CompScope™ Medical Benchmarks, 17th Edition

By Sharon E. Belton, Rebecca (Rui) Yang, Carol A. Telles, Evelina Radeva, Bogdan Savych, Karen Rothkin, Roman Dolinschi

October 1, 2016 Related Topics: Medical Costs, Utilization, Annual State Medical CompScope™ Benchmarks

These reports can help identify changes over time in the provision of workers’ compensation medical care; detect areas where medical payments per claim, prices, or utilization may be higher or lower compared with other study states for a set of similar claims; or reveal areas where legislative changes or state system features and processes may be impacting the costs or delivery of medical services.

The reports examine how medical payments and care have changed from 2009 to 2014. Claims with experience through 2015 for injuries up to and including 2014 were analyzed. In some cases, a longer time frame is used to provide historical context for key metrics. 

The 18 states in the study are Arkansas, California, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Massachusetts, Michigan, Minnesota, New Jersey, North Carolina, Pennsylvania, Texas, Virginia, and Wisconsin. There are individual reports for every state except Arkansas and Iowa.

CompScope™ Medical Benchmarks, 17th Edition. Sharon E. Belton, Roman Dolinschi, Evelina Radeva, Karen Rothkin, Bogdan Savych, Carol A. Telles, and Rui Yang. October 2016. WC-16-53 to 69.

Copyright: WCRI

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Research Questions:

  1. How are workers' compensation medical payments distributed across providers and services?
  2. How do medical payments, prices, and utilization per claim differ across states for similar injuries and workers?
  3. How have medical payments, prices, and utilization per claim changed over time within a state, and what are the major drivers of those changes?

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