Industrial Injury Hospitalizations Billed to Payers Other Than Workers’ Compensation: Characteristics and Trends by State

Details

• Personal Author:
  Blanar L ; Bowman SM ; Hogg-Johnson S ; Sears JM ; Blanar L ; Bowman SM ; Hogg-Johnson S ; Sears JM
• Description:
  Objective. To describe characteristics of industrial injury hospitalizations, and to test the hypothesis that industrial injuries were increasingly billed to non-workers' compensation (WC) payers over time. Data Sources. Hospitalization data for 1998-2009 from State Inpatient Databases, Healthcare Cost and Utilization Project, and Agency for Healthcare Research and Quality. Study Design. Retrospective secondary analyses described the distribution of payer, age, gender, race/ethnicity, and injury severity for injuries identified using industrial place of occurrence codes. Logistic regression models estimated trends in expected payer. Principal Findings. There was a significant increase over time in the odds of an industrial injury not being billed to WC in California and Colorado, but a significant decrease in New York. These states had markedly different WC policy histories. Industrial injuries among older workers were more often billed to a non-WC payer, primarily Medicare. Conclusions. Findings suggest potentially dramatic cost shifting from WC to Medicare. This study adds to limited, but mounting evidence that, in at least some states, the burden on non-WC payers to cover health care for industrial injuries is growing, even while WC-related employer costs are decreasing - an area that warrants further research. [Description provided by NIOSH]
• Subjects:
  Database Delivery Of Health Care Demography Economics Manufacturing And Industrial Facilities Occupational Health Safety Workplace
• Keywords:
  Analytical-processes Author Keywords: Workers' Compensation Cost Analyses Costs Cost Shifting Databases Data Processing Demographic Characteristics Economic Impact Hospital Discharge Data Industrial Environment Injuries Insurance Coverage Medical Care Medical Records Medical Services Medical Treatment Occupational-medicine Occupational Injuries Regression Analysis Statistical Analysis Surveillance Surveillance-programs Work Environment Workers Compensation

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• ISSN:
  0017-9124
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  Arkansas ; OSHA Region 10 ; OSHA Region 6 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Volume:
  52
• Issue:
  2
• NIOSHTIC Number:
  nn:20049764
• Citation:
  Health Serv Res 2017 Apr; 52(2):763-785
• Contact Point Address:
  Jeanne M. Sears, Ph.D., M.S., R.N., Department of Health Services, University of Washington, Box 357660, Seattle, WA 98195
• Email:
  jeannes@uw.edu
• Federal Fiscal Year:
  2017
• Performing Organization:
  University of Washington, Seattle
• Peer Reviewed:
  True
• Start Date:
  20120901
• Source Full Name:
  Health Services Research
• End Date:
  20150831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7cf490e4357c7013e566b6ec4665d2caecc532c999f04845743ff459ea996234f6d8286b92fcbd8105722a4315df62905d2ed51dd728ec2ccb52b06e7d6257ef
• Download URL:
  https://stacks.cdc.gov/view/cdc/210402/cdc_210402_DS1.pdf
• File Type:
  [PDF - 278.60 KB ]