CompScope™ Medical Benchmarks for Indiana, 19th Edition

By Carol A. Telles

October 15, 2018 Related Topics: Medical Costs, Utilization, Annual State Medical CompScope™ Benchmarks

This study provides a look at how medical payments per claim in the Indiana workers’ compensation system have changed following significant legislation in 2013 and 2014. In particular, House Enrolled Act 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, with reimbursement set at 200 percent of Medicare. The data in this report reflect up to 33 months of experience under the fee schedule.

The study examines medical payments per claim, prices, and utilization in Indiana and compares them with 17 other states (Arkansas, California, Florida, Georgia, Illinois, Iowa, Louisiana, Massachusetts, Michigan, Minnesota, New Jersey, North Carolina, Pennsylvania, Tennessee, Texas, Virginia, and Wisconsin). The report examines how these metrics of medical payments and care have changed, mainly from 2011 to 2016. Claims with experience through 2017 for injuries up to and including 2016 were analyzed.

CompScope™ Medical Benchmarks for Indiana, 19th Edition. Carol A. Telles. October 2018. WC-18-28.

Copyright: WCRI

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Research Questions:

Questions Addressed:

  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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