Medical Provider Networks

Doctor Calls MPN Bluff, Gets 100% OMFS

Recently, a daisyCollect client demonstrated how California providers can shake up — and potentially shake off — the bloated, crippling, and largely illusory Medical Provider...

ALERT: Disastrous MPN Bill May Be Revived

California State Assembly Bill 1278, which would grant network entities unprecedented control over Medical Provider Networks (MPNs), is on the shelf for now — but the fight f...

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: AB-1278 Gives Networks Control of Workers' Comp

California's Medical Provider Network (MPN) system is an absolute debacle, leaving workers' comp doctors and injured workers in perpetual uncertainty. The system fails to all...

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...

Sedgwick: Sham MPN Impedes Care?

If you need proof that California’s Medical Provider Network (MPN) system is catastrophically flawed, look no further than the case of the injured worker below.Third-P...

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). <...

Marriott - Networks Pocket Doctors' Pay

Does the Marriott hotel chain know where the money really goes when it pays for its employees’ medical treatment?Self-insured and with its own in-house claims administ...

CA DWC Must Stop Pretending MPNs Work

A real friend tells the truth, even when it’s uncomfortable to hear. As advocates for a better workers’ comp system, we haven’t been shy about pointing out its shortco...

MPNs: How to Detect Dubious Payment Denials

In California workers’ comp, one of the biggest — but least talked about — challenges for providers is navigating the Medical Provider Network (MPN) system. MPNs were ...

Sedgwick Stiffs QME With False MPN Denial (Again)

It’s been said that insanity is best defined by doing the same thing repeatedly, but expecting different results. If that’s the case, Sedgwick Claims Management Services has ...

Employers Insurance: False MPN Payment Denial

California allows insurers and self-insured employers to establish Medical Provider Networks (MPNs) to direct injured workers’ care. While Employers Preferred Insurance Compa...