|
Research has shown that the method of provider selection and the
regulations on change of health care provider can affect not only the
cost of medical care but also indemnity costs and outcomes for workers
regarding disability duration, physical recovery and satisfaction with
care. This table indicates the type of regulation states have regarding
who can choose the initial treating provider and when the employee or
employer can change treating providers. |
|
State |
Selection of Initial Treating Provider |
If Employee Wants a Change of Providers |
If Employer Wants a Change of Provider |
|
Employee Selects Provider without Limitation |
Employer Selects Provider without Limitation |
Employee Selects Unless Employer Has Approved Managed Care Arrangement |
Employee Selects From a List Provided by the Employer |
Employee Selects Unless Employer Is Self-Insured and Has Their Own
Network |
Either the Employee or the Employer May Select. Once Done, the Other Can
Request Change Later |
Other/Notes |
|
Sample State 1 |
|
x |
|
|
|
|
|
Can change only with the approval of the employer/carrier |
None allowed |
|
Sample State 2 |
x |
|
|
|
|
|
|
One change allowed with notice to employer; after that, any other change
needs employer agreement |
None allowed |
|
Notes: |
|
