The increasing costs of medical care for treating injured workers have been a focus of public policymakers and system stakeholders in many states. To help them conduct meaningful comparisons of prices paid across states, and to monitor the price trends in relation to changes in fee schedules and network participation, this annual study creates an index for the actual prices paid for professional services based on a marketbasket of commonly used services for treating injured workers.

The MPI-WC compares medical prices paid in 36 states and tracks price changes in most states over an 11-year span from 2008 to 2018 for professional services billed by physicians, physical therapists, and chiropractors. The medical services fall into eight groups: evaluation and management, physical medicine, surgery, major radiology, minor radiology, neurological and neuromuscular testing, pain management injections, and emergency care.

The 36 states in the study, which represent 88 percent of the workers’ compensation benefits paid in the United States, are Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Wisconsin.

WCRI Medical Price Index for Workers’ Compensation, 11th Edition (MPI-WC). Rui Yang and Olesya Fomenko. May 2019. WC-19-25.

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Copyright: WCRI