Research
CWCI Claims Monitoring Interactive Report
A report highlighting recent results and trends from the latest update to CWCI’s Claims Monitoring Interactive Application which features AY 2009 – AY 2023 data (valued as of December 2023) on average medical payments, average paid indemnity, and combined medical and indemnity payments at nine levels of development ranging from 3 months to 72 months post injury. The report also provides a refresher on how the Application is formatted and how CWCI members can use it.
Increased Medical-Legal Costs and Current QME Supply — Impact of the 2021 Medical-Legal Fee Schedule
CWCI’s updated analysis of the impact of the new Med-Legal Fee Schedule based on data through October 2023.
Legislative Impact Analysis: SB 1299
A CWCI Legislative Impact Report examines the issues surrounding SB 1299, a bill that would give farmworker heat-related injury claims a presumption of compensability if the employer is found non-compliant with Cal/OSHA’s outdoor heat standard.
Analysis of Cumulative Trauma & Litigated Claims in California Workers’ Comp
CT & Litigated Claims in California Workers’ Comp. A CWCI Research Note based on 1.4 million claims with claims administrator notification dates ranging from 2010 through 2022 tracks the growth of CT claims in California workers’ compensation and examines the impact that factors such as region, tenure, industry, age, and average weekly wage have on the likelihood of CT claims.
CWCI Analysis of California WC Inpatient Care, 2012-2022
A CWCI Research Update report uses HCAI data to monitor trends in the utilization of inpatient care in California workers comp from 2012 through 2022, comparing the workers comp trends to those in Medicare, Medi-Cal and private coverage. The report also reviews changes in the types of conditions treated and the services delivered to injured workers before and after the pandemic was declared in 2020; takes a focused look at the primary diagnoses underlying inpatient hospitalizations involving spinal fusions and major joint replacement surgeries; and examines how the growth of outpatient surgery is affecting the total number of injured worker hospitalizations.
Claims Monitoring: Medical and Indemnity Development, AY 2013 – AY 2022
A CWCI analysis of data from the IRIS database tracks average California workers’ comp total losses per indemnity claim since the implementation of SB 863 through the first three years of the pandemic, and breaks out the data to show both paid medical and paid indemnity loss trends. The study also looks at 24-month loss trends for claims from five key industry sectors and for claims from injured workers living in 7 distinct regions of the state as well as from workers living out of state.
