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Do Zero-Cost Workers’ Compensation Medical Claims Really Have Zero Costs?
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Dec 2013
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Source: J Occup Environ Med. 2013; 55(12):1394-1400.
[PDF-367.50 KB]
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Alternative Title:J Occup Environ Med
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Description:Objective
Previous research suggests that non–workers’ compensation (WC) insurance systems, such as group health insurance (GHI), Medicare, or Medicaid, at least partially cover work-related injury and illness costs. This study further examined GHI utilization and costs.
Methods
Using two-part model, we compared those outcomes immediately after injuries for which accepted WC medical claims made zero or positive medical payments.
Results
Controlling for pre-injury GHI utilization and costs and other covariates, our results indicated that post-injury GHI utilization and costs increased regardless of whether a WC medical claim was zero or positive. The increases were highest for zero-cost WC medical claims.
Conclusion
Our national estimates showed that zero-cost WC medical claims alone could cost the GHI $212 million per year.
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Pubmed ID:24316724
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Pubmed Central ID:PMC4504204
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