WCRI 2017 Conference – Blogging Live – Afternoon Sessions p1

STATE OF THE STATES-WORKERS COMPENSATION CONSULTANTS

This session will discuss some of the latest findings and trends seen across WCRI’s core benchmark studies, including WCRI’s 18-State CompScope™ Benchmarks reports, a multistate benchmarking program that measures the performance of a growing number of state workers’ compensation systems. This session will be helpful to stakeholders and public officials who are looking to better manage change and avoid the historic pattern of crisis-reform-crisis that has frequently characterized workers’ compensation in the past. Read more in J&L Risk Management Consultants

Carol Telles  – WCRI | Workers Comp Consultants

• Less hospital use in the 18 states WCRI analyzed
• Since 2000 33% increase in outpatient admissions
• 2000 – 2008 increase in hospitalization – then decrease
• Kentucky and Minnesota were the two most significant decreases almost 4%
•  New Jersey back surgeries (outpatient) increased but inpatient decreased 
• 2000 – 2014 60% increase in ASC’s – ambulatory surgery centers
• North Carolina and Georgia had most significant decreases in inpatient surgeries
• ASC’s are 50% cheaper
• Wisconsin had highest charges for hospital outpatient physical medicine
• Texas has highest decrease in radiological studies outpatient 
• Read more in J&L Risk Management Consultants

Will Browder | Workers Comp Consultants

• Indiana had one of  lowest indemnity payments per claim 
• North Carolina had one of highest indemnity payments per claim 
• Iowa has highest maximum weekly benefit level – $881
• North Carolina House Bill 709 
  • 500 TTD week cap
  • 300 TPD week cap
  • Suitable employment definition narrowed  
  • Read more in J&L Risk Management Consultants

Dr, Rebecca Yang | Workers Comp Consultants

Attorney Involvement 

• Illinois had highest attorney involvement 52%
• New Jersey had 49% attorney involvement 
• Wisconsin and Texas had lowest attorney involvement 
• Texas
  • limits attorney hourly fees to $200
  • Limits on lump sum settlements 
• Wisconsin 
  • Clear standards for TD benefits 
  • Two PPD structure 
• New Jersey 
  • PPD not paid voluntarily
• Illinois 
  • No standards to PPD ratings 
  • Lump sums based on multiple factors not just PPD
  • PPD benefit is much lower so TTD benefit period lengthened 
  • Medical experts just one aspect in final determination of PPD 
  • Read more in J&L Risk Management Consultants

Questions 

• Technology is missing from WC agenda 
• Is the safety net gone from the WC system?  Possibly with Opt Out
• Subcontractor system has changed the system 
• Impact of Fraud? – Fraud is not medical provider centered
• Statistics in Amputation study – OSHA logs – reporting issues? Data did not match – many studies that show amputations are not getting into the system
• How does WC adapt to the future needs of workers? Need to think about TTD of workers that are not in present WC system.
• Learn More About experienced Workers Compensation Consultants

How does one have the Workers Comp community accept the psychological treatment part of an injury as the attempt is to avoid this type of treatment  – screening at 6- 10 weeks of care for high risk to send to collaborative care. Learn More About experienced Workers Compensation Consultants

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