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Coalition Takes on Schwarzenneger Bill Side by Side

12/05/2003
needs or agrees that all treatment may be provided without regard to the managed care provisions of the HCO contract. 4. Permits pre-designation from the HCO list of doctors. 5. Creates a presumption of correctness for the HCO treating physician as to medical treatment. 6. Permits unlimited

Category: News

Schwarzenegger/Maldonaldo Bill Detailed

11/20/2003
are expanded and made more liberal. 7. LC 4061 examinations will be limited solely to the compensability of an injury. 8. The primary treating physician presumption would be abolished in its entirety. 9. The definition of medical treatment would be radically redefined by amending Labor Code 4600 to

Category: News

Mushy Law Means CA Reform Savings Uncertain

11/04/2003
primary treating physician's presumption could be anywhere from 700 million to 4.5 billion in annual medical costs according to the testimony received by Garamendi. Frank Neuhauser project director at the DATASurvey Research Center at the University of California Berkeley which performed an

Category: News

Risk Mgr Says Comp Reform Math Doesn't Add Up

10/14/2003
Other areas that according to the WCIRB might produce additional savings but the potential amount cannot be calculated were 1 Primary Treating Physician Presumption 2 Spinal Surgeries 3 Physician Self- Referral of Outpatient 4 Expanded Carve-Outs 5 Fraud Investigation Given the

Category: News

ACIC Says CA Reform Important First Step

10/06/2003
visits are limited to 24 per claim. - The mandate for vocational rehabilitation is repealed. - A fee schedule for outpatient surgery centers is created. - New medical utilization guidelines are adopted. - The presumption of correctness that was assigned to the

Category: News

CWCI Seminar Preparing for SB 228 & AB 227

09/30/2003
Displacement Benefit -Administrative and Structural Changes -- changes in the Primary Treating Physician PTP presumption 2003 PTP reporting and regulatory revisions elimination of the IMC new penalties and medical lien filing fees the shift to 100 user funding -Medical Billing Changes revised

Category: News

ACIC Comments on Pending CA Legislation

09/29/2003
include a pharmaceutical fee schedule limits for chiropractic and physical therapy visits to 24 per claim repeal of the mandate for vocational rehabilitation implementation of a fee schedule for outpatient surgery facilities new medical utilization guidelines repeal of the current presumption of

Category: News

Alarcon Writes Garamendi: WCIRB Ignores Savings

09/29/2003
1. We have attached a presumption of correctness to the utilization protocols. The structure of the presumption is virtually identical to the recently repealed treating physician's presumption of correctness TPPC. The fact that the statute provides that it is rebuttable and may be controverted by

Category: News

WCIRB Estimate on Savings Not What Hoped For

09/17/2003
nevertheless could be "significant" based on studies that have documented differences in treatment costs of similar injuries between group health and workers' compensation. A repeal of the primary treating physician's presumption is estimated to yield one time savings of 2 billion and the replacement of

Category: News

CA Reform Bills Criticized, Passage in Question

09/12/2003
. According to the California Coalition on Workers' Compensation the WCIRB has only been able to estimate a total of 2 billion in one time savings for the repeal of the treating physician presumption and 3.3 billion in on going savings due to the repeal of the vocational rehabilitation benefit institution

Category: News

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