injured workers News

California Division of Workers’ Comp Issues Revised Drug Formulary Regulations

The California Division of Workers’ Compensation has issued modified proposed regulations to adopt the medical treatment utilization schedule drug formulary. The proposed rulemaking implements Assembly Bill 1124, which mandates the adoption of an evidence-based drug formulary. DWC has reviewed comments …

Rand Report Recommends Analytics for Fraud Prevention in Workers’ Comp

The California Division of Workers’ Compensation has posted a report from the Rand Corp. with recommendations to prevent fraud in the workers’ compensation system. The Department of Industrial Relations last year requested that the Rand assess medical provider fraud in …

Nearly 60% of Payments in California Comp in 2016 Were for Medical Services

The Workers’ Compensation Insurance Rating Bureau of California issued report containing estimated California workers’ compensation costs for 2016 based on insured employer experience. The report also reflects payments made by the California Insurance Guarantee Association in the statewide loss payments …

California Workers’ Comp Board Submits Lower Filing than Industry Average

The Workers’ Compensation Insurance Rating Bureau on Tuesday submitted a July 1 Pure Premium Rate Filing to the California Department of Insurance proposing advisory pure premium rates that average $2.02 per $100 of payroll. The move follows a vote by …

California State Fund 2016 Report Shows 128K Policies Written

The California State Compensation Insurance Fund’s 2016 annual report shows a net income of $192 million in 2016. Other important highlights from the newly released report include: 128,000 policies written in 2016. Earned net premiums of $1.5 billion. Policyholders’ surplus …

California Workers’ Comp Report Looks at Spinal Fusion Claims

A study on the use of spinal fusion surgeries in California workers’ compensation shows that in 60 percent of spinal fusion claims the initial report of injury was for a sprain or strain, a majority of the fusions occurred within …

Report: California’s Central Coast Accounting for More of State’s Comp Claims

California’s Central Coast has been accounting for more of the state’s workers’ compensation claims recently, a new report issued today shows. The California Workers’ Compensation Institute has issued a new Regional Score Card, the sixth in its research series that …

Report on California Workers’ Comp Shows Sharp Increase in ALAE Costs

Allocated loss adjustment expense costs have increased sharply over the last several years despite implementation of many of the components of a workers’ compensation reform law intended to reduce total loss adjustment expense levels, a report out today from the …

Mississippi Supreme Court Weighing Injured Contract Workers’ Right to Sue

A worker is fighting one of Mississippi’s largest industries in a skirmish over who can be sued when employees suffer on-the-job injuries. The Mississippi Supreme Court Tuesday heard arguments in a suit by Quindon Thomas against Chevron USA. Thomas was …

California’s Workers’ Comp Division Posts Adjustments to Medical Fee Schedule

California’s Division of Workers’ Compensation has posted an order adjusting the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) section of the official medical fee schedule to conform to the 2017 changes in the Medicare payment system as required by …