Monitoring Trends in the New York Workers’ Compensation System, 2022 Edition

By Carol A. Telles, William Monnin-Browder

October 20, 2022 Related Topics: CompScope™ Benchmarks, CompScope™ Medical Benchmarks

Originally established to monitor changes in the New York system following substantial legislative reforms in March 2007, the report has evolved into a tool for tracking key metrics of system performance on an ongoing basis as legislative reforms and external factors, like the COVID-19 pandemic, impact the system.

In recent years, New York has implemented several policy changes regarding medical treatment, including medical fee schedule changes, the implementation of a drug formulary for new prescriptions, and the Expanded Provider Law. The regular monitoring provided in this report helps focus attention on policy objectives that are being met, objectives that are not being met, and unintended consequences that have emerged.

The analysis in this edition focuses primarily on trends in indemnity benefits, medical payments, and benefit delivery expenses from 2015 to 2020. Claims with experience through 2021 are analyzed, and in some cases, trends before 2007 are shown to establish a baseline prior to the reforms in that year. The study provides a look at how the pandemic impacted non-COVID-19 workers’ compensation claims in the early months of the pandemic. Other studies are also included to help put the performance of the New York system into perspective, such as prices paid for medical services and the frequency and amount of opioids dispensed to workers.

Monitoring Trends in the New York Workers’ Compensation System, 2022 Edition. William Monnin-Browder and Carol A. Telles. October 2022. WC-22-43.

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Research Questions:

  • What impact did the COVID-19 pandemic have on indemnity benefits, medical payments, and benefit delivery expenses per claim? 
  • How did payments per claim for nonhospital services change following the implementation of a new fee schedule in 2019?
  • Given recent policies to address the overuse of opioids, as well as the implementation of a drug formulary for new prescriptions, what have been the recent trends in prescription payments?

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