CompScope™ Medical Benchmarks for North Carolina, 25th Edition

By Carol A. Telles

October 10, 2024 Related Topics: Medical Costs, CompScope™ Medical Benchmarks

This study assists policymakers and stakeholders in North Carolina’s workers’ compensation system by identifying current cost drivers and emerging trends in payments, prices, and utilization of medical services among both nonhospital and hospital providers.

The report compares these medical payment metrics in North Carolina with those in 16 other states and analyzes changes from 2017 to 2022. In some instances, we include data from before 2017 to provide historical context for key metrics. Additionally, we draw on findings from other WCRI studies to create a more comprehensive overview of the system in North Carolina.

The results reflect claims experience through March 2023, including non-COVID-19 claims from the first three years of the pandemic (March 2020 to September 2022), offering insights into how the pandemic influenced non-COVID-19 workers’ compensation claims during that time.

CompScope™ Medical Benchmarks for North Carolina, 25th Edition. Carol A. Telles. October 2024. WC-24-34.

Copyright: WCRI

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Research Questions:

  1. How are workers’ compensation medical payments distributed across providers and services?
  2. How do medical payments per claim, prices, and utilization differ across study states?
  3. How have medical payments per claim, prices, and utilization changed over time within North Carolina, and what are the major drivers of those changes?

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