The Workers’ Compensation Insurance Rating Bureau of California (WCIRB) has released its Quarterly Experience Report. This report is an update on California’s statewide insurer experience valued as of June 30, 2024. Highlights of the report include: The full report is in the Research Studies and Reports section of the WCIRB website and at the following link: Conclusion The […]
California Workers’ Comp Premium Trends and Insights Read Post »
A Workers Compensation Research Institute (WCRI) study reveals that, as of March 2023, medical payments per workers’ compensation claim in California were 10% below the median of a 17-state sample. Titled CompScope Medical Benchmarks for California, 25th Edition, the report assesses med payment, pricing, and utilization in California compared to 16 other states. It covers
California Workers’ Comp Medical Payments 10% Below Median Read Post »
An Independent Medical Examination (IME) is a crucial process in the workers’ compensation system. It provides an objective evaluation of an injured worker’s medical condition. A medical professional who is not involved in the treatment of the worker conducts the IME. They play a vital role in resolving disputes. They also determine the appropriate course
Independent Medical Examination (IME) Read Post »
AME – QME: In the realm of workers’ compensation, it is crucial for both injured workers and employers to understand the roles of medical evaluators. Two key terms often encountered are Agreed Medical Evaluator (AME) and Qualified Medical Evaluator (QME). While they both serve the purpose of evaluating injured workers, there are significant differences between
AME – QME in Workers’ Compensation Read Post »
The Subsequent Injury Benefits Trust Fund (SIBTF) is a program. It is designed to provide additional compensation to workers with a pre-existing disability or condition. It offers aid to those who then suffer a new work-related injury. This injury worsens their overall disability. The program’s aim is to protect employers from bearing the entire financial
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Understanding Qualified Medical Evaluations A Qualified Medical Evaluation (QME) involves a state-certified medical professional conducting a specialized assessment to determine the nature and extent of an injured worker’s medical condition. These evaluations are crucial in workers’ compensation cases, as they help resolve disputes between the injured worker and their employer or insurer. Disagreements may arise
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