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Employer Groups, Injured Worker Reps Spar Over Statewide MPN Proposal

  • State: California
  • Topic: Top
  • - Popular with: Legal
  • -  2 shares
Proponents of a bill that would create a statewide medical provider network say the legislation woul…

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Do not post libelous remarks. You are solely responsible for the postings you input. By posting here you agree to hold harmless and indemnify WorkCompCentral for any damages and actions your post may cause.
Tom Martin Apr 20, 2021 a 1:44 pm PDT

"Old ways of thinking die hard, particularly when they were weaned by legally enforced monopolies".

- Mitch Kapor
Entrepreneur, Co-Founder of the Electronic Frontier Foundation, Angel Investor

Robert McLaughlin Apr 20, 2021 a 1:55 pm PDT

Very true

Anne Bazel Apr 20, 2021 a 3:28 pm PDT

MPNs were imposed for one reason only, to control cases and to increase insurance bottom line. Anyone that says it improves medical care access is simply lying. There’s no such study proving it and it simply makes no logical sense, you have limited number of doctors.

As far as monopoly, absolutely, Anthem was able to force their providers accept their PPO rates, since they control about 70% of MPNs in CA.

James Moore Apr 22, 2021 a 6:49 pm PDT

I am going to have to go with the CWCI study. I think their proposed numbers may be on the high side, but the data shows future increased costs with AB 1465.

Steven Chandler Apr 27, 2021 a 4:29 pm PDT

MPNs are a valuable resource to ensure timely access to medical care as well as complete the myriad of complicated forms, etc required in the WC process. Most non-WC providers know nothing about the WC system and their patients suffer as a result due to delayed TD and PD benefits. Plus, there remains many outfits who blatantly disregard to LC139.3 and refer to ancillary providers with whom they have a financial interest. Further, MPN's in less larger metropolitan areas are able to cultivate relationships with providers and ensure accountability with respect to ACOEM, MTUS, ODG, etc. With a state-run MPN, imagine having to deal with a bureaucracy that has given us EDD in which you can't even wait on a perpetual hold if the system has too many callers in its' queue. What I do suggest is a central site for interested parties to find a link to the approved MPN for each entity having one.

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