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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Fact Checking

As noted in the last edition of this publication, the latest existential threat to California’s workers’ compensation system is Assembly Bill 1465 co-authored by Assembly Majority Leader Eloise Reyes (D-San … 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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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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MPN Bill Includes Small Perk for Payers

The Division of Workers’ Compensation could get a new weapon to combat the persistently high rate of independent medical review applications and decisions under legislation moving through the Capitol. Of course, it won’t come free. The same bill that would make clear that the DWC can reveal the identity of the providers driving the bulk … Read More »

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DWC Eyes New Regulations, Fee Schedules

The Division of Workers’ Compensation is gearing up to roll out a number of new regulations surrounding utilization review and data reporting. It is also looking to meet its mandate to promulgate fee schedules for interpreters and home health services. The Division is putting the finishing touches on draft regulations to implement the changes to … Read More »

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