Utilization Review

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...

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...

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...

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...

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...

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...

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...

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 ...

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...

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...

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...

Liberty Mutual Feeds UR Vendors (While CA Worker Waits for Care)

In California workers’ comp, Utilization Review (UR) is the process by which claims administrators decide whether or not to authorize the care recommended by an injured worke...