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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- The mandate for vocational rehabilitation is repealed.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 The structure of the presumption is virtually identical to the recently repealed treating physician's presumption of correctness TPPC.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
New CA Reform Laws Summarized
09/11/2003
study of the
spinal surgery second opinion procedure by June 30 2006 and to issue
a report on its findings.
PTP
The Primary Treating Physician presumption would be further modified to exist only if the physician were predesignated and there was a dispute requiring a an additional comprehensive
Category: News
Garamendi Proposals High on CA Committee List
09/03/2003
chiropractic care per Senator Jackie Speier's bill as well as restrictions on other physical medicine care such as physical therapy. An outpatient surgical facility fee schedule is likely to emerge as well as a complete retraction of the Primary Treating Physician Presumption.
Apparently the Committee is
Category: News
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