CompScope™ Medical Benchmarks for Minnesota, 20th Edition

By Rebecca (Rui) Yang

October 15, 2019 Related Topics: Medical Costs, Utilization, Annual State Medical CompScope™ Benchmarks

This 20th edition CompScope™ Medical Benchmarks study for Minnesota helps policymakers and other stakeholders in the system identify current cost drivers and emerging trends in payments, prices, and utilization of medical services provided for treating workers injured on the job. This report examines medical payments, prices, and utilization for various types of services by nonhospital and hospital providers in Minnesota and compares Minnesota with 17 other states. It also 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.

In recent years, Minnesota implemented several policy changes. Effective January 1, 2016, the hospital inpatient fee schedule in Minnesota changed from a predominantly charge-based approach to a Medicare-based, fixed-amount fee schedule. This study discusses the impact of this policy change using data with up to 27 months of experience after the new fee schedule became effective. Effective October 1, 2018, Minnesota also adopted new Medicare-based fee schedules for hospital outpatient and ambulatory surgery center services, as provided in House File 3873. Data in this report reflect results prior to the implementation of these new fee schedules. Future editions of CompScope™ Medical studies will monitor the impact of these 2018 fee schedule changes.

CompScope™ Medical Benchmarks for Minnesota, 20th Edition. Rui Yang. October 2019. WC-19-36.

Copyright: WCRI

pdf download

pdf, 399KB

Reports are free for members.

If you are a member, please login here

.

*Temporary membership will allow you to download the study represented here

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 study states?
  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?

Contact WCRI

To obtain your member login or to answer any questions or concern you may have, please contact us here.