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|Legislative & Regulatory Issues|
WCA is Fighting Back Against Proposed Medical Fee Schedules in Worker's Compensation
The Worker’s Compensation Advisory Council (WCAC) has once again proposed a bill that would institute government rate setting for medical providers who treat injured workers under Worker’s Compensation. Wisconsin Manufacturers & Commerce (WMC) instigated this push to impose a fee schedule in Worker’s Comp, ignoring the superior, cost-effective health care injured workers in Wisconsin receive.
WCA is part of a coalition serving as liaisons to WCAC that is against government-mandated price fixing for Worker's Comp. This coalition of four groups has issued a joint letter to Wisconsin Senate Labor and Regulatory Reform Chair Sen. Stephen Nass and Assembly Labor Chair Rep. Bob Kulp, specifically requesting that these committee chairs not introduce or hold hearings on WCAC’s proposed bill.
The Coalition has also issued a press release highlighting the fact that Wisconsin ranks first in the nation in health Care Quality and has the lowest Worker’s Comp cost in the Midwest.
WCA Defends DCs' Right to Treat Lower Extremities and Receive Reimbursement for Care
WCA has issued a letter to DWD regarding improper denials of reimbursement for care received by chiropractors who have treated a patient's lower extremities. Several insurers are intentionally misinterpreting and misusing Chapter 81 of the DWD Treatment Guidelines in a manner that is inconsistent with the WI Worker's Compensation Act.
WCA explains to DWD that current Wisconsin State statues allow licensed Doctors of Chiropractic to treat a patient’s lower extremities and receive reimbursement for such care. Therefore, citation of DWD Chapter 81 to deny a chiropractor earned reimbursement for care provided to the lower extremities of a patient constitutes abuse of the Worker’s Compensation Treatment Guidelines. Insurers cannot cite and/or misuse this statute in order to dictate care provided by licensed Doctors of Chiropractic without being in direct violation of State Law. We have requested that the Department order remediation for past cases not paid because of this issue, and address insurers that are intentionally misinterpreting the letter and spirit of the Worker’s Compensation Act in denying medically necessary care to injured workers.
WCA Fighting for Chiropractors' Ability to Perform Sports Physicals
If a school requires a student to have a physical examination to participate in youth sports, families across Wisconsin should have the choice to select a Doctor of Chiropractic to perform sports physicals for student athletes. The Wisconsin State Assembly passed Assembly Bill 260 in June 2017. This bill allows for parental choice by requiring Wisconsin schools to accept a physical examination completed by a Doctor of Chiropractic who holds a certificate in health or physical examinations, in the same manner that the school accepts a physical exam completed by a licensed physician.
As the bill heads to the Wisconsin State Senate, WCA President Dr. Gene Yellen-Shiring has authored an Op-Ed in support of AB260. WCA will continue to advocate for the reality that citizens of Wisconsin deserve the choice to receive thorough physical examinations from licensed and qualified doctors of chiropractic medicine.
WCA Fighting to Protect Chiropractic Benefits
WCA is fighting to protect chiropractic benefits for state and local government employees.
The Group Insurance Board, (GIB), an 11 member board under the Wisconsin Department of Employee Trust Funds (ETF), has been tasked with exploring the cost/benefit of converting state and local government employees from the current fully insurance health care model to self insurance in an effort to save money. Bids are due this month at GIB from health insurers and third part administrators interested in managing a self insurance health plan for state and local government employees.
This move is being questioned by the Wisconsin Chiropractic Association in a letter from WCA Executive Director John Murray. “We are very concerned that the move to self insurance will reduce or outright eliminate access to chiropractic care,” said Murray.
“We are seeking to clarify the intent of the GIB and protect equal access to chiropractic care."