tag:blogger.com,1999:blog-8489363879633129568.post4494791384159829422..comments2023-11-13T11:54:56.769-08:00Comments on DePaolo's World: Limiting UR to In-State Physicians NonsensicalAnonymoushttp://www.blogger.com/profile/02446191842560064784noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-8489363879633129568.post-14083391803155187672011-07-03T13:13:45.832-07:002011-07-03T13:13:45.832-07:00Thanks for the comment Ronald.
Generally the ter...Thanks for the comment Ronald. <br /><br />Generally the term "provider" in WC jargon refers to physicians and medical vendors, but I think you are referring to the carriers and TPAs.<br /><br />I sympathize with those impacted by ill-managed UR and the nefarious practices some of these folks engage in, but the way this proposal is structured won't cure that problem at all. <br /><br />What WILL help is actual enforcement of the penalties for bad UR practices - here's the rub: how do you enforce penalties against out of state UR even IF they are licensed in CA? <br /><br />AND, what kind of enforcement action is the Medical Board really going to take against a physician that denies a treatment recommendation? There is a lot of latitude that physicians are given relative to medical opinions that does not give rise to actionable enforcement.<br /><br />I just don't see this proposed legal amendment providing the protections that its proponents argue.Anonymoushttps://www.blogger.com/profile/02446191842560064784noreply@blogger.comtag:blogger.com,1999:blog-8489363879633129568.post-13946279099446629122011-07-01T21:24:13.735-07:002011-07-01T21:24:13.735-07:00David:
If you only knew what kind of crap these p...David:<br /><br />If you only knew what kind of crap these providers try to get away with, you might have a better understanding of why this is necessary. Some providers have used very ingenious methods and very shady doctors to counteract the treatment requests of treating physicians. After all it's all about fixing the worker so that he can return to work. When are the providers finally going to keep that promise that they made almost 100n years ago?Ronaldhttps://www.blogger.com/profile/02706058107707604205noreply@blogger.com