Feds Intervene in MultiPlan Price-Fixing Case

Feds Intervene in MultiPlan Price-Fixing Case

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Antitrust Allegations Target Healthcare Price-Fixing Algorithms April 7, 2025 – MedLegalNews – MultiPlan Price-Fixing Case: The U.S. Department of Justice (DoJ) recently entered the ongoing antitrust legal battle against MultiPlan (now known as Claritev), a tech company that assists health insurers in controlling healthcare costs. This case has gained national attention, as it alleges that […]

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California Law to AI: Legal Advisories Issued by Attorney General Bonta

California Bill Seeks to Reform Subsequent Injuries Benefits Trust Fund (SIBTF), Tighten Eligibility Requirements

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March 26, 2025— Assemblymember Liz Ortega has amended Assembly Bill 1329 to significantly alter California’s Subsequent Injuries Benefits Trust Fund (SIBTF), proposing its renaming to the Second-Chance Employer’s Risk Reduction Trust Fund. The bill aims to reform the program that provides supplemental benefits to workers with pre-existing disabilities who suffer a subsequent work-related injury, resulting

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Bill Proposes Standardized Med-Legal Report Templates

Bill Proposes Standardized Med-Legal Report Templates

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Effort to Streamline Medical-Legal Evaluations Gains Support April 3, 2025 – MedLegalNews – Standardized Med-Legal Report Templates: California lawmakers are advancing a bill to standardize med-legal report templates, aiming to improve efficiency and consistency in medical-legal evaluations. The proposed legislation seeks to reduce disputes, expedite claim resolutions, and enhance clarity in reports used for workers’

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Bill Seeks to Address Understaffing at Cal/OSHA

Bill Seeks to Address Understaffing at Cal/OSHA

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California Lawmakers Push to Strengthen Workplace Safety Oversight April 3, 2025 – MedLegalNews – Bill Seeks to Address Understaffing: California legislators are proposing new legislation to tackle chronic understaffing at the state’s Division of Occupational Safety and Health (Cal/OSHA). The bill aims to increase staffing levels and improve the agency’s ability to enforce workplace safety

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CMA Introduces 2025 Bill Package for Healthcare Reform

CMA Introduces 2025 Bill Package for Healthcare Reform

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April 02, 2025 – CMA Introduces 2025 Bill Package:The California Medical Association (CMA) has unveiled its 2025 sponsored bill package, aiming to address major healthcare challenges, including bureaucratic delays, private equity’s role in medicine, AI regulations, and physician workforce shortages. Tackling Private Equity’s Influence in Healthcare CMA President Shannon Udovic-Constant, M.D., emphasized the organization’s commitment

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Doctors Company Acquires ProAssurance in Finalized Deal

Doctors Company Acquires ProAssurance in Finalized Deal

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April 1, 2025 – Napa, CA – The Doctors Company Acquires ProAssurance Corporation (NYSE: PRA) in a $1.3 billion transaction, significantly strengthening its role in the medical liability insurance market. Expanding Nationwide Healthcare Liability Coverage Under the terms of this deal, ProAssurance stockholders will receive $25.00 per share in cash, representing a 60% premium over

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CA Workers’ Comp Conference: Key Issues Highlighted

CA Workers’ Comp Conference: Key Issues Highlighted

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April 1, 2025 – CA Workers’ Comp Conference: The 32nd Annual Educational Conference, hosted by the California Division of Workers’ Compensation (DWC), will bring together industry professionals, policymakers, and stakeholders to discuss the latest trends, challenges, and legislative updates in the workers’ compensation system. The highly anticipated event is set to take place in both

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AB 1293

AB 1293 (Wallis) – California QME Updates for 2025

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March 31, 2025 – AB 1293, introduced by Assembly member Wallis, proposes important updates to California’s workers’ compensation system, specifically targeting how Qualified Medical Evaluators (QMEs) operate. The bill aims to improve both the clarity and efficiency of the QME process, ensuring more standardized communication and reporting. Background: How the Current QME System Works California’s

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TRICARE Referral Waiver

TRICARE Referral Waiver: Extended Through April 30, 2025

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March 28, 2025 – TRICARE Referral Waiver: On January 1, 2025, TriWest Healthcare Alliance (TriWest) assumed managed care responsibilities for TRICARE beneficiaries in the 26-state western region, including California. However, due to challenges during this transition, the U.S. Defense Health Agency (DHA) temporarily waived referral and authorization requirements for TRICARE Prime beneficiaries seeking outpatient services.

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Court Sends Back 1970s Baseball Player’s Cumulative Trauma Claim to Determine Injury Date

Connecticut Supreme Court: Judge’s Discretion in Workers’ Comp Decisions Affirmed

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March 26, 2025 – The Connecticut Supreme Court recently ruled that administrative law judges (ALJs) retain the discretion to award ongoing temporary partial incapacity benefits after a claimant reaches maximum medical improvement (MMI), even when permanent partial disability (PPD) benefits are available. This decision reverses a 2024 Appellate Court ruling and a prior Compensation Review

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