utilization review News

Report: California Independent Medical Review Volume Declined Through 1st Half of 2021

The number of independent medical reviews used to resolve California workers’ comp medical disputes hit a record low in the first half of 2021 as statewide unemployment remained stubbornly high, non-COVID job injury claims stayed below pre-pandemic levels, millions of …

California State Fund Launching Utilization Review Solution

California State Fund announced the rollout of a solution the worker’s comp carrier says will enable doctors to provide expedited care for injured workers. State Fund’s utilization review technology, called UR Connected, is designed to speed up the approval process …

California High Court: Workers’ Comp Law Provides Exclusive Remedy in Utilization Review Case

The California Supreme Court issued an opinion today that utilization review physicians cannot be sued for malpractice, upholding established law that the workers’ comp system provides injured employees an exclusive remedy against an employer for compensable work-related injuries. The court …

California Workers’ Comp IMR Working: Study, Government

A key part to California’s sweeping workers’ compensation reform is working, according to a new study and the people running the system. More than 95 percent of workers’ comp medical treatment requests are approved following the utilization review and independent …