Utilization Review
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Apr 30, 2025
RAND Gets $300K for UR Study—What's the ROI?
The California Department of Industrial Relations (DIR) plans to address the state’s broken Utilization Review (UR) system—by paying frequent contract recipient RAND Corporat...
Apr 21, 2025
CHSWC Steps Up—Tackling PTSD & Wasteful "Studies"
Last week’s meeting of California’s Commission on Health and Safety and Workers’ Compensation (CHSWC) made something clear: the Commission is serious about fixing what’s brok...
Apr 15, 2025
An Open Letter to CHSWC re: UR Abuse (cc: Governor Newsom)
To the Members of the Commission on Health and Safety and Workers’ Compensation (CHSWC)CC: Governor Gavin NewsomRE: California’s Broken Utilization Review Syste...
Mar 13, 2025
Paduda's Predictions: An Insult to Workers’ Comp Doctors
Joe Paduda of Managed Care Matters is (understandably) worried about Americans losing their health insurance due to Republicans' cuts to healthcare spending—but his ar...
Mar 5, 2025
CA Farce Alert: $300K to Study Nonexistent UR Data
The California Division of Industrial Relations (DIR) has outdone itself in bureaucratic absurdity—proposing to spend $300,000 on a study without any data to study. In...
Jan 15, 2025
daisyNews 2024 Top 10 Articles
It’s been another year of fighting the good fight here at daisyNews. With 2024 in the rearview mirror, let’s look back at the most popular articles that informed, expl...
Dec 17, 2024
Applied Underwriters: Appalling Treatment Denial
California’s authorization and Utilization Review (UR) system for workers’ comp treatment is profoundly broken—and injured workers are suffering as a result.For the la...
Dec 12, 2024
NY vs CA: Treatment Authorization for Injured Workers
Every state has an obligation to ensure injured workers can access the care they need with as few roadblocks as possible. That means empowering doctors to furnish trea...
Oct 28, 2024
Paduda (Unintentionally) Blasts CA Workers' Comp
A recent edition of Joe Paduda’s Managed Care Matters newsletter absolutely nails the systemic issues that plague California workers’ comp. The only twist? Mr. Paduda wasn’t ...
Oct 16, 2024
Sedgwick Removes 54% UR Denial Stat From Website
We knew it was only a matter of time. The question was how much time?Third-party administrator (TPA) Sedgwick Claims Management Services screamed the quiet part out lo...
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 26, 2024
CA Governor Vetoes UR Bill
California Governor Gavin Newsom vetoed California Senate Bill 636, which would have required that Utilization Review (UR) for private employers be conducted only by Californ...