Alternative MPN Bill Downgraded

Proposed legislation that threatened to undermine the curated medical provider networks that employers and insurance carriers use to keep medical costs down and fight fraud in the workers’ comp system is being downgraded. Assemblymen Eloise Gomez Reyes (D-San Bernardino) and Lorena Gonzalez (D-San Diego) are dropping plans – for now – to create a statewide … Read More »

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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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Recall Déjà Vu’

In 2003, proponents of the recall of Governor Gray Davis stated, as part of their justification for the recall:   “Over 296,000 good paying jobs have left California…and more are … Read More »

Provider Network, Presumption Bills Causing Concern

California Legislators added a handful of bills late in the introduction period to amend the state’s workers’ comp system.  Concerns are being raised by employers and payors. Provider-focused bills seek to amend the medical provider network (MPN) and billing rules, whilst others build on the workers’ comp presumptions for public safety officers. There are not … 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). The legislation, SB 537 by Sen. Jerry Hill (D-San Mateo), calls on the Division of Workers’ Compensation to list the active providers in the system … 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 at large remain viable. Nearly all of the bills are expected to undergo additional amendments and refinements as they make their way through the legislative … 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, while the second would restrict apportionment for permanent disabilities. As recently amended, AB 1107 by Assemblyman Kansen Chu (D-Milpitas) would allow claimants to seek penalties … Read More »

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