This 20th edition CompScope™ Medical Benchmarks report provides a look at changes in the Indiana workers’ compensation system following significant legislation in 2013 and 2014 that focused on several key policy concerns. 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, with reimbursement set at 200 percent of Medicare.

The data in this report reflect up to 45 months of experience under the hospital fee schedule. The study examines medical payments per claim, prices, and utilization in Indiana and compares Indiana with 17 other states. The report 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, and in some cases, we used a longer time frame to supply historical context.

CompScope™ Medical Benchmarks for Indiana, 20th Edition. Carol A. Telles. October 2019. WC-19-32.

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