Today’s issue of WorkCompRecap features the release of a new study from CWCI that examines changes in the utilization and reimbursement of California workers’ comp physician and non-physician medical services from 2013-2018, during which the state transitioned to a Resource-Based Relative Value Scale (RBRVS) fee schedule as a result of 2012 reforms (SB 863).
Key findings from the study included a 28.4% decline in total service counts and a 20.4% decline in aggregate payments. Service counts by category saw wide variation, with reductions ranging from a 17.2% decline in physical medicine services to a 71.8% drop in pathology and laboratory services. CWCI noted that variations resulted in a reallocation of the fee schedule dollars, with an increased share paying for primary care, and a smaller share paying for specialty services, which was a key goal behind the adoption of the RBRVS fee schedule.
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