CompScope™ Medical Benchmarks for Virginia, 23rd Edition

By Bogdan Savych

October 6, 2022 Related Topics: Medical Costs, 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, prices, and utilization in Virginia and compare them with 17 other states.

The study also examines how these metrics of medical costs and care have changed, mainly from 2015 to 2020, for claims at an average of 12 months of experience. We analyze claims with experience through 2021 for injuries up to and including 2020. In some cases, we use a longer time frame to supply historical context for key metrics.

The report continues to monitor the performance of Virginia’s workers’ compensation system in the three years after the medical fee schedule was implemented on January 1, 2018. 

The results we report reflect experience on claims through March 2021, including non-COVID-19 claims only from the early pandemic period (March–September 2020). The study, therefore, provides a look at how the pandemic may have impacted non-COVID-19 workers’ compensation claims in the early months of the pandemic. 

CompScope™ Medical Benchmarks for Virginia, 23rd Edition. Bogdan Savych. October 2022. WC-22-39.

Copyright: WCRI

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Research Questions:

  1. How did prices and utilization of medical services in Virginia change after implementation of the 2018 fee schedule?
  2. How did payments per claim for the main providers of medical care in Virginia change after implementation of the medical fee schedule?
  3. How do medical payments, prices, and utilization per claim in Virginia compare with those in other states?

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