California: Rating bureau to 'defer' rate filing based on fee schedule regs
The rating bureau had previously announced it would file proposed advisory pure premium rates that are 3.4 percent above the industry average rate filed as of July 1. The anticipated filing date was mid-August with the proposed rates reflecting the bureau's most current evaluation of S.B. 863, California's reform legislation passed last year.
Meanwhile, the DWC is creating the regulations to "transition" the fee schedule to be based on the resource-based relative value scale beginning January 2014. S.B. 863 requires DWC's administrative director to adopt a physician fee schedule based on the federal RBRVS used in the Medicare payment system.
The bureau had said it anticipated modifying the proposed rates based on its evaluation of the cost impact of the new schedule.
"Following consultation with the California Department of Insurance the WCIRB has decided to defer its pure premium rate filing to early September in order to provide additional time to evaluate the impact of these DWC regulations, once promulgated, on advisory pure premium rates prior to a CDI public hearing," the rating bureau announced.
The DWC has made available on its website a fact sheet about the RBRVS based fee schedule. Included are answers to frequently asked questions.
By Nancy Grover
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September 23, 2013
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