March 15, 2018

WorkCompRecap: Reform Results!

Today’s issue of WorkCompRecap features the release of another edition of WCRI’s CompScope Medical Benchmarks, which examined the California system and found that SB 863, which was signed into law in 2012, may have contributed to decreases in medical payments per claim in 2013 and 2014.

The report noted that medical payments per claim in California decreased 4% in 2013 and then 3% in 2014 for claims with more than seven days of lost time at 12 months of experience, mainly driven by decreases in payments per claim for nonhospital services. California also differed from other study states, which saw medical payments per claim grow from 2012-2014. Additionally the study noted that after SB 863 lowered fee schedule rates (in 2013) for services at ambulatory surgery centers (ASCs), the average ASC facility payment per claim decreased 27% from 2012 to 2014.

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