CompScope™ Medical Benchmarks for Kentucky, 17th Edition

By Carol A. Telles

October 1, 2016 Related Topics: Medical Costs, Utilization, Annual State Medical CompScope™ Benchmarks

This is the first CompScope™ Medical Benchmarks study for Kentucky and the 17th edition of an annual study that examines payments, prices, and utilization of medical care received by injured workers in state workers’ compensation systems. This study examines these metrics of medical costs and care in Kentucky and compares them with 17 other states (Arkansas, California, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Massachusetts, Michigan, Minnesota, New Jersey, North Carolina, Pennsylvania, Texas, Virginia, and Wisconsin). 

This CompScope™ Medical Benchmarks study analyzes the key components of the average medical payment per claim in Kentucky, such as prices paid for medical services, utilization of medical care, and percentages of claims with certain services. These medical cost components are analyzed by types of providers and services in this report. The major provider types include providers of nonhospital services (such as physicians, physical/occupational therapists, and other nonhospital providers) and hospital providers (including hospital outpatient and inpatient care). The types of services in this study include, but are not limited to, office visits (evaluation and management services), physical medicine, major surgery, pain management injections, major and minor radiology, outpatient facilities, and inpatient stays.

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 Kentucky, 17th Edition. Carol A.Telles. October2016. WC-16-58.

Copyright: WCRI

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Research Questions:

  1. How are workers' compensation medical payments distributed across providers and services? 

  2. How do medical payments, prices and utilization per claim differ across states for similar injures and workers? 

  3. How have medical payments, prices and utilization per claim changed over time within a state, and what are the major drivers of those changes?

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