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Research Finds No Improvement in Worker Outcomes When Medical Prices Increase

When the price of physician services increases relative to group health rates, injured workers report fewer problems getting the care they want but no significant improvement in physical function or speedier return to work, according to a study released Thursday by the Workers’ Compensation Research Institute.

WCRI used data taken from interviews with injured workers in 14 states and claims data from 30 states to measure the impact of medical price changes, relative to prices paid by group health.

California Psychologist And Doctor Charged With Fraudulent Workers’ Comp Evaluations

A California psychologist and doctor have been charged for allegedly submitting fraudulent insurance claims for workers’ compensation medical legal evaluations in an attempt to steal tens of thousands of dollars from multiple insurers.

Psychologist Danita Stewart, 51, of Chatsworth, a licensed psychologist, allegedly submitted 36 fraudulent insurance claims between April 2015 and June 2015 to five different insurers for medical legal evaluations for a total of $90,714.

California Hits 2 Companies with $4.3M Fine for Improperly Selling Workers’ Comp

California Insurance Commissioner Dave Jones on Wednesday imposed a $4.3 million penalty on American Labor Alliance and CompOne USA for selling workers’ compensation and liability policies to employers of farmworkers without being properly licensed with the California Department of Insurance.

The penalty follows a cease and desist order issued by CDI 2016 against the Agricultural Contracting Services Association Inc. and its affiliates, the American Labor Alliance and CompOne USA, and Board Chair Marcus Asay, and an order issued by Jones in 2017 them to refrain from selling insurance policies in California.

California’s 376 Fatal Occupational Injuries in 2017 Equals Previous Year, Report Shows

The California Department of Industrial Relations issued a report on Tuesday showing that 376 Californians died on the job in 2017, the same as in 2016.

California’s workplace fatality rate remains stable with slight fluctuations over the past eight years, while on a national level the rate of fatalities fell from 3.6 to 3.5 per 100,000 workers, according to the DIR.

Oregon Study Shows California Workers’ Comp Rates Falling, but Still High

Workers’ compensation premium rates fell considerably nationwide, while California continued to see among the worst rates in the nation, according to a new study out from the Oregon Department of Consumer and Business Services.

The department puts out its Oregon Workers’ Compensation Premium Rate Ranking Summary report every two years.

California Insurance Commissioner OKs Workers’ Comp Rating Bureau Filing

California Insurance Commissioner Dave Jones has approved a filing from the Workers’ Compensation Insurance Rating Bureau’s that makes amendments to uniform statistical reporting and experience rating.

The WCIRB submitted a regulatory filing and ensuing amendments to the filing in Aug. 1 which was followed by a public hearing was held on Aug. 3.

9 California Restaurants Cited for Failing to Provide Workers’ Comp

A joint enforcement strike force issued more than $200,000 in administrative fines to nine Contra Costa County, Calif. restaurants for failing to provide workers’ compensation insurance.

Investigators from the Contra Costa District Attorney’s Office, Department of Industrial Relations’ Labor Commissioner’s Office, and Employment Development Department conducted surprise inspections in June and July at Contra Costa County restaurants suspected of evading the obligation to provide workers’ comp insurance to employees.

Study Examines California Worker’s Comp Prescription Drug Outcomes Under New Formulary

A new analysis offers a preliminary look at Utilization Review and Independent Medical Review outcomes involving pharmaceutical requests for California injured workers since the state implemented a workers’ compensation formulary in January.

The analysis from the California Workers’ Compensation Institute issued on Friday shows that the proportion of UR decisions involving prescription drug requests fell from 44.5 percent in the pre-formulary period to 40.7 percent in the first five months of 2018.