Possible Fix to the PPO Mess In Louisiana
As we all know, Louisiana has been an absolute mess in recent years when it comes to medical cost containment in the workers’ compensation arena. Yet, finally, there is a bill in Louisiana that may solve the problem of not being able to take PPO discounts.
SB 545, http://www.legis.state.la.us/billdata/byinst.asp?sessionid=08RS&billid=SB545&doctype=ALL attempts to allow for the application of PPO workers’ compensation discounts. Specifically, the bills states “ Nothing herein shall be construed or interpreted to prevent the insurer from entering into agreements with preferred provider organizations which provide or fees and other payments which deviate from the schedule set forth in this section.” Hopefully, this bill will pass and finally take care of this issue and allow for medical cost containment measures.
This bill also states that the employee or claimant shall be notified by the insurer that a PPO network is in place via a letter. This notification letter notifying the employee of the PPO, will then be taken to their provider at the time of treatment. Unfortunately, the employee can still choose any provider they want for treatment.
It’s certainly not a perfect bill, but it just might be the fix for workers’ compensation PPO issues in Louisiana.
March 31st, 2008 at 1:33 pm
Anything is better than what is in place now, which amounts to a pile of lawsuits by trigger happy attorneys. There’s been a big “do not disturb” sign regarding work comp access on Louisiana for awhile now.
I’m really glad to hear that their are some legislators that want change. I read through the bill and think that overall it will be great for the state of Louisiana and for some of us in managed care that have done business there through PPO provider access in years past.
December 18th, 2008 at 7:52 am
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