California Applicants' Attorneys Association Calls for Working Group to Examine Utilization Review (UR): Costly UR Abuse Undermines SB 863 - FOR IMMEDIATE RELEASE: Friday, November 22, 2013 SACRAMENTO, CA - The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today called for the Division of Workers’ Compensation to form a Working Group to examine “rampant Utilization Review (UR) denials of recommended medical treatment for injured workers, and find solutions.” CAAA President Jim Butler said, “We must bring out-of-control, costly Utilization Review (UR) to heel, as it threatens ....

In case you missed it: Workcompcentral's - The Problem with IMR is UR by Adam Dombchik and Tom Martin Published: November 13, 2013 - FOR IMMEDIATE RELEASE: Wednesday, November 14, 2013 We read David DePaolos timely column, "IMR The New Game in Town" (Sept. 24) with great interest, and we wish to suggest a completely different explanation for the current independent medical-review crisis: out-of-control utilization-review (UR). We have witnessed utilizationreview denial after denial for many years.
 

In case you missed it: David DePaolo’s Work Comp Central - This Ain't Gonna Work Published: October 31, 2013

FOR IMMEDIATE RELEASE: Wednesday, November 7, 2013 - I'm not sure what to expect from the Rand report on earnings losses that was prepared for the California Commission on Health Safety and Workers' Compensation as directed by the legislature in SB 863 to determine the handling of the $120 million slush fund.

 

Sedgwick vs. The People: Round 4: Sedgwick v. Debbye Mazzucca “Deny & Delay Care to Drive Injured Workers Away” Operating Room Nurse’s Injury no Emergency to Kaiser, Insurer: Defy Judge’s Order, Refuse to Provide Urgent Medical Care Injured Workers’ Advocates to Seek Penalties, Investigation FOR IMMEDIATE RELEASE: Wednesday, October 23, 2013 SAN DIEGO, CA – The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today held a news conference outside Kaiser Foundation Hospital with Debbye Mazzucca, a former operating room nurse who was injured while working there. They called for sanctions against Sedgwick Claims Services, Kaiser’s

 

California Applicants' Attorneys Association: New RAND Injured Workers’ Earnings Loss Study Shows Permanent Disability Compensation “Appallingly Inadequate” Injured Workers not Returning to Former Job Suffer Total Earnings Loss, 25% of Injured Workers Lost Disability Ratings under SB 899 FOR IMMEDIATE RELEASE: Wednesday, October 9, 2013 SACRAMENTO, CA - The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today responded to new findings in a RAND Institute study of permanent disability compensation.

 

California Applicants' Attorneys Association Calls for State Div. of Workers’ Comp. to Keep Holding Injured Workers’ Hearings in Goleta: Closing WCAB Removes Access to Justice FOR IMMEDIATE RELEASE: Thursday, October 3, 2013

SACRAMENTO, CA - The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today called upon the Division of Workers’ Compensation (DWC) to either reverse its decision to close the Goleta Workers’ Compensation Appeals Board (WCAB) at the end of November, or, at a minimum, continue to hold hearings in Goleta on injured workers’ insurance claims.

 

California Applicants' Attorneys Association Announces 2013-14 leadership team: Key Goals - Limiting Utilization Review Denials, Building Alliances & Creating Code of Standards FOR IMMEDIATE RELEASE: Monday, September 30, 2013 SACRAMENTO, CA - The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today announced that it has installed a new president and team of officers for the coming year. Incoming CAAA President Jim Butler

 

Sedgwick vs. The People: “Deny, Delay and Drive Injured Workers Away”  Round 3: Sedgwick v. Gabriel Padilla -

The third in a series spotlighting the workers’ compensation claims handling practices of insurers like Sedgwick Claims Management Services, the largest workers’ compensation claims handler in North America. “Why does the State of California allow unacceptable treatment of Californians injured on their jobs?” FOR IMMEDIATE RELEASE: Monday, September 16, 2013 My name is Gabriel Padilla Duran, and I live in Salinas.

I have three children: a son, 12; ...

 

Bill Insulates Wealthy NFL Teams From Liability for Past Head Injuries FOR IMMEDIATE RELEASE: Friday, September 6, 2013  AB 1309 is the opening salvo in an attack on a worker’s right to be compensated for cumulative injuries suffered on the job. It changes decades of legal precedent that allows out of state workers who are hurt while working in California to file in California for worker compensation benefits. Worst of all it applies retroactively to  ...

 

Policy Implementation Director to Team: CAAA Hires Veteran Workers’ Compensation Attorney Diane Worley, Has Represented both Injured Workers and Employers FOR IMMEDIATE RELEASE: Tuesday, Sept. 3, 2013 SACRAMENTO, CA - The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today announced hiring veteran workers’ compensation insurance attorney Diane Worley as its Director of Policy Implementation. Worley joins CAAA ...  

 

CAAA Legislative Director Brad Chalk responded today to RAND’s report on earnings loss by  permanently disabled workersFOR IMMEDIATE RELEASE: Friday, August 23, 2013  "CAAA has expressed the concern that SB 863 did not adequately address the lost earnings of injured workers who are unable to return to their prior jobs. CAAA worked to include this program in SB 863 to address the grossly inadequate permanent disability compensation for injured workers who can’t return to their prior jobs.

 

Injured Workers’ Advocates Release Free IMR Podcast Experts Address Medical Treatment Dispute Resolution FOR IMMEDIATE RELEASE: Monday, August 19, 2013 SACRAMENTO, CA - The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, released a free podcast focused on the new Independent Medical Review (IMR) process for resolving medical treatment disputes. The podcast features a panel of IMR experts at CAAA’s recent summer convention. “CAAA is dedicated to ensuring injured workers get SB 863’s promised prompt access to necessary medical care,” said CAAA President Larry Stern. “We are closely following implementation of the new IMR process to .... 

 

In case you missed it… The Fresno Bee: Fresno workers' compensation case highlights statewide problems By Carmen George Originally Published: August 6, 2013 FOR IMMEDIATE RELEASE: Wednesday, August 7, 2013 - A workers' compensation company is being criticized for failing to provide medical care for a Fresno woman injured on the job more than 10 years ago. The employee, Guadalupe Ortega ...

 

Injured Workers’ Advocates Call for Penalties, Investigation:Lyons Magnus Insurer Failed for Ten Years to Provide Medical Care, Disability Compensation Drove Fresno Woman into Homelessness,Lost Custody of Children Insurer Also Contributed to Death of Ventura Co. Man Protest lack of effective penalties when workers’ compensation insurance companies harm patients through delaying and denying medical care FOR IMMEDIATE RELEASE: Tuesday, August 6, 2013 FRESNO, CA – An injured Fresno food processing worker today protested outside Lyons Magnus headquarters and called for sanctions against, and an investigation into, serious and willful misconduct by the company’s workers’ compensation insurer. Guadalupe Ortega fell at work in 2002, and injured her back, neck and shoulder. Lyons Magnus never disputed that her injury was work-related, and the doctor ...

 

Injured Workers’ Advocates Seek Criminal Penalties for Death After Insurer’s “Callous Indifference, Reckless Disregard of Care” Why is it not criminal when workers’ compensation insurance companies kill patients through delaying and denying medical care? FOR IMMEDIATE RELEASE: Thursday, June 20, 2013 VENTURA, CA – Several attorneys from the Central Coast Chapter of theCalifornia Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, held a news conference today on the steps of the Ventura County District Attorney Gregg Totten’s (DA) office ...
 

By Ernest A. Canning Originally Published Tuesday, May 21, 2013.  Excerpts Below ... ……SB 899…Thanks to the law's massive reduction in prohibitive penalties that could have been assessed for bad faith refusals to furnish vital, life-sustaining medical treatment --- the new penalties are a drop-in-the-bucket compared to what it had cost to keep him alive --- Charles is no longer with us...

 

REVIEW OF MILLIMAN, INC. REPORT: Analysis of Gross Ultimate Loss and Allocated Loss Adjustment Expense from California Based Cumulative Trauma Claims

A recent report that estimated the cost to California employers of cumulative injury claims filed by professional athletes contains a fundamental flaw that completely invalidates its findings. The report examined the cost of "California cumulative injury claims" filed, and expected to be filed, by athletes who played for professional sports teams during the last 30 years. According to this report, the estimated expected cost of these claims in 2011 was $82.1 million. The report concludes that if this figure were included in the most recent workers’ compensation insurance rate filing, the California pure premium would be higher by approximately 1.3% ....

FOR IMMEDIATE RELEASE: Friday, May 17, 2013

 

Injured Workers Advocates Call for Attention to Working Women’s Injury Rates; End to Constant Delays and Denials of Medical Care; Insurance Carrier Malfeasance

SACRAMENTO, CA - The California Applicants’ Attorneys Association (CAAA) Women’s Caucus, whose members represent Californians injured on the job, today called for a focus on work injuries common to women and identification of solutions. “As the percentage of women in the workforce has steadily increased, and as more women have taken on jobs ...
FOR IMMEDIATE RELEASE: Tuesday, May 14, 2013

 

In case you missed it…Workers’ Compensation insurance carrier denies care, defies judge’s order to provide care, patient dies, WCAB orders an audit of Sedgwick to examine pattern and practice of denials of care.  FOR IMMEDIATE RELEASE: Wednesday, May 8, 2013

 

Clovis Athlete Zack Follett to Assem. Perea: Whose side are you on: Billionaires or Athletes? AB 1309 takes side of NFL owners vs. players. Why help Detroit Lions deny care for my injuries? FRESNO, CA – Clovis resident Zack Follett, a former Detroit Lions linebacker who would be barred by AB 1309 (Perea) from even filing a claim against the Lions’ workers’ compensation insurance carrier in California, today protested the measure outside Assem. Perea’s office.
FOR IMMEDIATE RELEASE: Friday, April 19, 2013

 

AB 1309 (Perea) shifts NFL owners’ injury costs to taxpayers, aiding billionaires in avoiding responsibility for players’ injuries, including dementia, Alzheimer’s, Lou Gehrig’s disease - Workers’ compensation is insurance that employers are required to purchase to cover injuries to employees arising from their work. Shielding billionaire out-of-state team owners from their liability to provide medical treatment and disability compensation to their injured players doesn’t have any impact on the workers’ compensation insurance costs for California employers. AB 1309 seeks to protect billionaire sports team owners on the backs of injured athletes. FOR RELEASE: Thursday, April 18, 2013
 
By Dirk Stemerman On the Job Originally Published Thursday, April 11, 2013 Just months after California politicians credited themselves with "reforming workers' compensation, they're back again with Assembly Bill 1309, which aims to stop some professional athletes from receiving workers' compensation benefits in California.
FOR IMMEDIATE RELEASE: Friday, April 12, 2013
 
In case you missed it… DePaolo's Work Comp World Big Business versus the EWJ
By David DePaolo Originally Published Tuesday, March 26, 2013
  While the ongoing dispute concerning whether professional sports employees (aka athletes) in the National Football League can seek redress for their work injuries in California in contravention to collective bargaining contract provisions seems limited in scope, what happens with the NFL cases can have implications for many, many different occupations.
FOR IMMEDIATE RELEASE: Wednesday, March 27, 2013
 

Here is the latest CAAA News Release.  Per CAAA’s Terms of Use “We encourage you to reproduce, redistribute and repost our public communications with credit to CAAA as the source, and include a link to www.caaa.org that will send those interested in our messages to our website."

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