This study examines medical payments per claim, prices, and utilization in Indiana and compares Indiana with 16 other states (Arkansas, California, Florida, Georgia, Illinois, Iowa, Louisiana, Massachusetts, Michigan, Minnesota, New Jersey, North Carolina, Pennsylvania, Texas, Virginia, and Wisconsin). It also examines how these metrics of medical payments and care have changed mainly from 2008 to 2013 for claims at an average 12 months of experience. We analyzed claims with experience through 2014 for injuries up to and including 2013.
In some cases, we used a longer time frame to supply historical context for key metrics. Recent legislation, House Enrolled Act (HEA) 1320, addressed hospital costs, which were a key driver of higher-than-typical medical payments in Indiana, by enacting a hospital fee schedule effective July 1, 2014. This report provides a baseline for monitoring changes following the implementation of the hospital fee schedule. The next CompScope™ Medical Benchmarks report edition will reflect nine months of experience under the fee schedule and may provide an early look at the post-fee-schedule experience.
CompScope™ Medical Benchmarks for Indiana, 16th Edition. Carol A. Telles. October 2015. WC-15-35.
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