The Medical Provider Network (MPN) system is the bane of California workers’ comp — a system so convoluted, dysfunctional, and inimical to properly providing care to injured workers that even adjusters and payer defense attorneys openly decry it.
Still, many providers join MPNs for fear of losing eligibility to treat injured workers. But as daisyNews has long insisted, providers don’t need MPNs. MPNs need providers.
For example: in response to our report on the departure of yet another practice from workers’ comp, a provider shared how they “ditched” MPNs. We are publishing this provider’s comment as a reminder that providers hold 100% of the power to stop the MPN abuse.
FACT: If an employer chooses to use an MPN to restrict injured workers’ access to care, California law requires the MPN to adhere to strict standards for the number and locations of primary and specialist providers listed.
In other words, MPNs will cease to exist if doctors refuse to participate — because without enough doctors, the MPNs are unable to adhere to the legally mandated access standards.
It’s time for providers to take the power back from MPNs, as the provider below did. Together, we’re stronger.