2021 Year In Review

It is time for Workers’ Comp Executive to provide a list of the most significant California workers’ compensation stories from the previous year. Some years, legislative developments like the 2012 passage of the Baker SB 863 workers’ comp reforms dominate the news. Other years’ market issues such as rising workers’ comp rates or insurance company … Read More »

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Gov. Newsom Vetoes One, Signs Three Others

California Gov. Gavin Newsom recently vetoed the most prominent workers’ comp bill sent to his desk this year and still has several days to act on legislation that passed this year. Following in the steps of his predecessor, Newsom rejected a bill addressing issues of potential discrimination in apportionment decisions. Newsom’s veto message for SB … Read More »

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Division Gets Pushback, Support For Draft QME Regulations

Draft regulations to boost the training and educational requirements for qualified medical evaluators (QMEs), including anti-bias training that the Division of Workers’ Compensation agreed to require of QMEs two years ago, generated significant feedback from employers and providers alike. The Division is reviewing 20-some pages of comments in preparation for starting the formal rulemaking process. … 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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Proposed Med-Legal Fee Schedule Generates Feedback

The Division of Workers’ Compensation isn’t holding a hearing on the state’s proposed qualified medical evaluator (QME) fee schedule update until next week, but many interests among the workers’ comp community are already offering opinions. The early pushback is from the provider community, but employer interests are expected to add their voices before it is … 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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JLAC Hearing Delivers No Quick Fixes For QME System

The Joint Legislative Audit Committee grilled Division of Workers’ Compensation officials during a 3.5-hour hearing reviewing its oversight of the state’s qualified medical evaluator (QME) program, but the public tongue-lashing delivered little more than a rehash of the Division’s earlier responses to State Auditor Elaine Howle. DWC Administrative Director George Parisotto reiterated that the Division … Read More »

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Indicted Providers: 10 Times More Claims Than Honest Docs

California’s extensive anti-fraud efforts have had an impact on the state’s workers’ comp costs, but the true impact is just now coming into focus. New industry claim data linking indicted providers to the medical bills they generated show that they were generating ten times the claims and rendering nearly twice the amount of services per … Read More »

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