Discount Contracts

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...

Sedgwick’s Shell Game: From Coventry to CareWorks, the Chicanery Continues

Sedgwick Claims Management Services, Inc., a Third-Party Administrator (TPA), appears to be throwing any available spaghetti at the wall to continue funneling e...

Enlyte’s MPI: A Smokescreen to Protect Private Equity Profits

Last week, Enlyte—the parent company of Coventry, Mitchell, and Genex, all backed by private equity firm Stone Point Capital—released its latest report on its “Medical Price ...

Provider Alert! New 2024 TRPN DirectPay Scheme

There may be no company in the workers’ comp space with a worse reputation than Three Rivers Provider Network DirectPay (TRPN). But this discount contracting entity st...

Provider Alert: MTI Discount "Contract"

A daisyBill provider client received a disturbing document purporting to authorize treatment for an injured employee of City and County of San Francisco (CCSF). MTI Am...

PPO: Why Your Practice Should Renegotiate (or Cancel) Discount Contracts

Preferred Provider Organizations (PPOs) are choking the financial life out of providers who treat injured workers. This problem is being reported by doctors throughout...

ProPublica/NPR: Fees & Discounts Gutting Provider Revenue

ProPublica and NPR recently published an exposé on entities that impose fees on doctors who accept electronic funds transfer (EFT) payments. These fees c...

TRPN: How to Fight the Network's Discounts

We’ve warned providers about the disturbing practices of Three Rivers Provider Network (TRPN).* We’ve also written about how providers may be able to demand that TRPN termina...