current state of work comp health care how california compares n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Current State of Work Comp Health Care--How California Compares PowerPoint Presentation
Download Presentation
Current State of Work Comp Health Care--How California Compares

Loading in 2 Seconds...

play fullscreen
1 / 12

Current State of Work Comp Health Care--How California Compares - PowerPoint PPT Presentation


  • 78 Views
  • Uploaded on

Current State of Work Comp Health Care--How California Compares. Cost Services Price Frank Neuhauser, UC Berkeley. Average Medical Payment per Claim w/>7 Days Lost Time Is Typical (WCRI). California’s WC Fee Schedule 12% Above Medicare (on average) (WCRI). 2001 Fee Schedule. CA. MA. FL.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Current State of Work Comp Health Care--How California Compares' - lieu


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
current state of work comp health care how california compares
Current State of Work Comp Health Care--How California Compares
  • Cost
  • Services
  • Price

Frank Neuhauser, UC Berkeley

california s wc fee schedule 12 above medicare on average wcri
California’s WC Fee Schedule 12% Above Medicare (on average) (WCRI)

2001 Fee Schedule

CA

MA

FL

ca many more visits per claim than typical state for similar claims
CA: Many More Visits per Claim Than Typical State – for Similar Claims

Visits per Claim

CA12-State MedianDifference

Physician 11.6 7.8  49%

Chiropractor 34.1 16.6  105%

PT/OT 17.0 12.2  39%

1999/2000 Claims with > 7 Days Lost Time

(Injury/Industry Mix Adjusted)

california has the highest fraction of lost time claims receiving ppd rand
California Has the Highest Fraction of Lost-Time Claims Receiving PPD (RAND)

45

40

35

30

25

Percent

20

15

10

CA

NM

WA

WI

OR

5

0

Lost-time claims with PPD

comparing systems work comp across states
Comparing Systems—Work Comp Across States
  • Similar Cost/Indemnity claim—Initial Treatment
  • Many more treatments
  • Generally lower cost/treatment
  • Cost rising twice as fast as national average
  • More Indemnity claims
  • More PD claims
  • Claims open longer with very costly and unpredictable expenses in later years
      • 30% paid in first 2 years
      • 15% paid after 20+ years
comparing systems wc to health benefit
Comparing Systems –WC to Health Benefit
  • Health benefit pays for services only during year of contract
  • Different conditions
  • Risk sharing to control utilization and cost
  • Expenditures are heavily focused on the elderly and very young