This study examines medical payments, prices, and utilization in Indiana and compares them with 17 other states (Arkansas, California, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Massachusetts, Michigan, Minnesota, New Jersey, North Carolina, Pennsylvania, Texas, Virginia, and Wisconsin).
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. The data in this report reflect up to nine months of experience under the fee schedule and provide an early look at the post-fee-schedule experience.
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 state 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 Indiana, 17th Edition. Carol A. Telles. October 2016. WC-16-57.
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