CompScope™ Medical Benchmarks for Virginia, 25th Edition

By Bogdan Savych

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

This study assists policymakers and stakeholders in Virginia’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 Virginia with those in 16 other states and analyzes changes from 2017 to 2022. It also monitors the impact of regulatory changes on the system, including the medical fee schedule implemented on January 1, 2018. 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 Virginia.

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 Virginia, 25th Edition. Bogdan Savych. October 2024. WC-24-37.

Copyright: WCRI

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Research Questions:

  1. How did prices and utilization of medical services in Virginia change after implementation of the 2018 fee schedule?
  2. How did payments per claim for the main providers of medical care in Virginia change after implementation of the medical fee schedule?
  3. How do medical payments, prices, and utilization per claim in Virginia compare with those in other states?

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