Today’s issue of WorkCompRecap features WCRI’s release of a new report that examines to what extent higher workers’ comp reimbursement rates influence medical providers’ classifications of injuries as work-related or not.
Notable factors that could encourage case-shifting included that in many states workers’ comp pays higher than group health, in some cases 2-4x more, and that most states’ systems rely heavily on treating docs to make the work-related determination. Findings from the study included that for injuries with less straightforward causes (soft-tissue), case-shifting is more prevalent in states with higher workers’ comp reimbursement rates. However, for injuries that had more certain causation (fractures, lacerations, contusions), there was no evidence of case-shifting.
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