Research
ICIS Injury Score Card: 2001-2011 Other Injury, Poisoning & Toxic Effect Claims
The latest CWCI Injury Score Card provides detailed data on claims in which the diagnosis falls in the "Other Injury, Poisoning and Toxic Effect category, which comprise 1 out of every 13 California workers' comp claims, but 1 out of every 10 loss dollars."
Obesity as a Medical Disease: Potential Implications for WC
A new CWCI report examines the implications of the AMA's recent reclassification of obesity as a treatable disease, and identifies and measures key differences between claims with and without obesity as a co-morbidity.
Medical Dispute Resolution: Utilization Review and Independent Medical Review
Medical dispute resolution is a vital component of all healthcare delivery systems. This study examines the key linkages between utilization review (UR) and independent medical review (IMR).
California WC Medical and Indemnity Benefit Payment Trends, AY 2002-2012
CWCI's latest study tracks the Calif WC medical and indemnity benefit growth trends from AY 2002 – 2012
Medical & Indemnity Benefit Trends, AY 2002 – 2014
Initial data on AY 2014 lost-time claims indicate that average medical payments at 3 and 6 months post injury declined following implementation of SB 863, though the 12- and 24-month data on claims from prior years still show average losses trending up, led by ongoing increases in payments for prescription drugs and DME.
Changes in WC Physician Reporting Under the RBRVS Fee Schedule: Initial Results
The average amount paid for all California WC physician reports fell 37% from $26.13 in the 1st quarter of 2013 to $16.53 in the 1st quarter of 2014 as the state began to transition to the new RBRVS Fee Schedule, but that decline was due to changes in the underlying E&M services in the schedule and not a decrease in the fee schedule amounts assigned to report codes.
