Thursday, February 22, 2007, 11:57 PM - Political developmentsOn Friday, February 23, Cheese Whiz will be meeting at the California state building auditorium on Clay Street. Cheese Whiz? That's the acronym for the California Commission on Health, Safety and Workers' Compensation. It's a state agency charged to do study and loose oversight of the workers' comp system. The CHWSC has little actual power, but tremendous influence in that it can set the tone on workers' comp issues and thus "drive the debate."
Tomorrow, CHWSC will listen to the results of a medical access study done by a UCLA think tank, the Center for Health Policy Research. The study is of medical access issues under the 2003 and 2004 comp reforms. Those reforms brought utilization review to California workers' comp and installed the ACOEM guidelines as the official standard for medical treatment.
For the study, the UCLA Center for Health Policy Research interviewed 1200 workers and 1200 medical providers, as well as a group of insurer representatives. Whether this is a sufficiently large enough sample of California injured workers is open to debate.
All of this is against the backdrop of constant and loud complaints by workers that they have been denied medical care and refused access to doctors of their choice. Whether the study will verify those complaints or blunt that criticism isn't clear. You might want to check out the Voters Injured at Work website (www.viaw.com) or www.denialofcare.org for a workers' take on treatment denial issues.
Stay tuned. Workerscompzone will cover the study results.
Wednesday, February 21, 2007, 10:53 AM - Political developmentsFor an excellent look at some of the factors which may block health care reform in the legislature this year, check out this article in The Fresno Bee by Jim Boren:
http://www.fresnobee.com/182/v-printerf ... 30533.html
Health care reform is important to injured workers, and I will continue to highlight important developments in the debate.
Tuesday, February 20, 2007, 09:50 PM - Political developmentsSan Francisco attorney Alfonso Moresi has been appointed to an open slot on the California Workers' Compensation Appeals Board.
Moresi will fill the slot that recently opened up with the departure of WCAB commissioner Merle Rabine.
The appointment is subject to confirmation by the California State Senate.
I have known Al Moresi for years. Although I would have preferred that Gov. Schwarzenegger appoint an attorney who has represented injured workers, I respect Al Moresi's competence and integrity. As a founding and name partner of one of the state's largest workers' compensation defense firms, Moresi has years of experience in the field. Over the years, I have litigated hundreds of cases against Moresi.
Injured workers should not and can not expect that Moresi will necessarily vote in a pro-injured worker fashion on many of the cases that come up. But I do predict that he will be a reasonable member of the board who will at least give serious consideration to all points of view. There are many issues regarding the interpretation of the 2004 reforms which have been decided by a 5-4 majority. The WCAB may or may not decide to revisit some of those issues.
With that said, however, it should be noted that Schwarzenegger will have several other WCAB appointments to make later this year.
The bottom line is that Schwarzenegger's appointments are likely to be insurer-friendly, giving the Governor ample opportunity to pack the WCAB with appointees friendly to his reforms.
Tuesday, February 20, 2007, 10:32 AM - Political developmentsA major factor that led to the Draconian comp reforms of 2003 and 2004 was the job flight issue. Proponents of reform argued that workers' comp was strangling the California economy, causing business to leave for other states or the Far East.
But a recent study by a prestigious think-tank, the Public Policy Institute of California, debunks the job flight argument. The California share of jobs in the U.S. economy has actually risen.
Take a look at the article by Dale Kasler in the Sacramento Bee:
You can download the PPIC study by clicking the following URL:
Monday, February 19, 2007, 10:22 AM - Medical treatment under WCInteresting article in last week's Los Angeles Times about Kaiser going digital. Many of the large insurers and medical providers are (or will) be trying to go digital. Unless and until the kinks get worked out, serious problems in patient care can develop.
To see the article; click the url below:
http://www.latimes.com/business/la-fi-k ... e-business