PPO
Oct 22, 2024
Sedgwick Stiffs CA Practice for Over $300,000
In California, claims administrators can siphon staggering amounts of revenue from practices using invalid Preferred Provider Organization (PPO) discounts—and doctors have no...
Oct 10, 2024
Medicare Advantage & Workers' Comp: Why Providers Reject Both
Becker’sreports that hospitals and health systems across the nation are giving up on Medicare Advantage, terminating contracts and refusing to treat patients co...
Sep 16, 2024
No, Doctors Aren't the Culprits in CA Workers' Comp
It’s time to take a sledgehammer to one of the most pernicious myths about workers’ comp in California. For decades, the Division of Workers’ Compensation (DWC) has fed legis...
Aug 13, 2024
Apricus Applies Massive, Invalid PPO Discount for Sedgwick
Specialty network vendor Apricus, acting on behalf of Third-Party Administrator (TPA) Sedgwick, recently applied an invalid Preferred Provider Organization (PPO) discount to ...
Aug 1, 2024
Gallagher Bassett Shows MPNs Are a Painful Waste
A recent exchange between a provider and Gallagher Bassett offers a perfect example of why California’s Medical Provider Network (MPN) system is a pointless, convoluted, unna...
Jun 19, 2024
CA MPNs Harm Employers, Injured Workers & Providers
California’s Medical Provider Network (MPN) system is an unmitigated failure, causing genuine harm to injured workers, health care providers, and employers. The Divisi...
Sep 26, 2023
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...
Jun 20, 2023
Medical Director: CA Workers' Comp "Subsidizes Corruption"
Recently, the Medical Director of a large medical group sent an email to daisyBill, explaining their decision to "opt out" of treating injured workers in California. T...
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...
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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). <...
Apr 12, 2023
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...
Apr 5, 2023
Defense Attorney: "MPNs Benefit No One"
An attorney who represents workers’ comp payers felt compelled to share his viewpoint on Medical Provider Networks (MPNs) with daisyBill. His take: MPNs are useless to employ...