Discount Contracts

TRPN: Doctor Escapes Discount Contract
Aug 3, 2023
TRPN: Doctor Escapes Discount Contract
Recently, we’ve sounded the national alarm regarding Three Rivers Provider Network (TRPN).*As one provider learned the hard way, TRPN sends checks to practices that, <...
Three Rivers Network: 12 Terrifying Terms of Discount Contract
Aug 2, 2023
Three Rivers Network: 12 Terrifying Terms of Discount Contract
Yesterday, we shared the harrowing tale of a doctor who cashed a strange check from Three Rivers Provider Network (TRPN) — a check that turned out to be something like bait, ...
Doctors Beware: Do NOT Cash Three Rivers Network Check
Aug 1, 2023
Doctors Beware: Do NOT Cash Three Rivers Network Check
A California doctor was recently surprised to find themselves subject to a 36-month discount reimbursement contract with terms that can only be described as sinister — and fo...
CA Committee Passes Disastrous AB 1278
May 4, 2023
CA Committee Passes Disastrous AB 1278
California physicians, it’s time to take a stand.Last week, the Assembly's Insurance Committee endorsed Assembly Bill 1278, and forwarded it to the Appro...
CA Bill Strips Workers’ Choice of Doctor
Apr 19, 2023
CA Bill Strips Workers’ Choice of Doctor
California Assembly Bill 1278, if passed, will severely limit an injured worker’s choice of physician — and force physicians into low-paying networks.Currently, a Medi...
Coventry: Fine Print Reveals MPN Mirage
Apr 17, 2023
Coventry: Fine Print Reveals MPN Mirage
Last week, we exposed the empty promise of Medical Provider Networks (MPNs), as evidenced by damning emails between a California doctor and Coventry. In one of its emails, Co...
Coventry Emails Expose PPO/MPN Mirage
Apr 14, 2023
Coventry Emails Expose PPO/MPN Mirage
A series of emails between a California doctor and Coventry expose the unvarnished truth about Preferred Provider Organizations (PPOs) and Medical Provider Networks (MPNs). <...
What CA Doctors Must Know Before Signing a PPO Contract
Apr 4, 2023
What CA Doctors Must Know Before Signing a PPO Contract
Preferred Provider Organizations (PPOs) and Medical Provider Networks (MPNs) are causing chaos for California employers, injured workers, and healthcare providers. Tha...
ACE / Sedgwick Low Payments Reveal PPO Problem
Mar 23, 2023
ACE / Sedgwick Low Payments Reveal PPO Problem
If you’ve ever wondered why so many California doctors avoid treating injured workers, stop wondering.  Three separate bills from the same provider to the same insurer...
Your PPO Questions (So Far)
Mar 14, 2023
Your PPO Questions (So Far)
It’s almost time — we’re gearing up for our free live webinar on the financial danger Preferred Provider Organizations (PPOs) pose for practices that treat inju...
CA OMFS: E/M Reimbursement vs Medicare Reimbursement
Jun 8, 2022
CA OMFS: E/M Reimbursement vs Medicare Reimbursement
California workers’ comp allows discount networks to bleed the doctors who treat injured workers. Unfortunately for these workers and their employers, many of these financial...
Conduent Repeatedly Badgers Doctor With Calls
May 2, 2022
Conduent Repeatedly Badgers Doctor With Calls
California law establishes an Official Medical Fee Schedule (OMFS), which lists reimbursements owed to providers who agree to treat injured workers. But rather than reimbursi...