INSURANCE COMMISSIONER WARNS CALIFORNIA INSURANCE PROVIDERS AGAINST THE PRETEXTUAL DENIAL OF PREVIOUSLY APPROVED HOME CARE.

home careInvestigations by Pro Publica and NPR have uncovered the abrupt claim denials of continuing home care, leaving a paralyzed injured worker without a home health aide with no alternative but to sit in his own waste for hours.

The Senate Labor and Industrial Committee was to undertake a Hearing on this issue along with the increased barriers to obtaining proper medical care for injured workers, including review of the process which allows final determination by anonymous doctors who never see the injured workers, without any meaningful rights to appeal.

In the meantime, the issue of the constitutionality of the process for reviewing denials of medical care, including home care, may reach the California Supreme Court, should it decide to review the case of Frances Stevens vs. WCAB (2015).

Advocates for injured workers continue to work for a new system more responsive to the home care needs of the seriously injured. If you find yourself in a similar situation contact Roland Pennington & Trodden in Hollywood, California.

 

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