Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Court Rejects Longshore Benefits for Worker Injured at Yacht Club. WCJ Panel Reviews Case Authority to Rescind Stipulated Award for Error. Kaiser Resolves Illegal Disposal of Medical Waste Claim for $49m. New Law Strengthens Prohibitions Against Employee Non-Competition Clauses. Ballot Measure to Make $36B Managed Care Organization Tax Permanent. U.C. Davis Awarded $1.9M Grant to Study Lethal Cancers in Firefighters. FTC and Six States Reach Merger Consent Agreement with Amgen. Recently Retired WCJ Terry Smith Returns to Floyd Skeren Law Firm.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Nunes II En Banc Says Her Arguments Are “Unpersuasive and Inflammatory”. CSU exempt from LC 3802 Requirement to Reimburse Employee Expenses. K-12 Schools May Terminate Staff For Violation of Vaccination Rules. State Farm Prevents Class Action Attempt to Circumvent Policy Terms. Farm Labor Contractor and Two Growers Cited $1.9M for Wage Theft. DOJ Announces Results of Nationwide COVID-19 Fraud Enforcement Action. Doctor Pleads Guilty to Using Misbranded Smuggled Drugs on Patients. Healthcare Provider to Pay $5 Million for Alleged False Claims.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Court Has Difficulty Applying Workplace Violence Law to Work-at-Home. Employer’s Evaluating Doctors Are Also “Employers” in FEHA Class Action. ERISA Allows Class Action Challenge to Health Plan Treatment Guidelines. Last Two of Seven Generic Drug Giants Resolve Criminal Price-fixing Charges. LA/OC Physician to Serve 5 Years for $20M Pharmaceutical Scam. State Auditor Moves EDD to “High Risk” List for Inadequate Fraud Prevention. CMS Updates Section 111 Reporting User Guide to Version 7.3. Business Group Publishes 2024 Large Employers’ Health Care Survey. Liberty Mutual Publishes the 2023 Workplace Safety Index. Startups and Technology Drive Explosive Growth in TPA Market.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: S&W Misconduct Increase Not Applicable to Industrial Disability Leave. 9 Years of Continuances to “Develop the Record” is Enough. RFA for Expedited UR Review Must Be Supported by Evidence of Necessity. “Brokered” Radiology Services is Illegal Unlicensed Practice of Medicine. Whistleblower Triggers Radiologist’s Arrested for Illegal Opioid Prescription. City of Los Angeles Freelance Ordinance Now In Effect. Catering Company Cited for $1.2M for Post Pandemic Rehiring Violation. NLRB Sets New Standard for Assessing Lawfulness of Work Rule. CMS Updates Medicare Set Aside Self-Administration Toolkit. Blue Shield Moves Away from PBMs to Save $500M in Medication Costs.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: WCAB Used CCP 473 to Resurrect Dismissed Lien Claim. 9th Circuit Rejects Fire Chief’s Discrimination Case Against City of Stockton. Contractor Sentenced for $140K Premium Fraud and $1M Wage Theft. Cal/OSHA Asks Employers to Take the Pledge for Safe+Sound Week. Cal/OSHA Increased Physical Presence and Inspections in 3 Counties. NCCI Reports Carriers Say Safety Technologies are a “Game-Changer”. Modifications to California Fair Chance Act Take Effect on October 1st. New Study Supports Possible Long COVID Apportionment to the FOXP4 Gene. Senators Probe Nonprofit Hospitals Abuse of Tax Exemption Rules. Study Shows Independent Hospital Acquisitions Tied to Higher Prices.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: WCAB Ordered to End Its Longstanding Illegal Reconsideration Procedure. After SCOTUS Remand, 9th Circuit Reaffirms its Denial of Employer’s Arbitration. Jury Awards UCSD Physician $39.5 million in UC Whistleblower Case. Prosecutors Must Use Specific, Not General Statutes In Comp Fraud Cases. Last Two Defendants Plead Guilty in $66M San Diego Pharmacy Scam. CEO of Whittier Clinic Pleads Guilty to $5M Health Care Fraud. CWCI Study Shows IMR Volume Increased in First Half of 2023. July 2023 Hospital Analysis Shows Continuing Tight Financial Margins. Bipartisan Law Allow States to Recruit Foreign Doctors to Fill Shortages. California Short 36,000 Nurses – But Nursing Schools Are Full.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Represented Worker Not Required to Repeat QME Procedural Steps. Arbitrator Has No Power to Cure Employers Late Payment of Arbitration Fees. 9th Circuit En Banc to Rule on Student/State Bar ADA Accommodation Dispute. Owners of Bakersfield Construction Co. Face $4M Payroll Fraud Charges. New Form 1-9 and Remote Verification Process Announced.
WCIRB 2023 State of the System Report is Essentially Good News. Workers Compensation National Insurers Show Strength and Profitability. Researchers Say DWC Data Shows 20,000 Annual Heat Related Injuries. AHA Reports Massive Dissatisfaction With Insurer Healthcare Practices. 16 Hospitals Line Up for California Distressed Hospital Loan Program.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Supreme Court Says CMA May Proceed Against Aetna for Unfair Competition. Arbitration of Individual Claims Does Not Preclude Concurrent PAGA Litigation. $6M Punitive Damages Justified by Employer’s “Despicable” Conduct. WCAB Rejects Vocational Apportionment Noting Recent En Banc Decision. Allianz Unit Fined $5 Billion for Multibillion-Dollar Fraud Scheme. Applicant Attorney Robert Slater’s Conviction Affirmed. San Jose Roofing Contractor Faces $460K Premium Fraud Case. CHSWC Reporting Delays Cause Another Extension of Debit Card Sunset. 64% of 2000 Hospitals Non-Compliant with 2021 Price Transparency Law.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Lawsuit Blocks Enforcement of New Calif Privacy Protection Agency Regs. Court Clears PAGA Action Over Non-Payment of Employee At-Home Expenses. 1996 Finance Agreement Binds Disneyland to a 2018 Living Wage Ordinance. Pain Clinic Chain to Pay $11.4 Million to Resolve False Claims Act. Lawyers Must Report Rogue Lawyers Under New State Bar Rule. Nine Pending Congressional Bills Heat Up PBM Wars and Caustic TV Ads. California Legislature Resurrects Dormant Industrial Welfare Commission. Studies Show Continued Growth in National Healthcare Expenditures. Governmental Immunity Does Not Protect Counties From Unpaid ER Bills. Bankruptcy Court Approves Beverly Community Hospital Sale.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Top Court Says Employers Not Liable for COVID Spread to Family Members. Stay of Litigation Mandated During Appeal of Denial of Arbitration Motion. Cal/OSHA May Amend Citations Before, During and After ALJ Hearings. Money Launderer Convicted in Multi-Million Dollar Premium Fraud Scheme. SoCal Chiropractor Among 78 Charged in $2.5B in Health Care Fraud. Bay Area Construction Companies Charged with Premium Fraud. Jury Convicts San Jose Doctor For Illegal Opioid Prescribing. Jury Finds DME Company Owner Guilty of $24M in Fraudulent Claims. Cal/OSHA Cites The Two Employers of Seven Mass Shooting Victims. 2023 Survey of 18,000 Nurses Shows 30% Leaving Career.