CompScope™ Medical Benchmarks for Indiana, 21st Edition

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October 15, 2020 Related Topics:

This 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 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 more than 4.5 years of experience under the hospital fee schedule.

The study examines medical payments per claim, prices, and utilization in Indiana and compares them with 17 other states. The report examines how these metrics of medical payments and care have changed, mainly from 2013 to 2018. Claims with experience through 2019 for injuries up to and including 2018 were analyzed. In some cases, a longer period was used to supply historical context.

CompScope™ Medical Benchmarks for Indiana, 21st Edition. Carol A. Telles. October 2020. WC-20-31.

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Research Questions:

  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 Indiana, and what are the major drivers of those changes?

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