Medical Provider Networks

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...

CA Employers: Comp Premium Hike Based On Bad Data

While most states are lowering employers’ workers’ comp premiums, California is heading in the opposite direction. Insurance Commissioner Ricardo Lara approved a premium rate...

California's MPN Cesspool: Impossible by Design?

California’s Medical Provider Network (MPN) system is broken beyond repair, to the point where finding an MPN doctor is simply impossible for many injured workers. We’...

Provider Alert: Coventry's MPN Site Is a Security Joke—and a Legal Disaster

Coventry is brazenly violating California law—and it’s impossible to tell whether it’s the result of astonishing incompetence or outright disregard for basic security and com...

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...