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CA: CHSWC QME Study Says Mismatch Exists Between Supply and Demand for Specific Specialties

OAKLAND, CA - CHSWC has posted an updated draft QME study in response to public concerns that too few QMEs lead to delays and disputes, QMEs are dropping out because there are too few evaluations to make it worthwhile, QME requests are increasing dramatically affecting availability, AMEs are increasingly...

CA: CHSWC Study Predicts 400,000 Medical Liens, Over $2.7 Billion in Medical Claims Filed Annually

OAKLAND, CA - CHSWC has undertaken an interim study to understand what is driving liens and has found that one in ten medical liens is for services extending at least a year and by a provider who was not authorized by a claims administrator. These liens average $14,000 each. The report predicts at...

CA: CHSWC Recommends Legislative Changes to Improve and Simply Benefit Notices

OAKLAND, CA - CHSWC has posted a draft report on benefit notices and recommendations, the goal being to improve and simply benefit notices. The report addressed common problems with benefits notices, including that they are too voluminous, complex, vague, confusing, misleading, etc. The report suggests...

CHSWC Report on Liens: A Response from the Insurance Industry

The following comments were submitted by Mark E. Webb, Vice President and Assistant General Counsel, Pacific Compensation Insurance Company, to Christine Baker at CHSWC: January 3, 2011 Christine Baker, Executive Office Commission on Health & Safety & Workers’ Compensation 1515 Clay...

California: By the Numbers

What was the impact of the adoption of an AMA-based permanent disability rating schedule in California? That was the question addressed in a significant new study by Frank Neuhauser, Executive Director of the UC Berkeley based Center for the Study of Social Insurance. My last post briefly covered...

California: Paradigm Shift?

The workers' comp community is abuzz with rumors about the impending comprehensive comp reform bill. I've not yet seen the bill (which could still be revised before it is introduced in print in the next week or so). But based on the summary in Workcompcentral.com that ran yesterday, if the...

California: Paradigm Shift?

The workers' comp community is abuzz with rumors about the impending comprehensive comp reform bill. I've not yet seen the bill (which could still be revised before it is introduced in print in the next week or so). But based on the summary in Workcompcentral.com that ran yesterday, if...

California Labor Code Section 139.48 – The Return To Work Fund: What We Know and What We Don’t Know

By Robert G. Rassp, Esq. DISCLAIMER: This article was written before regulations have been proposed to implement the Return To Work Fund. You are encouraged to pay close attention to all rules and regulations promulgated by the DIR and WCAB to implement the $120,000,000 Return To Work Fund. As...

California Labor Code Section 139.48 – The Return To Work Fund: What We Know and What We Don’t Know

By Robert G. Rassp, Esq. DISCLAIMER: This article was written before regulations have been proposed to implement the Return To Work Fund. You are encouraged to pay close attention to all rules and regulations promulgated by the DIR and WCAB to implement the $120,000,000 Return To Work Fund. As part...

California: Notes From CHSWC

The California Commission of Health, Safety and Workers' Compensation held its first 2013 meeting this past Thursday. Here's a thumbnail sketch of some of the more interesting tidbits discussed: Christine Baker, Director of the California Department of Industrial Relations, stated that the...

The Return to Work Fund and the RAND Study: Inching Our Way to Eligibility Standards

By Robert G. Rassp, Esq. © Copyright 2013 LexisNexis. All rights reserved. Excerpted from the upcoming 2014 Edition of The Lawyer’s Guide to the AMA Guides and California Workers’ Compensation . As part of the comprehensive workers’ compensation reform in SB 863 that was...