CompScope™ Medical Benchmarks, 21st Edition

By Rebecca (Rui) Yang, Carol A. Telles, Evelina Radeva, Bogdan Savych, Karen Rothkin, Roman Dolinschi, William Monnin-Browder

October 15, 2020 Related Topics: Medical Costs, CompScope™ Medical Benchmarks

The factors behind trends in medical payments per claim in 18 state workers’ compensation systems and the impact of legislative and regulatory changes on those costs are examined in this 21st edition of CompScope™ Medical Benchmarks.

The studies examine trends in payments, prices, and utilization of medical care for workers with injuries. They provide analyses of recent costs and trends for policymakers and other system stakeholders, reporting how medical payments per claim and cost components vary over time and from state to state. The studies cover the period from 2013 through 2018, with claims experience through March 2019.

The 18 states in the study ― Arkansas, California, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Massachusetts, Michigan, Minnesota, New Jersey, North Carolina, Pennsylvania, Tennessee, Texas, Virginia, and Wisconsin ― represent more than 60 percent of the nation’s workers’ compensation benefit payments. Individual reports are available for every state except Arkansas, Iowa, and Tennessee.

CompScope™ Medical Benchmarks, 21st Edition. Roman Dolinschi, William Monnin-Browder, Evelina Radeva, Karen Rothkin, Bogdan Savych, Carol A. Telles, and Rui Yang. October 2020. WC-20-27 to WC-20-41.



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Research Questions:

  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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