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In the News

Low-Hanging Fruit Has Been Picked

Source: Orange County Register

According to many in the industry, rate reductions in CA are done, and prices may begin to creep back up. With the reforms in place, the low-hanging fruit has been picked and if employers want to see additional

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ACOEM Releases New Low Back Guidelines

CHICAGO, IL, December 4, 2007 The American College of Occupational and Environmental Medicine (ACOEM) has released an extensive update to its evidence-based practice guidelines. The chapter on low back disorders is the latest revision...

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NY INS DEPT ISSUES DRAFT WORK COMP MEDICAL TREATMENT GUIDELINES

Source: New York State Insurance Department

Proposed medical treatment guidelines for treating workers injured on the job will benefit those workers while helping to hold down the cost of workers compensation insurance for all New Yorkers, New

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CA DWC Seeking Comments on Revised Guidelines

Source: CA DWC

The Division of Workers' Compensation (DWC) has revised its proposed postsurgical treatment guidelines and posted them to a second online forum where members of the public may review and comment on the proposal. The purpose of t

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CA DWC Looking for Feedback on Post-Surgical Treatment Guidelines

Source: CA DWC

The Division of Workers' Compensation (DWC) has posted its proposed postsurgical treatment guidelines, along with its new functional improvement report form, to an online forum where members of the public may review and comment

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EDITORIAL - "Reckless Remedy"

From The Riverside Press-Enterprise:

While there have certainly been reductions in Work Comp benefits from previously bloated levels it does not necessarily mean that new benefit levels are too low.

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Other News
California Chamber and 2 Workers' Comp Groups File Brief in Utilization Review Case - Insurance Journal Fri, 23 Jun 2017 18:14:38 GMT

Insurance Journal

California Chamber and 2 Workers' Comp Groups File Brief in Utilization Review Case
Insurance Journal
The California Workers' Compensation Institute, the California Chamber of Commerce and the California Coalition of Workers' Compensation have filed a joint amicus brief in Stevens v. WCAB, the long-running court case that challenged the ...

No change in California misconduct complaints: Report - Business Insurance Fri, 23 Jun 2017 19:29:58 GMT

Business Insurance

No change in California misconduct complaints: Report
Business Insurance
The California Division of Workers' Compensation released its 2016 Ethics Advisory Committee's annual report Friday showing no increase in the number of misconduct complaints. The committee considered a total of 39 of the 44 new complaints it received ...

California to delay implementation of workers comp drug formulary - Business Insurance Wed, 31 May 2017 16:36:11 GMT

Business Insurance

California to delay implementation of workers comp drug formulary
Business Insurance
“The anticipated delay is deliberate and serves to allow time for stakeholders to program the necessary changes, as well as provides California Division of Workers' Compensation leadership time to educate physicians and injured workers on how the ...

Arrowhead in California Launches Hard-to-Place Workers' Comp Subsidiary - Insurance Journal Tue, 20 Jun 2017 18:27:55 GMT

Insurance Journal

Arrowhead in California Launches Hard-to-Place Workers' Comp Subsidiary
Insurance Journal
Arrowhead General Insurance Agency Inc. in San Diego, Calif. has launched a workers' compensation wholesale brokerage arm that provides market access and specializes in harder-to-place risks and multi-state accounts. The subsidiary is called Valiant ...

10 attorneys, 6 others charged by OC District Attorney's Office in what it calls a massive workers' comp scheme - OCRegister Tue, 06 Jun 2017 06:40:59 GMT

OCRegister

10 attorneys, 6 others charged by OC District Attorney's Office in what it calls a massive workers' comp scheme
OCRegister
The OCDA and members of the California Department of Insurance announce the first phase of charges filed against ten attorneys and six cappers for a multi-million dollar workersÕ compensation insurance fraud scheme. ... The Orange County District ...
Charges filed in massive workers compensation insurance referral schemeOrange County Breeze

all 4 news articles »
Newport Beach businessman gets jail sentence for insurance fraud, tax evasion scheme - OCRegister Fri, 23 Jun 2017 05:58:17 GMT

Newport Beach businessman gets jail sentence for insurance fraud, tax evasion scheme
OCRegister
SANTA ANA — A Newport Beach business owner prosecuted for insurance and workers' compensation fraud and tax evasion finished paying $1.7 million in restitution Friday, June 23, so an Orange County Superior Court judge lessened his sentence from ...

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Berkshire Unit Settles With California Regulator Over Workers Comp Insurance - Wall Street Journal (subscription) Thu, 08 Jun 2017 16:04:12 GMT

Wall Street Journal (subscription)

Berkshire Unit Settles With California Regulator Over Workers Comp Insurance
Wall Street Journal (subscription)
A unit of Berkshire Hathaway Inc. will be able to sell a revised version of its controversial workers' compensation insurance policies in California following a settlement with the state's top insurance regulator. Last year, California Insurance ...
Berkshire units settle California 'bait and switch' insurance probeReuters
Berkshire Hathaway units settle comp dispute with CaliforniaBusiness Insurance
Berkshire Settles California's 'Bait-and-Switch' Insurance CaseBloomberg
Insurance Journal -Seeking Alpha -Business Wire (press release)
all 119 news articles »
The UR/IMR Process: Still Good on its Face - WorkersCompensation.com (press release) Sat, 24 Jun 2017 04:14:47 GMT

The UR/IMR Process: Still Good on its Face
WorkersCompensation.com (press release)
On its face, this may just appear to be yet another case addressing a dispute in treatment, but to the contrary- this is another example of the solvency of the UR/IMR process in California. What was once designed to make the California Workers ...

Harbor Gets California Department of Workers' Comp OK for Telemedicine - Insurance Journal Fri, 16 Jun 2017 14:49:49 GMT

Insurance Journal

Harbor Gets California Department of Workers' Comp OK for Telemedicine
Insurance Journal
Newport Beach, Calif.-based Harbor Health Systems it is one of the first companies to receive approval from the California Department of Workers' Compensation to offer telemedicine through its medical provider networks. Through the video ...

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California Business Owner Nabbed in $32M Workers' Comp Fraud Scheme - Insurance Journal Thu, 01 Jun 2017 22:46:59 GMT

Insurance Journal

California Business Owner Nabbed in $32M Workers' Comp Fraud Scheme
Insurance Journal
Detectives with the California Department of Insurance arrested Gina Marie Gregori, 55, of Lafayette, for allegedly underreporting payroll and duping insurers out of $32 million. Gregori was charged with 19 felony counts and is being ... Over a seven ...