In rotator cuff claims exceeding $65,000 in costs within 36 months of injury, surgery was present 85% of the time.
In rotator cuff claims exceeding $65,000 in costs within 36 months of injury, surgery was present 85% of the time.
From 2021 to 2024, medical payments per claim increased by about 5% per year in most states, rebounding from earlier pandemic-related declines.
The report reviews 1.57 million IMR decision letters from 2015 through March 2025.
The study focuses on Oregon’s 50 largest industry classes, comparing data to every other state in the country.
The meeting focused on long-term disability claims, going into IMEs and PTSD claims.
Pharmacy service costs fell 40% - or $28 million dollars – from 2018 through 2023.
Long COVID cases made up 4.7% of COVID claims, totaling 6,000 claims, yet medical payments for long COVID claims was $105 million.
The study compares prices paid for medical services across 36 states from 2008 to 2024, representing 88% of workers’ comp benefits in the U.S.
Healthesystems attended the event, summarizing major highlights from the symposium.
A total of 14 reports capture workers’ comp data from 2018-2023 for 18 states, with information on medical payments and other metrics.
The report summarizes 2024 activities, including over 40 studies that address topics such as psychosocial factors, attorney involvement, and more.
A total of 199,651 IMR applications were received in 2024, with pharmaceuticals making up 32.7%.
Approximately 38.8% of claims had one or more comorbidities, based on an analysis of 930,000 claims with at least 7 days lost time across 32 states.
While pharmacy payments are dropping, physician dispensing remains high.
Injury frequency increased for younger and less-tenured workers, who also saw higher use of emergency departments.
