The 2014 TDI Report says:
Interestingly, while injured employees were allowed to select their own treating doctors prior to the passage of HB 7,
a significant percentage of injured employees reported (in this and in previous studies in Texas) that they selected a doctor recommended to them by their employer or insurance carrier.
No kidding. They still work there. You think they are going to buck the ‘recommendation’ of a good employer or insurance carrier, especially when they (with a little help from the Legislature) have gone to all the trouble of setting up a network?
How does this square with:
The most frequent types of complaints raised by injured employees included complaints about access to care and quality of care provided by network health care providers.
Guess when the patient arrived at the network office the network doctor didn’t realize that the employer had recommended them. Otherwise I am sure they would have been on their best bedside manners.
I previously said here that if the Texas WC Act is found unconstitutional lack of doctor choice will play a role. The hubris of the employer and the network physician will as well.
Loss of physician stature? Look no further: As Pellegrino and Relman (1999) have written, “[t]oo often, ethical goals have been commingled with protection of self-interest, privilege, and prerogative.
Yet, effacement of self-interest is the distinguishing feature of a true profession that sets it apart from other occupations”.