newly released data from the California Workers’ Compensation Information System shows a spike in filed workers’ comp claims related to the COVID-19 pandemic during the fourth quarter of the year. The trend in workers’ comp claims parallels the surge in coronavirus cases statewide during the same period. As of January 14th, the state reports that … Read More »

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Conoravirus Death Claims

California’s workers’ compensation system has received reports for 59,559 cases alleging a workplace injury due to COVID-19. But nearly 30%, some 17,690, tested negative and were rejected.  The filings equal 11% of all workers’ comp claims so far this year but the number is only 8% after the rejected are removed. The concentration of COVID-19 … Read More »

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How Many Workers’ Comp Claims Linked To COVID

New data from the California Workers’ Compensation Institute and the Division of Workers’ Compensation show one in thirteen claims made in California are COVID-19 after the 30% negative test claims are denied. There have been 51,666 COVID-19 related claims made, of which 15,384 are denied largely because of a negative test. The ratio of denied … Read More »

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Abuse Of Copy Service Rules

Employers and copy service providers over the years have aired a litany of complaints against each other over alleged billing and payment abuses. The state’s adoption of a new copy service fee schedule in 2015 eliminated some of the acrimony. But comments on the state’s proposed new workers’ comp copy service fee schedule update show … Read More »

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COVID-19 Claims Now 11% Of All 2020 Workers’ Comp Claims

California workers’ comp carriers and self-insured employers have reported 405,247 workers’ comp claims so far this year, and 44,354 involve a claim for COVID-19 – 11% of the reported total.  But after denials – some 30% – because the test was negative the number is only 7.5% According to the Division of Workers’ Compensation, the … Read More »

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Proposed Med-Legal Fees Still Controversial

The Division of Workers’ Compensation’s latest proposal for updating California’s med-legal fee schedule (MLFS) is continuing to generate controversy and pushback from the workers’ comp community. The Division’s initial proposal in 2018 generated over 500 pages of mostly negative comments from the state’s qualified medical evaluator (QME) community and now, two years later, its latest … Read More »

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