Regional Claims Differences, But No Regional Rates

Workers’ Compensation Insurance Rating Bureau officials report that long-standing regional differences in workers’ comp claim frequency and severity rates continue to impact the California workers’ comp system costs. But any effort to generate advisory pure premium rates that adjust for these regional variations is not in the cards. The Bureau is a private organization with … Read More »

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Med-Legal Costs Jump

The California Workers’ Compensation Institute (CWCI) is warning that costs for med-legal services are up by 67%. It happened when the Division of Workers’ Compensation (DWC) rolled out a new med-legal fee schedule earlier this year. The Division called the new schedule a 25% pay raise for the state’s qualified medical evaluators. But the initial … Read More »

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Numbers and More Numbers

Last month, the Workers’ Compensation Insurance Rating Bureau (WCIRB) released its annual State of the System report.  It is an important document for those who want to see what is … Read More »

Workers’ Comp Rates Likely to Increase

The Workers’ Compensation Insurance Rating Bureau’s staff of actuaries will be presenting their recommendations for a September 1st, 2021, California pure premium rate filing to the Bureau’s governing committee members later this morning. The actual rate recommendation was unknown as of deadline because the staff was still adjusting for the economic impact of the COVID-19 … Read More »

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Employers, Carriers Push Back Against Med-Legal Fee Proposal

California’s employers and insurance carriers are raising concerns that the Division of Workers’ Compensation’s proposed med-legal fee schedule (MLFS) update will increase costs more than is projected and, worse, create new friction points in the system. Employers assert the proposal does little to prevent billing abuse and that the Division’s proposal fails to ensure high-quality … Read More »

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DWC Issues Formal Proposal For Med-Legal Fees

The Division of Workers’ Compensation is moving forward with a formal proposal to give the state’s qualified medical evaluators (QMEs) a 25% pay raise – their first pay increase in well over a decade. Informal drafts previously circulated for public comment are highly controversial, generating hundreds of pages of comments. The formal proposal maintains much … 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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Emergency QME Telehealth Rules Approved

The Office of Administrative Law approved emergency regulations to allow qualified medical evaluators (QMEs) to provide remote med-legal evaluations as long as certain conditions are met. The agency received pushback from the workers’ comp community on the proposed requirements, but the regulations were approved for temporary use with only minor modifications. The proposed regulations were … Read More »

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