Why Surgical Rates Vary

At the WCRI Annual Issues & Research Conference, Dr Olesya Formenko from WCRI talked about a  study into why there are variations in surgery rates for patients with back injuries. In the WCRI study, spinal surgery rates on back injury claims varied from a low of 7% in California, to a high of 19% in […]

State of the States (Kentucky and Georgia)

At the 2016 WCRI Annual Issues & Research Conference, a panel discussed the CompScope findings on system differences in indemnity and medical payments. CompScope is an annual benchmarking study produced by WCRI that analyzes the workers’ compensation benefits in 18 states.  The focus of this presentation was information from Georgia and Kentucky. It should be […]

States with Decreased Medical Payments

At the 2016 WCRI Annual Issues & Research conference, Carol Tellis from WCRI discussed CompScope findings on trends in medical payments per claim from 2009-2014. From 2009-2014, half the study states had little change in medical payments per claim. 9 of the study states had increases under 3% with three states having a reduction in […]

Opt-Out Pros and Cons

At the 2016 WCRI Annual Issues & Research conference, a panel discussed the pros and cons of opt-out.  The speakers were Trey Gillespie with PCIAA and Bill Minick from PartnerSource. It is important to distinguish between Texas and other opt-out models. In Texas, workers’ compensation is not mandatory for private employers. Employers can go completely […]

Crossing State Lines for Medical Care

At the 2016 WCRI Annual Issues Symposium, Dr Rebecca Yang and Dr Bogdan Savych from WCRI presented the findings from a very narrow ongoing study that focused on claims from New York City that sought medical care at ambulatory surgical centers (ASC). This study was triggered by the fact they were seeing over a 30% […]

California Workers’ Compensation Medical Dispute Resolution

At the 2016 WCRI Annual Issues & Research Conference, Alex Swedlow from California Workers’ Compensation Institute (CWCI) discussed their studies around medical review and medical dispute resolution in California workers’ compensation. CWCI studies many potential areas of of friction to see the impact this had on state benefit costs. There is almost no correlation between […]

Workers’ Compensation Outcomes by State

At the 2016 WCRI Annual Issues & Research Conference, WCRI representatives presented a session comparing workers’ compensation outcomes across states. Panelists included: Dr. Sharon Belton – WCRI Dr. Bogdan Savych – WCRI Dr. Vennela Thumula – WCRI The purpose of this study and other similar studies recently conducted by WCRI was to analyze the outcomes […]

Fee Schedules and Workers’ Compensation Case Shifting

At the 2016 WCRI Annual Issues & Research Conference, Dr. John Ruser and Dr. Olesya Formenko from WCRI discussed a not-yet published study on the impact that medical fee schedules can have on case-shifting in workers’ compensation. Studies have shown that a fee schedule changes not only change the price paid for services, but it […]

WCRI’s 32nd Annual Issues & Research Conference

Conference Chronicles will be blogging from WCRI’s 32nd Annual Issues & Research Conference on March 10-11, 2016, in Boston, MA. The two-day program highlights presentations of the Workers’ Compensation Research Institute’s latest research findings while drawing upon the diverse perspectives of highly respected workers’ compensation experts and policy makers from across the country. Conference participants […]

WCRI Studies: Why Do Surgery Rates Vary / Impact of Provider Choice

Christee Yee from WCRI presented the finding on their study regarding variation from surgical rates in various states. In many states, the back surgery rates in workers’ compensation are following the rates also seen in group health. However, there are states with significant gaps between the back surgery utilization and reimbursement rates comparing workers’ compensation […]

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