This study shows how components of medical costs per claim in Virginia’s workers’ compensation system changed after the medical fee schedule was implemented on January 1, 2018. Among the main components of medical costs, we highlight prices paid for medical services and utilization of those services across multiple types of medical providers. The study highlights the trends in these system performance measures primarily from 2013 to 2018 (evaluated in March 2019). Data in this analysis have information for 9 months of injuries and 15 months of experience under the medical fee schedule. In some cases, a longer time frame was used to supply historical context for observed measures. We also compare various components of workers’ compensation medical payments per claim in Virginia with similar measures from 17 other states.  

CompScope™ Medical Benchmarks for Virginia, 21st Edition. Bogdan Savych. October 2020. WC-20-40.