CompScope™ Medical Benchmarks for Texas, 20th Edition

By Carol A. Telles, Helen Wellman

October 15, 2019 Related Topics:

This study examines medical payments, prices, and utilization in Texas and compares them with 17 other states. The study also examines how these metrics of medical costs and care have changed, mainly for claims filed for injuries occurring from 2012 to 2017, at an average of 12 months of experience. In some cases, we used a longer time frame to supply historical context for key metrics.

The data in this report likely reflect all effects from House Bill (HB) 7 provisions enacted beginning in 2006, including certified medical networks and the required use of treatment guidelines and utilization review. We also include information from other Workers Compensation Research Institute (WCRI) benchmarking studies to provide a more complete picture of the system in Texas compared with other states.

CompScope™ Medical Benchmarks for Texas, 20th Edition. Helen M. Wellman and Carol A. Telles. October 2019. WC-19-41.

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 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?

Contact WCRI

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