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CA WCIRB Releases 2019 Workers’ Comp Aggregate Medical Payment Trends Report

September 14, 2020 - WorkCompWire

Oakland, CA – The Workers’ Compensation Insurance Rating Bureau of California (WCIRB) recently released the 2019 California Workers’ Compensation Aggregate Medical Payment Trends report comparing medical payment information from 2017 to 2019.

This report analyzes medical payment and utilization trends by provider type, service locations and service types. The report also includes an analysis on utilization and cost of opioid prescriptions and physical medicine services over time and by region.

Key findings from the report include:

  • Overall medical payments and payments per claim continued to decline in 2019, with pharmaceuticals experiencing continuous sharp declines in medical payments.
  • Physical therapy services experienced the largest increase in the share of medical payments, largely driven by increases in the paid per service.
  • Physical Medicine and Rehabilitation procedures are the fastest growing within all physician services, and use of hematological agents increased more significantly than other therapeutic groups from 2018 to 2019.
  • The number of claims involving opioid prescriptions continued to decline significantly.
  • Contrary to the opioid trends, use of physical medicine services steadily increased from early 2017 to the end of 2019.

The report is available in the Research section of the WCIRB website, and here: WCIRB California Workers’ Compensation Aggregate Medical Payment Trends – Updated through Calendar Year 2019 (PDF)

Source: CA WCIRB

Filed Under: Association, Rating & Research News, Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

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