Posted On: September 10, 2010 by Steven J. Malman

Illinois Workers’ Compensation Medical Costs Slowed in Growth After Implementation of Medical Fee Schedule

According to the Workers Compensation Research Institute, the growth in medical costs per Illinois workers’ compensation claim slowed in 2007 after the medical fee schedule was implemented the year before. This and other findings are reported on in a study called Monitoring the Impact of Illinois Regulatory Changes: CompScope Medical Benchmarks, 10th Edition.

Per the study, medical costs’ growth decelerated to 5% after a 12% average yearly growth during the three previous years. The regulations’ effect on hospital and nonhospital providers was a likely factor in the slowed rate. Even though the diagnosis-related group (DRG) based fee schedule that the state implemented was significantly higher than the schedule of many other states with similar regulations, the growth in hospital inpatient payments per episode slowed during the first post-fee schedule.

Prior to the 2006 and 2009 regulations, hospital payments per Illinois workers’ compensation claims were among the highest of the study. In 2007, these prices continued to be 65% higher than the median of 25 study states.

Among the states studied in 2007 and 2008, Illinois had higher utilization of medical services from nonhospital providers. Occupational/physical therapists treated injured workers during about 20 visits/claim—compared to the approximately 16 visits/claim experienced in the typical study state. Physicians in Illinois were treating injured workers during approximately 15 visits per claim—compared to the median study state, where doctors treated injured workers during approximately 10 visits.

Illinois Workers’ Compensation
As someone who was injured on the job, you are likely entitled to Illinois workers’ compensation, which should include medical care and, depending on the specifics of your work injury or illness case, temporary total disability benefits, permanent partial disability benefits, or permanent total disability benefits. In some cases, agreeing to a work injury settlement can be to your benefit.

Fee Schedule Slowed Growth of Illinois Injured Workers' Medical Costs, Insurance Journal, September 3, 2010


Related Web Resources:
Workers Compensation Research Institute

Illinois Workers' Compensation Act (PDF)

The best way to determine what is best for you is to contact our Chicago, Illinois workers’ compensation law firm today. Remember that you cannot sue your employer for your Chicago personal injuries or sickness sustained at work.

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