Today’s issue of WorkCompRecap features the release of a new report from WCRI that is the first to compare hospital payments for the same surgical procedure when paid for by group health versus workers’ compensation. The study involved 16 large states, representing 60 percent of the workers’ compensation benefits paid in the United States.
Key findings from the report include that in half of the studied states, hospital outpatient payments for shoulder surgeries in workers’ comp were at least $2,000 (43 %) higher than in group health. WCRI also noted that the largest differences existed in states where the price regulations were based on a percent of the hospital’s charges or had no hospital price regulation.
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