May 22, 2018

WorkCompRecap: Spinal Tapped!

Today’s issue of WorkCompRecap features the release of a new report from CWCI that examined trends in inpatient hospitalizations and also took a focused look at implant-eligible spinal surgeries in California’s workers’ comp system.

The study found that over the six year study period, implant-eligible spinal surgeries dropped 10%, coinciding with the rise of evidence-based medicine and UR, changes in the fee schedule, and SB 863′s phase out of controversial “pass-through” payments for hardware used in workers’ comp spinal surgeries. CWCI also noted that in 2013, the year that pass-throughs were eliminated, implant eligible surgeries dropped 8.4%, suggesting that the SB 863 provisions may have had an immediate effect, with the report pegging savings from the elimination at $58-92 million in 2013.

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