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