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Posts tagged "insurers"

Poor Access to Medical Treatment Puts the California Workers' Compensation System Out in Front in the "Race to the Bottom"

The current state of affairs for medical treatment for injured workers is without a doubt rigged in favor of insurers who game the system to deprive workers of needed medical treatment and to push the costs of reasonable medical treatment off onto private health insurers, Medicare and MediCal. First, 80% of all workers injured at work are required to treat with doctors listed in the workers' compensation carrier's Medical Provider Network ("MPN"); the MPN is created and maintained by the workers compensation insurers. If a physician who is on the MPN recommends care which the insurer feels costs the insurer too much money, those physicians are weeded out by the insurer through economic profiling and taken off the MPN list. This means that doctors are reluctant to provide care which would otherwise would be reasonably medically necessary. We have had client's say that their doctor has said "I would prescribe 'X' treatment, but the carrier will bump me off the MPN."

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