-- Benjamin Franklin
If you ask any claimant's attorney, they'll tell you that all injured workers (or at least their clients) have a legitimate medical need for whatever treatment their doctors recommend, and that payors are just using treatment guidelines and UR as tools to get out of paying for treatment in order to save money. UR and treatment guidelines are just tools to “beat” the injured workers -- at least, that’s how they tell the story. Notably, their version frames UR and treatment guidelines as tools aimed solely at saving payors money. They do this because they know that if they can show UR and treatment guidelines as being implemented solely to benefit the payor by harming the injured worker, it makes the whole process seem unfair. Any policy maker with the slightest sense of empathy will try to find a way to undermine or limit application of the guidelines.