CompScope™ Medical Benchmarks, 19th Edition

By Sharon E. Belton, Rebecca (Rui) Yang, Carol A. Telles, Evelina Radeva, Bogdan Savych, William Monnin-Browder

October 15, 2018 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; and 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 2011 to 2016. Claims with experience through 2017 for injuries up to and including 2016 were analyzed. The 18 states in the study are Arkansas, California, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Massachusetts, Michigan, Minnesota, New Jersey, North Carolina, Pennsylvania, Tennessee, Texas, Virginia, and Wisconsin . There are individual reports for every state except Arkansas and Iowa.

CompScope™ Medical Benchmarks, 19th Edition. Sharon E. Belton, Roman Dolinschi, William Monnin-Browder, Evelina Radeva, Karen Rothkin, Bogdan Savych, Carol A. Telles, and Rui Yang. October 2018. WC-18-24 to WC-18-40.

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Research Questions:

Questions Addressed:

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

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