UR Reforms, Drug Formulary Boost Treatment Approvals

Recent reforms that established a prescription drug formulary for California’s workers’ comp system, and which created a utilization review exemption for many treatments rendered during the first 30 days of … Read More »

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Spotlight on Providers’ Adherence To Treatment Guidelines

A new law will soon shine a spotlight on the workers’ comp doctors who are frequently recommending treatments that do not adhere to California’s evidence-based medical treatment utilization schedule (MTUS). … Read More »

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California Self-Insureds’ Numbers Reflect Market Changes

Private self-insured employers in California workers’ comp collectively are seeing an increased number of claims, but they decreased future liabilities last year. Somewhat counterintuitively, for the third year in a … Read More »

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Workers Comp Appeals Board At Full Strength

Former Gov. Jerry Brown’s final appointment to the Workers’ Compensation Appeals Board is now all but confirmed. WCAB Commissioner Craig Snellings (see photo nearby), easily cleared a Senate Rules Committee … Read More »

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Privacy, Apportionment, Dynamex Bills Clear Houses of Origin

Bills had until the end of May to clear their house of origin to remain alive and nearly a dozen measures impacting workers’ comp in particular and the insurance industry … Read More »

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Court Says WCAB Usurped UR/IMR Process

The Workers’ Compensation Appeals Board overstepped its authority when it ordered parties to submit a dispute over additional housekeeping services back to the nurse that made the initial determination, says … Read More »

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UR Bill Clears Assembly, Apportionment Bill Still Alive

Two bills backed by the California Applicants’ Attorneys Association (CAAA) are advancing in the Legislature. One addressing utilization review is moving “as a vehicle for on-going discussions” about potential reforms, … Read More »

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IMR Applications Are Down So Far In 2019

California’s independent medical review system hit new highs in 2018 as IMR decisions topped 184,000, but the trends are reversing so far in 2019. The total eligible applications are down … Read More »

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