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Nov
7

CompScope is up…medical costs are not.

It’s that time of year…when the brilliant minds at WCRI release the latest CompScope report.

The top finding…is likely to surprise many…

Couple observations:

  • yes, this was during COVID….medical costs during COVID were LOWER, not higher than previous in previous years. Those who understand medical care delivery anticipated this, alas that is a very small group.
  • no, medical costs in comp are NOT increasing significantly. Haven’t been for years.
  • That’s because we’re still benefiting from the opioid hangover effect.

Warning – Medicaid disenrollment aka “screw the poor folks” will push facilities and healthcare systems in many states to look for revenue replacements.

And, because work comp is pathetically awful at controlling facility costs, we can expect facility costs to increase – which will increase medical costs.

You can register for WCRI’s  webinar highlighting findings from this year’s report here….tune in November 16, 2023 @ 2 pm eastern.

What does this mean for you?

It is long past time to start preparing for higher medical spend.


2 thoughts on “CompScope is up…medical costs are not.”

  1. Joe, Always interesting, I was recently visiting a good friend and as we discussed reimbursement and the challenges he faces in his practice he shared with me that he received payment for a medical visit for a patient from medicaid, it was for .01. Not a $1,00 but .01. He is in California. Boggles the mind.

    1. Hi Francine – interesting…wonder if that service or CPT code was bundled into another service delivery on or related to that day, or if he was participating in an alternative payment model plan…

      be well Joe

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Joe Paduda is the principal of Health Strategy Associates

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A national consulting firm specializing in managed care for workers’ compensation, group health and auto, and health care cost containment. We serve insurers, employers and health care providers.

 

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