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Tag: 2021 Podcasts

October 4, 2021 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Plaintiff Attorneys in Subrogation Action Can Settle and Switch Sides. Major SoCal Gaming Company Resolves EEOC Claims for $18M. Bizarre Premium Fraud Conviction Appeal Continues for 18 Years. Car Wash Owners Face Premium Fraud Charges. SoCal Woman Sentenced for Multi-Million Dollar Medical Fraud. Gov Newsom Vetoes Limitations on Apportionment. Newsom Signs Law Extending CIGA Authority to Borrow $1.5 Billion. CWCI Finds IMR Volume Continued to Decline in 2021. WCIRB Reports Lowest Written Premium Since 2012. California Business Exits to Other States Doubled in 2021.

September 27, 2021 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Modified Work Not Required After Discovery of Undocumented Status. Drugmakers Pay $453M to Resolve Pay-For-Delay Price Fixing. Understaffed Psychiatric Hospital Resolves Suit for $2.85M. 138 Defendants Charged in 1.4 Billion Healthcare Fraud Busts. Contractors Charged with $5 Million Premium Fraud Scheme. Global Fraud Prevention Market Growing 25% Annually. DWC Withdraws Setting of TTD Rates for 2022. WCRI Study Claims Early Manual Therapy Lowers Med Costs. Comp Drug Costs Decreased by 38% in Ten Years. NCCI Analysis Shows WC Costs More than Group Health.

September 20, 2021 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: California Supreme Court Affirms Privette Rule – Again! Darden Restaurants Defeats Minimum Wage Challenge. 9th Circuit Reverses Injunction on Employer Arbitration Ban Law. 6 LAPD Officers File Lawsuit Over COVID Mandate. Visalia Employer Arraigned on $2.5M Insurance Fraud. TD and PD Rates Remain Unchanged for 2022. The “Approved” COVID Vaccine is Not Yet Available in U.S. DWC Seeks Extension of Emergency QME Regs for 90 More Days. COVID Doubled WC Death Claims Last Year. California COVID Prevalence Rate Now Lowest in Nation.

September 13, 2021 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: 2 Inch Leg Shortening is “Amputation” for 240 Week TD Cap. Convicted Claimant Pleads Guilty to 2nd $1.6M EDD Fraud. NFL Players Plead Guilty to Nationwide Healthcare Fraud Scheme. Pain Doctor Pays $200K to Resolve Opiate Overprescribing. WCIRB Multiple Enterprises Rule Changes Effective 9/1/21. HHS Announces Plan to Directly Negotiate Drug Prices. WHO Says COVID-19 is “Here to Stay”. Mu COVID Variant Spreads to 49 States.

September 6, 2021 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Court of Appeal to Decide Landmark COVID Exclusive Remedy Issue. Ninth Circuit Rejects Medical Marijuana Legalization Case. Sutter Health to Pay $575M to Resolve Anticompetitive Claim. 19 Guilty Pleas in SoCal Substance Abuse Facility $18.5M Fraud Case. DWC Announces Return of In-Person Hearings. NCCI Finds No Pandemic Related Access Delays for Comp Care. WCIRB Publishes Annual Medical Trends Report. International Overdose Awareness Day Focused on Societal Approach. Lawmakers Seek Proof of Vaccination Law to Enter Public Spaces. COVID Comp Claims Remain Well Managed.

August 30, 2021 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Supreme Court Clarifies and Limits Privette Doctrine. Judge Declares Gig Employer Prop 22 Law Unconstitutional. When is a Roommate a Partial “Dependent” for Death Benefits? WCAB Panel Rejects VR Total Disability Citing Hegglin Rule.
SuperCare Health Resolves Fraud Claim for $3.31M. Jury Convicts SoCal PI Lawyer for Stealing $3.9M Settlement. Pharmacy Owner to Serve 3 Years for $1.8M Fraud. WCAB Considers New Rules of Practice and Procedure. Stakeholders Continue to See Benefits in Telemedicine. Study Claims Majority of Workers Favor Remote Work.

August 23, 2021 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Court Applies Borello Standard in Appeal of Criminal Conviction. States Face August 21 Deadline to Accept $26B Opioid Settlement. So. Cal Telemedicine Doctor Arrested for Opioid Prescriptions. S.F. Restaurant Resolves Wage and Tip Theft Case for $1.6M. Neurosurgeon Acquitted in Pacific Hospital Kickback Case. State Audit Shows $72B Covid Funding Mismanagement. New Low Back Guideline Supports Benefits of RTW. CMS Finds Dangerous Patient Care at Good Samaritan Hospital. COVID Comp Claims Spiked to 2,581 Cases in July. Musk Announced “Teslabot” Humanoid Worker by Next Year.

August 16, 2021 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: WCAB to Decide 4850.4(f) Disability Overpayment Jurisdiction. Court Elaborates Rules for Insurer Bad Faith in $26M Judgment. WC Air Ambulance Fee Schedule Preempted by Federal Law. Court Rules Against Amazon in COVID Safety Case. Plaintiffs’ Prevail in $87M Roundup Cancer Case Appeal. San Mateo County Medical Center Resolves Fraud Claim for $11.4M. California Orders Teachers to be Vaccinated or Tested. Employer Mandated Vaccinations Face Union Headwinds. Telehealth Services Added to OMFS and CMS Fee Schedules. MRNA Experts Claim COVID Herd Immunity Unlikely.

August 9, 2021 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Feds Pursue Kaiser Permanente For Fraudulent Claims. Bay Area Startup Raised $85M to Combat EDD Fraud. Annual Healthcare Fraud Report Shows $3.1B in Recoveries. Landscaper Earns $450K While Claiming TD Benefits. Cal. Medical Board Takes Heat for Lax Physician Discipline. DIR Awarded $10M Apprenticeship Program Grant. WCIRB Updates Advisory Plan Tables. California Employer and 32 Others Receive NSC Safety Award. COVID Cases Surge in Vaccinated SF Hospital Staff. Survey Shows 61% Physician Pandemic Related Burnout.

August 2, 2021 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: No Jury Trial In Superior Court Comp Coverage Dispute. Pfizer Legal Battle Over Anti Kickback Law Heats Up. Correctional Officer’s Off-Duty Weight lifting Not AOE-COE. 11 Skilled Nursing Facilities Resolve Fraud Claims for $2M. Organized International Crime Behind Fraudulent UI Claims. WCIRB Report Shows First Combined Ratio Over 100% Since 2012. DWC Sets Hearing for Copy Service Fee Schedule Updates. Grocery Chain Cited for $115K in COVID Sick Pay Violation. California Restrictions Tighten as New COVID Wave Spikes. Mandatory Drug Monitoring Databases Reduced Opioid Use.