Monitoring Trends in the New York Workers’ Compensation System, 2020 Edition

By Carol A. Telles, William Monnin-Browder

October 27, 2020 Related Topics: CompScope™ Benchmarks, CompScope™ Medical Benchmarks

Originally established to monitor changes in the system following substantial legislative reforms in March of 2007, this report has evolved into a tool for tracking key metrics of system performance on an ongoing basis, as further legislative reforms and administrative changes continue to shape the system. This regular monitoring helps focus attention on policy objectives that are being met, objectives that are not being met, and unintended consequences that have emerged.

The analysis in this edition focuses primarily on trends in indemnity benefits, medical payments, and benefit delivery expenses from 2007 to 2018 for claims at different maturities. Claims with experience through 2019 were analyzed, and in some cases, trends before 2007 are shown to establish a baseline prior to the 2007 reforms. In addition, various interstate comparisons from other WCRI studies are provided to help put the performance of the New York system into perspective, such as prices paid for medical services and the frequency and amount of opioids dispensed to workers.

Monitoring Trends in the New York Workers’ Compensation System, 2020 Edition. William Monnin-Browder and Carol A. Telles. October 2020. WC-20-45.

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Research Questions:

  • How have indemnity benefits, medical payments, and benefit delivery expenses per claim changed over time in New York, and what factors may have contributed to those changes?
  • How did indemnity benefits per claim change after increases in the maximum statutory benefits and caps on duration of permanent partial disability benefits, as provided by the 2007 reforms? 
  • Did utilization of medical care change following implementation of the 2010 treatment guidelines?
  • Have defense attorney involvement and average payments changed since the 2007 reforms?

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