San Francisco, CA – The WCIRB has released the California Workers’ Compensation Aggregate Medical Payment Trends report, comparing medical payment transaction data from calendar year 2015 to calendar year 2013. WCIRB researchers used reported medical payment data representing more than 90% of the California workers’ compensation insurance market.
Among the key findings of the report are:
- Medical payments per claim dropped from $4,014 in Calendar Year 2013 to $3,635 in Calendar Year 2015, representing a 9% decline.
- The decline in medical payments per claim was driven by a drop in medical utilization, as reflected in an 11% reduction in paid transactions per claim, which offset an increase in paid amounts per transaction.
- Physician fee schedule, pharmacy and outpatient facility services experienced declines in paid amounts per claim during the three-year period.
- Paid amounts per claim increased for Medical Legal from Calendar Year 2013 through Calendar Year 2015.
- The report also highlights specific medical and pharmaceutical services which showed greatest payment increases from Calendar Year 2014 to Calendar Year 2015.
The full report is available in the Research and Analysis section of the WCIRB website, or by clicking here: WCIRB: California Workers’ Compensation Aggregate Medical Payment Trends – Update through Calendar Year 2015
Questions regarding the report may be directed to firstname.lastname@example.org.
WCIRB Research Forum
The WCIRB will hold a WCIRB Research Forum webinar to discuss the Report findings on Thursday, August 11, 2016 from 11:00 AM to 12:00 PM PT. To register for the webinar, please click the registration link below.
Date: August 11, 2016
Time: 11:00AM PT
For those unable to attend the live webinar, a recording will be posted in the Research and Analysis section of the WCIRB website following the event.
Source: CA WCIRB