I recently got a trial subscription to MLB.tv, just to see what it was like. The answer: not good.
I'm using Kaffeine to view the games and the kaffeine-mozilla plugin to send it to an external Kaffeine window. However, when I do so, the stream only partially works: audio is perfect but video is strangely scrambled. Every few frames come through clear, but for the most part the picture is scrambled, making the video unwatchable. To get some idea what it's like, I've posted a couple frames at
http://www.pommpie.com/images/scramble01.png and
http://www.pommpie.com/images/scramble02.png
Video type is identified by Kaffeine as "MS Windows Media Video VC-1 (ffmpeg) 512x288(512x288)". Any sort of help to make this actually show up well would be greatly appreciated.