Recent policy discussions in Illinois have focused on reducing workers’ compensation costs and making the state more attractive to businesses. Among the areas of interest are causation of the injury, medical fee schedules, insurance premiums, and permanent partial disability benefits. Illinois implemented medical pricing reforms in 2011. This report contains multiple measures of medical prices and utilization from before and after the reforms.
This study examines medical payments, prices, and utilization in Illinois compared with 17 other states (Arkansas, California, Florida, Georgia, Indiana, Iowa, Kentucky, Louisiana, Massachusetts, Michigan, Minnesota, New Jersey, North Carolina, Pennsylvania, Texas, Virginia, and Wisconsin).
The report 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 system features and processes may be impacting the costs or delivery of medical services.
This study covers 2009 to 2014, with claims experience through March 2015. Where relevant, findings from other Workers Compensation Research Institute (WCRI) studies are added to provide a more complete picture of the system.
CompScope™ Medical Benchmarks for Illinois, 17th Edition. Evelina Radeva. October 2016. WC-16-56.
How are workers' compensation medical payments distributed across providers and services?
How do medical payments, prices and utilization per claim differ across states for similar injures and workers?
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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