CWCI

Improving the California workers’ compensation system through research, information, education and representation

The California Workers’ Compensation Institute is a private, nonprofit organization of insurers licensed to write workers' compensation in California, as well as public and private self-insured employers, who serve as associate members. CWCI’s primary function is to generate reliable, objective data that can be used to identify and monitor systemwide trends, assist members in assessing their own operations, and to analyze key issues of interest to the workers’ compensation community and public policymakers. Towards that end, the Institute also produces a wide variety of research publications, provides information and technical training to help industry professionals stay abreast of changes, and serves as a forum where members can consider systemwide issues and reach consensus on practical solutions.

ANNOUNCEMENTS
The California State Average Weekly Wage rose just under 2.3 percent last year, which will boost a number of workers comp benefits beginning in January 2016.
CWCI research finds network providers are the primary treating physicians in 80% of California work injury claims, and though savings associated with network management have diminished in recent years, results vary significantly by network and by region.
On July 15, CWCI will conduct a half-day web-based seminar to help claims, medical and legal professionals become familiar with recent MTUS changes
Amid continuing debate over whether utilization review and independent medical review improve the California workers compensation medical dispute process, a new CWCI analysis of IMR decisions from 2014 finds that 91% of physician-level UR modifications or denials of treatment reviewed by an IMR physician were upheld, while 9% were overturned " suggesting that UR and IMR not only work to assure that the care rendered to injured workers is appropriate, but also provide a needed check against pharmaceuticals, diagnostic tests, surgeries and other procedures that fail to meet evidence-based medicine standards and that are could delay recovery or lead to further impairment or disability.
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