PPO

Taxpayers Beware: Anaheim Misreports Payment Data

Citizens of Anaheim, CA, may want to examine the city’s books closely, given the suspicious accounting of taxpayer dollars designated for the care...

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...

CA: Business Insider Falls for Insurer Propaganda

Business Insider published a cringy slop of insurer talking points, uncritically parroting insurers’ preferred narrative about the coming increase...

Diabolical Discounts: Rampant Anthem PPO Carnage

Preferred Provider Organization (PPO) Anthem Blue Cross is enabling egregious abuse of California providers at scale. Since June, dozens of claims administrators have ...

Diabolical Discounts: Berkshire Hathaway's Reimbursement Roulette (Part 1)

A sad fact about California workers’ comp: once a doctor joins a Preferred Provider Organization (PPO), there’s no predicting how devastating the impact on practice revenue w...

Sedgwick: CA Doctors Still Waiting for Purloined PPO Reimbursement

In January, Sedgwick Claims Management Services, Inc. admitted to shortchanging a California orthopedic practice by hundreds of thousands of dollars—thanks to bogus Preferred...

City of Riverside Pays MD $31 by Triple-Stacking PPOs

This week’s Diabolical Discounter is the City of Riverside. This self-insured public employer slashed a doctor’s reimbursement for a municipal worker’s Evaluation and Managem...

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...

Report: CA DIR Director Hagen Resigning

According to Workers’ Comp Executive, California Department of Industrial Relations (DIR) Director Katrina Hagen is stepping down after five years. The Californ...

Insurance Execs Make Bank While Comp Crumbles

Business Insurance recently named the five highest-paid executives in the country for 2024. These executives’ compensation packages are, as expected, massive—an...

Diabolical Discounts: Ralphs Pays MD $44 to Treat Injured Worker

Our weekly “Diabolical Discounts” features the most atrocious examples of the low reimbursements doctors receive for treating California’s injured workers.<...

Long Beach Pays CA Doctors Less Than Interpreters (and Plumbers)

Last week’s Diabolical Discounts revealed that the City of Long Beach paid a doctor just over $32 to treat an injured municipal employee. The article provoked outrage–and com...