The End of AMEs?
At the recent California Applicants’ Attorney Association convention in Rancho Mirage some relatively highly placed officials at two very large self-insured employers were overheard agreeing that they were moving away from using AMEs towards a greater use of PQMEs.
So I got to think, “Why is this happening?”
The answer that seems to make the most sense is a proliferation of relatively large defense-oriented medical-legal businesses that contract with multiple QMEs who travel to various locations to conduct examinations. The net result seems to be that there are now more defense-oriented than applicant-oriented QMEs. Most importantly, as we shall see, from a statistical point of view even when there is only a relatively small majority of defense-oriented QMEs that difference can have a huge impact on the system.
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