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 … Read More »

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UR Reforms, Drug Formulary Boost Treatment Approvals

Recent reforms that established a prescription drug formulary for California’s workers’ comp system, and which created a utilization review exemption for many treatments rendered during the first 30 days of … Read More »

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Commissioner Lara Faces First Test On Workers’ Comp Rates

California Insurance Commissioner Ricardo Lara is in the midst of his first review of the industry’s annual workers’ comp rate filing.  He is facing a tough decision: go with the … Read More »

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Baker Reforms To Beget Another Rate Cut For 2020

The governing committee members’ of the Workers’ Compensation Insurance Rating Bureau will meet this morning to consider 2020 rates. The result will likely be a recommendation for a low- to … Read More »

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Industry Fretting Future of Workers’ Comp

The major data analytics in California’s workers’ comp system continue to show improvement thanks to the resilience of the Baker Reforms, but industry insiders are anything but complacent. A new … Read More »

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UR Proposal Not Ready For Prime Time

The Division of Workers’ Compensation floated possible changes to the state’s utilization review regulations to meet the demands of SB 1160 legislation. The proposal as it currently stands, however, has … Read More »

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Industry Supportive Of WCIS Reporting Changes

The Division of Workers’ Compensation’s move to update the reporting regulations for the state’s Workers’ Compensation Information System (WCIS) is getting solid praise from the industry for reducing administrative burdens. … Read More »

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Lien Stays Survive Another Constitutional Challenge

A suspended chiropractor convicted as part of the Pacific Hospital of Long Beach kickback scheme lost his fight to have California’s lien stay provisions declared unconstitutional and to have the … Read More »

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