CompScope™ Medical Benchmarks, 24th Edition

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

October 5, 2023 Related Topics: Medical Costs, CompScope™ Medical Benchmarks

The factors behind trends in medical payments per claim in 17 state workers’ compensation systems and the impact of legislative and regulatory changes on those costs are examined in this 24th 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 2016 through 2021, with claims experience through March 2022.

The 17 states in the study ― Arkansas, California, Florida, Illinois, Indiana, Iowa, Louisiana, Massachusetts, Michigan, Minnesota, New Jersey, North Carolina, Pennsylvania, Tennessee, Texas, Virginia, and Wisconsin ― represent about 60 percent of the nation’s workers’ compensation benefit payments. Individual reports are available for every state except Arkansas, Iowa, and Tennessee.

The results we report reflect experience on claims through March 2022, including non-COVID-19 claims from the first and second years of the COVID-19 pandemic (March 2020 through September 2021). The study, therefore, provides a look at how the pandemic likely impacted non-COVID-19 workers’ compensation claims in the first two years of the pandemic

CompScope™ Medical Benchmarks, 24th Edition. Roman Dolinschi, William Monnin-Browder, Evelina Radeva, Karen Rothkin, Bogdan Savych, Carol A. Telles, and Rebecca Yang. October 2023. WC-23-34 to WC-23-47.


Copyright: WCRI

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Research Questions:

  • How are workers' compensation medical payments distributed across providers and services?
  • How do medical payments per claim, prices, and utilization differ across study states?
  • 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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