California Workers’ Compensation Institute News

Study Examines Impact of California Workers’ Comp Formulary

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 …

Report: High Volume, Low Costs For Comp Claims in Northernmost California

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 …

California Comp Report Shows High IE and OC Medical and Indemnity Payments

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 …

Report: Most California Workers’ Comp Medical Review Decisions Upheld

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 …

Study: Formulary Could Save California Workers’ Comp $124M-$420M

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. …

California Workers’ Comp IMR Working: Study, Government

A key part to California’s sweeping workers’ compensation reform is working, according to a new study and the people running the system. More than 95 percent of workers’ comp medical treatment requests are approved following the utilization review and independent …

Injured Workers Opioid Use on Rise in California, Washington

Editor’s Note: This is part of a team report on opioid use by injured workers. For the national story read: Opioid Epidemic Plagues Workers’ Comp Washington and California are among states in the U.S. Western Region that have publicly struggled …

Opioid Epidemic Plagues Workers’ Comp

Editor’s Note: This is part of a team report on opioid use by injured workers. For stories focused on particular regions click on the respective links below. The national “epidemic” of opioid usage has garnered a great deal of public …

Bill Deadline in California Legislature Promises a Few Insurance Issues

It’s human nature to wait until the last minute to take care of business, and California legislators are a great example of that. The deadline to introduce bills in the Assembly and Senate is just over a day away: Feb. …

Report Suggests Compounders Adapted to California Price Controls

Think California’s new workers’ compensation reform law addressed just about every aspect of an unwieldy system which, few would argue, desperately needs fixing? Think again. A report on compounding drugs reveals the effects of another workers’ comp-related law enacted at …