Today’s issue of WorkCompRecap features the release of a new WCRI study that provides essential information on how each of the 43 states with workers’ compensation physician fee schedules and the District of Columbia resolved key fee schedule design decisions as of March of this year.
The new study Designing Workers’ Compensation Medical Fee Schedules, 2016, emphasizes the importance of fee schedule levels – rates set to high will negate savings, and the schedule will not be able to help contain costs, while rates that are set too low make treating injured workers uneconomical for providers, which can harm workers’ access to quality care. The study also examines some of the important design choices involved in working with fee schedules, including what basis they should rely on for establishing rates, noting that 70% of fee schedule states used Medicare relative value units (RVUs) as benchmarks for their fee schedules.
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