CompScope™ Medical Benchmarks for Florida, 20th Edition

By Rebecca (Rui) Yang

October 15, 2019 Related Topics: Medical Costs, Utilization, Annual State Medical CompScope™ Benchmarks

This 20th edition CompScope™ Medical Benchmarks study for Florida helps policymakers and other stakeholders in the system identify current cost drivers and emerging trends in payments, prices, and utilization of medical services provided for treating injured workers.

In this report, we examine medical payments, prices, and utilization for various types of services by nonhospital and hospital providers in Florida, and compare them with 17 other states. The study also examines how these metrics of medical payments and care have changed, mainly from 2012 to 2017. We analyzed claims with experience through 2018 for injuries up to and including 2017. In some cases, we used a longer time frame to supply historical context for key metrics.

Since 2015, Florida implemented several medical fee schedule updates for hospital outpatient and inpatient services, ambulatory surgery center (ASC) services, and nonhospital professional services. This study also discusses the trends in medical prices and payments for different types of services after these policy changes went into effect. 

CompScope™ Medical Benchmarks for Florida, 20th Edition. Rui Yang. October 2019. WC-19-29.

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 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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