Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: No Medi-Cal Clawback of Unused Managed Care Payments From Estates. California Fair Chance Act Violation Requires Proof of Harm. No FEHA Claim for City Retiree Health Benefits Minimum Age Rule. Grocery Chain Manager Convicted in Fraud and Wage Theft Case. EEOC Seeks End to 2012 Criminal Records Employer Guidance. WCIRB Reports Combined Ratio Hits 127%, Highest in 20+ Years. Healthcare AI Pays Off in Claims and Billing, Not Yet at the Bedside. Minimally Invasive Knee Procedure Eases Arthritis Pain for a Year.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Civil Litigation Limited While Employer Negligence a WCAB Issue. School District Ordered to Classify Temporary Teacher as Permanent. Court Sets Rules for Use of Strict Liability in FEHA Cases. Right to Avoid Arbitration Waived in Sexual Harassment Claims. Psychologist’s License Probation for WC Fraud Conviction Upheld. SIBTF Overhaul Leads Short List of 2026 Legislative Changes. Blue Cross Says AI Coding Added $942 Million to Hospital Bills. From “Job Killers” to “Cost Drivers” – CalChamber’s Legislative Reports.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Estoppel Cannot Create Coverage Insurance Policy Does Not Provide. No Jurisdiction Over Subro Lien After Employee Dismisses Lawsuit. Supervisors Not Personally Liable for Whistleblower Retaliation. Correctional Officer Pleads No Contest in SCIF WC Fraud Case. San Mateo County Deputy Sheriff to Serve 5 Months for Comp Fraud. Pakistani Nationals Indicted for DME Health Care Fraud. California Comp Grows More Expensive Faster Than National Systems. Rotator Cuff Repair Technology Reducing a Major Failure Point.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Policy Cancellation OK For Nonpayment of Earned or Unearned Premium. WCAB Moves CT Liability Window – Releasing 2014 Carrier. Insurance Payment Service Accused of Illegal Price Fixing. 9th Circuit Rules 2013 Insurance Code Notice Mandate Not Retroactive. Physician Must Exhaust Hospital Peer Review Before Litigation. Guilty Plea in $400K Medi-Cal Fraud Case Results in 2 Year Sentence. Newsom Orders Feasibility Study of Mandating AI Kill Switch. Flight Surgeon/QME Named “Hidden Gem” at 2026 Comp Conference.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Section 504 of the Rehabilitation Act Requires VA to House Veterans. 6 BART Employees Recover $7.8M in FEHA Case. Hyundai and Kia Face 200 Carriers’ California Subrogation Jurisdiction. Sheriff Deputies’ Built-In Overtime Counts Toward OCERS Pensions. Transnational Scheme of Fake Attorneys Defraud 400 Victims. 12 Arrested in San Diego $10M “Ghost Daycare” Fraud Sweep. DOL Spells Out Mental Health Parity Enforcement Priorities. FDA Approves First Motion-Preserving Alternative to Spinal Fusion.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: California CRD Subpoena Reach Extended in SpaceX FEHA Case. Supreme Court Asked to Resolve Conflicting Insurance Pricing Laws. Injured Worker – Who is Employer – Files Claim Denial Bad Faith Case. Russians Behind Largest $1.3B Healthcare Fraud in U.S. History. DME CEO Pleads Guilty to $137M Health Care Fraud. Newsom Appoints Nicole Richardson New DWC Director. California Hospital Association Challenges State Caps on Costs. FDA Warns on H3 Ankle Replacement High Revision Rate.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: City Owes Make-Whole Relief for Disregard of its Bargaining Duty. WCAB Affirms Lien Dismissal for Missing 4903.05(c) Declaration. No Fair Procedure Doctrine for Staffing Company Physician Removal. Former O.C. Superior Court Judge Sentenced For SIBTF Fraud. Owner Pleads Guilty to $2.2M in Fraudulent Hospice Care Claims. WCIRB Reports on Medical Service Cost Trends Through 2025. Lawfirm Options for AI Deployment Remain Unclear and Unsettled. RAND Puzzled by New Injured Worker Access to Care Study.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: For Differing Reasons – Supreme Court Affirms Mayor v WCAB. Employer Waives Arbitration Right By Litigation Delay. No “Defacto Cap” on $13M Noneconomic Damages in LAPD Case. Order Denying Renewed Motion to Arbitrate is Not Appealable. Startup Chaired by Former US Senator Resolves Upcoding Case for $24M. RAND Reports on Senate Bill 1160’s Impact on Utilization Review. New Los Angeles County’s Hotel Worker Protection Ordinance in Effect. Pew Research Provides Public Input for AI Use in Comp Healthcare.
