California workers’ compensation private self-insured claim frequency rose 6% last year as both medical-only and indemnity claim volume increased, but a new report suggests that many of the claims may have been low-cost COVID-19 cases. A California Workers’ Compensation Institute …
Initial data on fiscal year 2019/2020 public self-insured claims experience in the California workers’ compensation system show claim volume fell 6.4% compared with the prior year, but medical-only claims accounted for nearly all of that decline, a new report out …
The number of independent medical reviews used to resolve California workers’ compensation medical disputes fell sharply in the first half of 2020 as the pandemic took a toll on the state’s economy with statewide unemployment spiking to a record level …
California workers’ compensation private self-insured claim frequency was relatively stable in 2019 as the incidence of medical-only and lost-time claims registered only marginal declines after increasing in 2017 and 2018, according to a California Workers’ Compensation Institute review of the …
California workers’ compensation total direct written premium continued to decline in 2019, falling 7.0% to a five-year low of $11.42 billion, as nine out of the state’s 10 largest insurer groups wrote less premium in 2019 than in 2018, a …
Since California implemented its workers’ compensation formulary last year, an increasing share of drugs prescribed to injured workers are either “Exempt” from prospective utilization review or “Not Listed” in the formulary, while “Non-Exempt” drugs that require UR before they can …
California’s northern most counties accounted for 1.1 percent of the state’s workforce but 3.3 percent of the job injury claims, according to a report from the California Workers’ Compensation Institute. CWCI’s regional score card provides data on claims filed by …
Average medical and indemnity payments on claims were much higher in San Bernardino, Riverside, Orange and Imperial counties than the rest of the state, according to the latest Regional Score Card issued by the California Workers’ Compensation Institute. The score …
An examination of California workers’ compensation independent medical review decisions shows roughly nine-in-10 of disputed medical service requests reviewed by an IMR physician agree with the utilization review determination that the service is not medically necessary. The IMR and UR …
Adopting a state-mandated workers’ compensation prescription drug formulary similar to systems in place in Texas and Washington could reduce California workers’ comp pharmacy payments by between $124 million and $420 million per year, a California Workers’ Compensation Institute study shows. …
