Research

A new analysis of California workers' comp IMR decisions from Q1 2016 shows little change in the number of IMR determinations, the percentage of UR modifications and denials upheld by IMR physicians, the types of medical services reviewed, and the high concentration of disputed medical service requests linked to a relatively small number of physicians.

A detailed analysis of changes in the utilization and reimbursement of California workers' comp physician and non-physician medical services during the first 2 years of the transition to the RBRVS fee schedule, which began in January 2014.

L.A. County residents account for 25.6% of all claims in the state, but 31.9% of workers' comp loss payments. What makes L.A. claims different? The Regional Score Card provides detailed data comparing key aspects of Los Angeles County Claims to those from other regions of California.

Inland Empire/Orange County residents account for 19% of all California workers' comp claims and 21% of paid losses. The regional Score Card provides detailed data comparing key aspects of Inland Empire/Orange County claims to those from other regions.

Central Valley residents account for 18% of all California workers' comp claims but 15% of paid losses. CWCI's third IRIS Regional Score Card provides detailed data comparing key aspects of Central Valley claims to those from other regions.

Residents of the 9-county San Francisco Bay Area account for 17.5% of all California workers' comp claims but 15.4% of paid losses. CWCI's fourth IRIS Regional Score Card provides detailed data comparing key aspects of Bay Area claims to those from other regions.