Workers’ compensation hospital fees higher for certain injuries, according to study

The Cambridge, Massachusetts-based Workers Compensation Research Institute recently released a 22-state study that shows outpatient hospital surgeries paid for by workers’ compensation insurers are usually more expensive than those paid for by group health insurers for the same surgery in almost all the states studied. In fact, the study titled A New Benchmark for Workers’ Compensation Fee Schedules: Prices Paid for By Commercial Insurers?  showed that the prices were two to four times higher.

However, the prices paid for office visits under workers’ comp were within 30 percent of the prices paid for by employer-sponsored group health insurers.

The state’s fee schedules, or lack thereof, greatly influence workers’ compensation prices, the study reiterates, with higher fee schedules getting higher workers’ compensation prices.

WCRI executive director Richard Victor said that within a typical year, five to 10 states will debate public policy and assess whether to modify fee schedules to regulate workers’ comp prices.

When an injured worker is in need of financial support in Raleigh, our lawyers at Scudder Seguin, PLLC, may be able to help them file a workers’ compensation claim or deal with other related issues. Contact our offices at 919-851-3311 today to discuss your workers’ comp needs.