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These docs, lots of whom are licensed out of state, rely solely on medical data and stay anonymous. Such circumstances underscore the implications as states seek to streamline disputes and take more control of medical prices. But a month later, the governor signed the brand new legislation, making outdated circumstances like Ramirez’s topic to the brand new evaluation process. Travelers sought a second opinion and then used what appeared to be only a slight modification to reassess the entirety of Ramirez’s home care plan. In Ramirez’s case, Travelers Insurance relied on the opinion of a doctor with no background treating spinal cord injuries who later withdrew his opinion and stated he didn’t know he was denying 24-hour dwelling health care. In emailed responses, Travelers officials said they “sympathize” with Ramirez and his family, and that the case was “unfortunate and sophisticated.” But they insist Travelers didn't use the brand new regulation to withdraw the aide, and only did so after a routine evaluation of his care. Travelers reinstated his home health aide below orders from the state Workers’ Compensation Appeals Board.
