California Workers' Comp

CA OMFS Update: Physician Services (Q4 2024)
Oct 1, 2024
CA OMFS Update: Physician Services (Q4 2024)
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...
CA Governor Vetoes UR Bill
Sep 26, 2024
CA Governor Vetoes UR Bill
California Governor Gavin Newsom vetoed California Senate Bill 636, which would have required that Utilization Review (UR) for private employers be conducted only by Californ...
CA DWC Fails Employers and Employees
Sep 24, 2024
CA DWC Fails Employers and Employees
Without enforcement, no amount of laws or regulations can improve or even maintain a functioning workers’ compensation system. California is a tragic example of...
CA DWC Ignores Authorization, Lets Liberty Mutual Stiff Orthopedist
Sep 23, 2024
CA DWC Ignores Authorization, Lets Liberty Mutual Stiff Orthopedist
The Division of Workers’ Compensation (DWC), under Administrative Director George Parisotto, has allowed Liberty Mutual to deny thousands in payment owed to a California orth...
Liberty Mutual Feeds UR Vendors (While CA Worker Waits for Care)
Sep 20, 2024
Liberty Mutual Feeds UR Vendors (While CA Worker Waits for Care)
In California workers’ comp, Utilization Review (UR) is the process by which claims administrators decide whether or not to authorize the care recommended by an injured worke...
Sedgwick Boasts 54% Denial Rate for Injured Worker Treatment
Sep 19, 2024
Sedgwick Boasts 54% Denial Rate for Injured Worker Treatment
Editor’s note: As predicted below, Sedgwick removed the 54% statistic from its marketing website, shortly after the publication of this article. Who coul...
Liberty Mutual: 23-Month Wait for Surgery in CA
Sep 18, 2024
Liberty Mutual: 23-Month Wait for Surgery in CA
If you need proof of how dysfunctional California workers’ comp is—and that absurdly long claim durations have become the appalling standard—see the 23-month ordeal an injure...
CA SB 636 Demands CA-Licensed UR Physicians
Sep 17, 2024
CA SB 636 Demands CA-Licensed UR Physicians
California Senate Bill 636, which addresses a vital aspect of the Utilization Review (UR) process in workers’ comp, is on the Governor’s desk awaiting his signature.In...
No, Doctors Aren't the Culprits in CA Workers' Comp
Sep 16, 2024
No, Doctors Aren't the Culprits in CA Workers' Comp
It’s time to take a sledgehammer to one of the most pernicious myths about workers’ comp in California. For decades, the Division of Workers’ Compensation (DWC) has fed legis...
An Open Letter to CHSWC re: WCIS
Sep 13, 2024
An Open Letter to CHSWC re: WCIS
To the Members of the California Commission on Health and Safety and Workers’ Comp (CHSWC),California needs objective, verifiable data and credible, expert analysis to...
DWC's Failed WCIS Taints CHSWC Reports
Sep 12, 2024
DWC's Failed WCIS Taints CHSWC Reports
With 49 cents spent on administrative expenses for every dollar spent on actual benefits (over absurdly stretched 7-year claim durations) California workers’ comp is in a fou...
Carlyle: How Private Equity Feeds on CA Workers' Comp
Sep 11, 2024
Carlyle: How Private Equity Feeds on CA Workers' Comp
California workers’ comp has a problem: investment in administrative entities by private equity firms.When private equity owns significant stakes in businesses special...