Today’s issue of WorkCompRecap features WCRI’s release of its CompScope™ Medical Benchmarks for California, 18th Edition, which examined medical payments, prices, and utilization in the state and compared them with 17 other states over a period from 2010-2015.
Key findings from the study included that Medical payments per workers’ compensation claim with more than seven days lost time have decreased steadily since the enactment of SB 863’s reform legislation in 2013. Following the transition to the resource-based relative value scale (RBRVS) based fee schedule beginning in 2014, prices paid for primary care services increased while prices for specialty care decreased. WCRI also noted that prescription payments per claim with prescriptions decreased after 2012, perhaps reflecting, in part, the impact of an independent medical review process implemented by SB 863.
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