CompScope™ Medical Benchmarks for Texas, 24th Edition

By Carol A. Telles

October 5, 2023 Related Topics: Medical Costs, Utilization, CompScope™ Medical Benchmarks

This study can help policymakers and other stakeholders in the workers’ compensation system to identify cost drivers and emerging trends in payments and utilization of medical services among nonhospital and hospital providers. In this report, we examine medical payments per claim, prices, and utilization in Texas and compare them with 16 other states.

The study also examines how these metrics of medical costs and care have changed, mainly from 2016 to 2021. We analyze claims with experience through 2022 for injuries up to and including 2021. In some cases, we use a longer time frame to supply historical context.

The results we report include non-COVID-19 claims from the first and second years of the COVID-19 pandemic (March 2020 through September 2021). The study, therefore, provides insights into how the pandemic likely impacted non-COVID-19 workers’ compensation claims in the first two years of the pandemic.

CompScope™ Medical Benchmarks for Texas, 24th Edition. Carol A. Telles. October 2023. WC-23-45.

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 per claim, prices, and utilization differ across study states? 
  3. How have medical payments per claim, prices, and utilization changed over time within Texas, and what are the major drivers of those changes?

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