Discount Contracts

Former PPO Employee: "I Felt Like I Was 'Legally' Robbing" Doctors

Prime Health Services (PHS) operates like a high-pressure "call center," pushing employees to sign providers onto reimbursement discount contracts by making promises t...

Provider Alert: Do Not (Not!) Sign PhysNet Discount “Agreement”

A California provider narrowly avoided financial pain when their office signed (but thankfully never delivered) a reimbursement discount agreement PhysNet sent to the practic...

Deranged Zenith “Offers” Doctor 31% State Fee Schedule for DME

Workers’ comp has plummeted to a new low in payers’ relentless attempts to deny fair payment to the doctors who treat injured workers.The Zenith’s recent effort to pay...

ESIS Makes Bonkers “Offer” to Pay Doctor 45% of Fee Schedule Rate

At daisyNews, we see the complex and sophisticated mechanisms payers use to slash reimbursement for providers treating injured workers. …but sometimes, there’s nothing...

Diabolical Discounts: Rampant Anthem PPO Carnage

Preferred Provider Organization (PPO) Anthem Blue Cross is enabling egregious abuse of California providers at scale. Since June, dozens of claims administrators have ...

Diabolical Discounts: Berkshire Hathaway's Reimbursement Roulette (Part 1)

A sad fact about California workers’ comp: once a doctor joins a Preferred Provider Organization (PPO), there’s no predicting how devastating the impact on practice revenue w...

City of Riverside Pays MD $31 by Triple-Stacking PPOs

This week’s Diabolical Discounter is the City of Riverside. This self-insured public employer slashed a doctor’s reimbursement for a municipal worker’s Evaluation and Managem...

Diabolical Discounts: CA Employers Are Getting Ripped Off

In California, doctors who treat injured workers are seeing their revenue collapse due to exploitative discount reimbursement schemes. California Senate Bill 863, whic...

Insurance Execs Make Bank While Comp Crumbles

Business Insurance recently named the five highest-paid executives in the country for 2024. These executives’ compensation packages are, as expected, massive—an...

Long Beach Pays CA Doctors Less Than Interpreters (and Plumbers)

Last week’s Diabolical Discounts revealed that the City of Long Beach paid a doctor just over $32 to treat an injured municipal employee. The article provoked outrage–and com...

Diabolical Discounts: Long Beach Pays Doctor $32 to Treat Injured Employee

Across the nation, providers struggle to treat injured workers without financially damaging their practices. The problem is especially ugly in California, where extrem...

Please Advise: An Open Letter to the CA DWC (cc: CA Attorneys)

We have a question for California’s Division of Workers’ Compensation (CA attorney comments are always welcomed, too): What should a medical practice do in the followi...