The Suspense is Killing Me

This time of year is always a strange one for followers of California’s sometimes chaotic and other times opaque legislative process. Specifically, May 21st is the deadline for the Senate … 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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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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DWC Moves Controversial Med-Legal Fee Update

The Division of Workers’ Compensation is pushing through the latest draft of its proposed – and controversial – med-legal fee schedule (MLFS).  There are concerns it will increase costs more than projected and create new points of friction in the system. The flat fee proposal submitted to the Office of Administrative Law (OAL) for an … 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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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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QMEs, Division In Telemedicine Dispute

The group of qualified medical evaluators (QMEs) pressing the Division of Workers’ Compensation to authorize remote med-legal evaluations were less than impressed with the Department’s non-committal response to the request. The Division says it is encouraging “creative delivery methods” during the current state of emergency but is “not authorizing any particular course of action.” “It’s … Read More »

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