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Vol. 5, Issue 20

Find Solutions & Strategies                                        May 19, 2014

Monitoring SB 863 Reforms
  
The $64,000 question is whether IMR will actually reduce medical costs
In This Issue
* MONITORING REFORMS
* PENALTY; UNREASONABLE DENIAL OF PAIN MEDICATION
* HIGH OPIOID USE
* REPLACEMENT QME, SEDENTARY WORKERS
* NEWS: Governor signs AB 1035 extension of time to file firefighter death benefits
* eNEWSLETTER ARCHIVES
A Note From the Editor

  Robin Kobayashi 2010  

Dear Workers' Comp Community:
 
We've got a great issue for you this week. My sincere thanks to all of our contributors and consultants who worked up to the last minute to make this issue happen!
  
Join our community. Sign up here to receive our free eNewsletter.

 

Sincerely,

Robin E. Kobayashi, J.D.
LexisNexis Legal & Professional Operations

It's a Classic! 

   
 

WCRI Continues to Build Baseline to Monitor Impact of California's Workers' Comp Reforms

But the $64,000 question is whether IMR will actually reduce medical costs

 

 By Thomas A. Robinson, JD

 

Tom Robinson thumbnailAs proponents and critics of controversial Senate Bill 863 - California's latest legislative effort to "reform" the state's workers' compensation laws - continue their argument about the relative efficacies of the legislation, they will need to bear in mind at least one important factor not known during the debate of the bill: that while medical payments per comp claim had grown rapidly from 2006 to 2009, such costs per claim had already begun to moderate in the two years preceding passage of the law. That is one of the important conclusions offered in a recent study by Rui Yang, published and released by the Workers' Compensation Research Institute. The study, entitled "CompScopeTM Medical Benchmarks for California, 14th Edition," continues to build a baseline for monitoring the impact of SB 863...read more.

unreasonable denial of medical treatment by abruptly withdrawing authorization for injured worker's opioid pain medication

Both utilization review physician and MTUS expressly recommended slow tapering of opioid pain medications

  

Pills Pain

The WCAB, in a split panel opinion, rescinded a WCJ's order denying the applicant's petition for penalty under Labor Code § 5814, and held that a penalty was justified as the applicant had established that the defendant unreasonably delayed or denied medical treatment for his 1/22/78 back and neck injuries by abruptly withdrawing authorization for his narcotic/opioid pain medication, including diazepam and Norco, based upon reliance on the utilization review process...read more.

prevalence of opioids in calif. workers' comp holding at near-record highs

CWCIDespite efforts to curb the use and cost of opioids in California workers' comp, new CWCI research finds the use of these drugs has remained at record levels since 2010, that virtually the same 3% of high-volume Schedule II opioid prescribing doctors continue to write more than half of the prescriptions, and that nearly half of the prescriptions are for minor injuries where medical evidence does not clearly support Schedule II opioid use...read more.

lexisnexis legal newsroom blogs 

Cal Comp CasesNo Entitlement to Replacement QME When QME Allegedly Failed to Issue Timely Supplemental Report:  Cal. Comp. Cases May Advanced Postings (5/13/2014). Lexis.com and Lexis Advance subscribers can read it.  

 

 

 

 

Sitting 9 to 5 in the Workplace: Can We Change That Sedentary Way of Living? by Teresa McLoughlin Rice, Esq. Read it.

california news headlines

CA: Governor Signs AB 1035 Extension of Time for Filing Firefighter Death Benefits.

CA: Speaker of Assembly Appoints New Commissioner to CHSWC.

CA: WCAB/DWC Changes Stipulations, DOR, Doc Separator Sheet.

CA: DWC to Hold Public Hearing for MTUS Regulations.

CA: DWC to Hold Public Hearing for Proposed Copy Service Fee Schedule.

CA: DWC Posts Latest Maximus IBR Webinar Presentation Slides.

CA: 500 CEO's Rank California as Worst State in Nation for Businesses.

CA: Three Calif. Doctors Are Top Medicare Billers for Complex Office Visits.

CA: Nurse Practitioners to Continue Push for Legislation in 2015.

Employer Reps Say Wage Theft Unintentional Due to Complex Regulations.

Obese Workers Cost Employers $4K More in Health-Related Costs Each Year.

NOTICE OF CORRECTION
The DWC has brought to our attention an error in Table 1, Present Value of Permanent Disability, in Workers' Comp Laws of California, 2014 Edition. Access a corrected table here. We apologize for the error and inconvenience.

enewsletter archives

ArchivesTake a deep dive into our past eNewsletters for 2014 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.
 
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