health care Archives - Page 3 of 4

The Workers’ Compensation Insurance Rating Bureau of California (WCIRB) Classification and Rating Committee

The Workers’ Compensation Insurance Rating Bureau (WCIRB) virtually held its Classification and Rating Committee meeting on November 12, 2024, at 9:30 AM. This meeting focused on key workers’ compensation system areas, offering updates and discussions critical to the industry’s ongoing development. Payroll Limitations and Risk Assessment in Workers’ Compensation The committee began by reviewing Payroll Limitations, which […]

The Workers’ Compensation Insurance Rating Bureau of California (WCIRB) Classification and Rating Committee Read Post »

Convicted Fraudster Accused of $100 Million Workers’ Comp Scheme

Jennifer Bauder • News

Convicted Fraudster Accused in $100M Workers’ Comp Fraud Scheme A convicted fraudster with a history of workers’ compensation crimes is at the center of a new case involving nearly $100 million in fraudulent claims. Details of the Alleged Scheme After a three-year investigation, the Orange County District Attorney’s Office announced on Friday that David Fish,

Convicted Fraudster Accused of $100 Million Workers’ Comp Scheme Read Post »

Wal-Mart Ordered to Pay $34.7 Million to Former Driver for Defamation

Jennifer Bauder • News

$34.7 Million Verdict Sends Strong Message to Employers A California jury has ruled against Wal-Mart in a high-profile defamation case, ordering the retail giant to pay $34.7 million to Jesus Fonseca, a former truck driver, for damaging his reputation with false accusations of workers’ compensation fraud. The verdict, delivered over two days on November 19

Wal-Mart Ordered to Pay $34.7 Million to Former Driver for Defamation Read Post »

Steve Hoddinott, et al. vs. Bravo Security Services, Inc., National Liability Fire Insurance Co., administered by biBERK Business Insurance, et al.

Jennifer Bauder • News

The case Steve Hoddinott, et al. vs. Bravo Security Services, Inc., National Liability Fire Insurance Co., administered by biBERK Business Insurance, et al., was adjudicated by the California Workers’ Compensation Appeals Board (WCAB). This matter was part of a broader series of workers’ compensation cases, consolidated due to overlapping legal questions and procedural disputes. Key

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Steve Hoddinott, et al. vs. Bravo Security Services, Inc., National Liability Fire Insurance Co., administered by biBERK Business Insurance, et al. Read Post »

Cal/OSHA Urges Ventura County Employers to Protect Workers from Wildfire Smoke Exposure

Jennifer Bauder • News

Cal/OSHA’s Recommendations for Employers During Wildfire Events Cal/OSHA urges Ventura County Employers to take necessary precautions to protect their workforce from the unhealthy air caused by wildfire smoke, particularly in areas currently impacted by the Mountain Fire in Ventura County. The affected zones currently include Oxnard, Camarillo, and Santa Paula, though smoke may spread to

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Cal/OSHA Urges Ventura County Employers to Protect Workers from Wildfire Smoke Exposure Read Post »

California Labor Commissioner’s Office Recovers Nearly $1 Million in Unpaid Wages for Bakery Workers

Jennifer Bauder • News

Sacramento, CA – In a major win for labor rights, the California Labor Commissioner’s Office (LCO) secured $942,604 in settlements to pay back wages to 187 former employees of Baked in the Sun, a Vista-based bakery that abruptly closed, leaving workers unpaid. Each worker will now receive over $3 for every $1 originally owed, a

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California Labor Commissioner’s Office Recovers Nearly $1 Million in Unpaid Wages for Bakery Workers Read Post »

Are Migraine Drugs Becoming a New WC Cost Driver?

Jennifer Bauder • News

Oakland, CA – Migraine Drugs represented less than 1% of all prescriptions dispensed to California injured workers in 2023 but they consumed 4.7% of workers’ compensation drug payments, a nearly 8-fold increase since 2018, which a California Workers’ Compensation Institute (CWCI) study links to the emergence of several high-cost brand drugs that are not listed

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Are Migraine Drugs Becoming a New WC Cost Driver? Read Post »

California workers' compensation wage increase

SAWW Increase Bumps California WC Benefits for 2025

Jennifer Bauder • Regulatory

Oakland, CA – California’s State Average Weekly Wage (SAWW) rose nearly 3.8 percent in the year ending March 31, 2024, which will increase California workers’ compensation temporary total disability (TTD) and permanent total disability (PTD) rates for 2025 work injury claims and other workers’ compensation benefits that are tied to SAWW increases. The latest wage

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SAWW Increase Bumps California WC Benefits for 2025 Read Post »

Opioid Prescribing for Injured Workers in California: 2017-2023

Jennifer Bauder • Medical

Oakland, CA – The decline in opioid use in California workers’ compensation has outpaced the decline among the state’s overall population according to a new California Workers’ Compensation Institute (CWCI) analysis of 2017-2023 opioid prescription data from the California Department of Justice’s Controlled Substance Utilization Review and Evaluation System (CURES) database. The analysis builds on

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Opioid Prescribing for Injured Workers in California: 2017-2023 Read Post »

Independent Medical Examination (IME)

Jennifer Bauder • Medical

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

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Independent Medical Examination (IME) Read Post »

The Leader in Medical-Legal News and Information

The Workers’ Compensation Insurance Rating Bureau of California (WCIRB) Classification and Rating Committee

Convicted Fraudster Accused of $100 Million Workers’ Comp Scheme

Wal-Mart Ordered to Pay $34.7 Million to Former Driver for Defamation

Steve Hoddinott, et al. vs. Bravo Security Services, Inc., National Liability Fire Insurance Co., administered by biBERK Business Insurance, et al.

Cal/OSHA Urges Ventura County Employers to Protect Workers from Wildfire Smoke Exposure

California Labor Commissioner’s Office Recovers Nearly $1 Million in Unpaid Wages for Bakery Workers

Are Migraine Drugs Becoming a New WC Cost Driver?

SAWW Increase Bumps California WC Benefits for 2025

Opioid Prescribing for Injured Workers in California: 2017-2023

Independent Medical Examination (IME)

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