Medical Provider Networks

NY WCB Is Right to Celebrate. What Can CA Learn?

New York's Workers' Compensation Board (NY WCB) recently issued a bulletin touting its accomplishments over the last several years. While it’s hard not to be skeptical of a g...

CA MPNs: The "Cost Control" Tool That Costs Employers More

In a workers’ comp claim, the treating physician is the single most consequential factor in health outcomes, the duration of disability payments, and employer liability. ...

CA: CNA "Authorization" Doesn't Authorize Anything

CNA sent a California provider a treatment authorization letter that may double as a setup for nonpayment. The letter purports to authorize care while simultane...

Zurich's MPN Violates CA Law (Again) - Tesla Should Be Asking Questions

To ensure injured workers' access to care, California has laws governing Medical Provider Networks (MPNs). Zurich Insurance North America continues to treat those laws as opt...

CA Pays 155% Medicare. Physicians Get 128%. Where's the Rest?

California's Official Medical Fee Schedule comprises multiple fee schedules governing reimbursement for different categories of workers' comp medical care. Below, we break do...

How Marriott Hides Its Doctors From Its Own Injured Workers

Imagine you're a Marriott employee who gets hurt on the job. California law allows Marriott to restrict your care to doctors in its Medical Provider Network (MPN). This means...

How CA’s Medical Provider Network (MPN) System Works and Why It Fails Injured Workers

What Is an MPN?An MPN is a network of physicians and specialists established by an employer or insurer, to which covered workers are restricted. The idea is to control...

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...

CA: Formal Request to Revoke American Zurich MPN

In October, daisyBill formally petitioned the California Division of Workers’ Compensation (CA DWC) to revoke approval for the Medical Provider Network (MPN) that American Zu...

CA DIR to Blow $1.25M On (Another) Questionable Comp Study

The California Division of Workers’ Compensation (CA DWC) is set to waste $1,250,000 in taxpayer dollars on a faulty “study” of non-existent data.The Department of Ins...

CA DWC's MPN List Disappears Yet Again

Leave it to the California Division of Workers’ Compensation (CA DWC) to fumble a relatively straightforward (but essential) task…over and over and over. The state age...

daisyData: CA Providers Paid at Fractions of Fee Schedule Rates

As daisyNews recently demonstrated with current, verifiable data:California’s workers’ comp fee schedule is one of the lowest nationwide, andData from ov...