Research
Pharmaceutical Cost Management in California Workers’ Compensation
This Report to the Industry provides background on the issue of pharmaceutical benefit delivery, reimbursement, and management in California workers’ compensation. The analysis reviews past studies by CWCI and other research organizations that compare the California system to other programs, examines the current role and potential savings from PBMs, and outlines factors that are likely to affect the cost and delivery of pharmaceuticals to injured workers in the future.
California Workers’ Compensation Medical Payments, Litigation, and Claim Duration A Post-Reform Report Card
The Institute has published a report on a study linking increased litigation, claim duration and medical payments to judicial, legislative and regulatory changes implemented in the three years following enactment of the 1993 California workers compensation reforms.
Clinical Severity in Workers’ Compensation Inpatient Care
This Research Abstract measures differences in inpatient admission characteristics, hospital resource use and clinical severity between California’s workers compensation, group health and Medicare systems. The results challenge the perception that workers compensation admissions are “more difficult” to treat than patients from other systems.
Twenty-Four Hour Coverage: Evaluating Potential Sources of Costs and Savings
This study sets the parameters for potential medical savings that could result from a mandated expansion of group medical managed care into workers’ compensation.
Twenty-Four Hour Coverage: Mandating Medical Coverage for California Employees
This study documents the size and structure of health and disability benefit systems in the mid-1990s and projects the impact of mandating medical coverage for all California employees and their non-working dependents.
Twenty-Four Hour Coverage: Framing the Issues
This monograph examines the issues, opportunities and unresolved problems surrounding the merger of medical and disability coverages into a single, seamless program.
