The "chatter" in the industry is about building boutique MPN’s, presumed to mean medical provider networks where individual providers are selected based on some criteria. The term “boutique network” implies it will deliver something better than ordinary MPN’s. What exactly...Read More
It’s been almost a year since
Californians Injured At Work members and interested parties met with newly
elected Insurance Commissioner Steve Poizner in his office on Capitol Mall.We
can still hear his mantra: "I simply will not tolerate any kind of insurance
fraud in Calif...Read More
By Jon GelmanOne of the major flaws of workers compensation acts is that deny injured workers payments for repaired hernia by establishing specific requirements for compensability. Historically the workers' compensation acts denied benefits since employers feared a flood of these occ...Read More
Oregon's workers comp system is a success.
It is 42nd lowest in insurance rates and among the highest benefits for injured workers in the nation.
Premium rates have not gone up for 18 years.
By Jake Jacobsmeyer
The 3rd District Court of Appeal ordered publication of a previously issued decision on interpreting the statutory application of presumptions in favor of public safety officers.
In California Horse Racing Board v. WCAB (Snezek) the court had overt...Read More
By Mark Quann
Normally investigations don't involve an excess of adrenaline in the blood system. Or if they do, one has screwed up big time. But every now and then the only way to get a product requires that an investigator walk where angels fear to tread.
The subject was a mec...Read More
By Jim Smith, Deputy Director, DMA Investigations
The subject we were hired to investigate had numerous subjective back-related complaints, supposedly the result of a fall from a loading dock. The injuries could not be verified by medical exam and he had been released back to work under m...Read More
By Dr. Fredric H. Newton
On May 6, WorkCompCentral published an article written by York McGavin, titled "A Guaranteed Path to Success -- When Not to Use an AME." The author's thesis was that the agreed medical evaluator resolves disputes by "splitting the baby down the middle." This re...Read More
By York McGavin
The 2 year anniversary of SB 899 was April 19th. Yahoo!!!
Are the ERs happy?
Are the IWs happy?
Are the AAs and DAs happy?
Are the WCJs happy?
Are the psyche physicians happy?
Are the CAs and adjusters happy?
Are providers standing ...Read More
by Jake Jacobsmeyer.
The Court of Appeals has reversed a WCAB decision finding a household employee to be eligible for WC benefits. In a significant panel decision issued in September, 2005, the WCAB had determined that the Legislature had intended that household employees who could...Read More