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Fee Schedule Study By WCRI – No Surprises Found on Savings


Recent Fee Schedule Study – Shows The Same Result As Always – Important

A recent fee schedule study was published recently by WCRI (Workers Comp Research Institute).   The recent fee schedule study came to the same conclusions as many previous studies by WCRI and other organizations.

graph wcri fee schedule study
(c) WCRI – Cambridge, MA


Free Fee Schedule Study Results

WCRI offers a free report on the changes in the overall nationwide medical price indices.  You can find the report here.

I recommend keeping the fee schedule study on your laptop or phone for reference.  Fee schedules do save employers on their workers’ compensation budgets.

I have written many articles about this subject that it earned its own category.   Check out his search for all fee schedule articles including the hidden benefit of fee schedules for accurate reserves.

The above chart shows the growth rate of fees paid for professional services – from the free report – for the last 13 years.  The study covers approximately 88% of the professional fee components paid on workers’ compensation medical payments in the US.

In one of those “chart says it all” situations, I will not go over all the numbers.

States = Still Expensive

Indiana, Missouri, and Wisconsin have always been ranked as among the most expensive states for Workers’ Compensation medical payments.   I think once you review the chart you will see a distinct trend.   Page 29 of the study (worth downloading) has even more examples of the effect of having or not having a fee schedule in a certain state.

Almost the same states are represented in the charts on page 29.

Hidden Benefit of Fee Schedules

One of the fee schedules is the ability for workers comp adjusters to more accurately predict the reserves on a file.  If the medical fees are tied to a fixed fee schedule, then the amounts are much easier to predict for a file.

Some carriers and TPAs have algorithms that can be helpful in setting the 60-day reserves. Most of them are much more accurate in states with fixed fee schedules.

The free fee schedule study – medical price indices is over 170 pages.  Reading over it is time well spent.

Related: 2023 Medical Price Index – Free Publication – WCRI

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James J Moore - Workers Comp Expert

Raleigh, NC, United States

About The Author...

James founded a Workers’ Compensation consulting firm, J&L Risk Management Consultants, Inc. in 1996. J&L’s mission is to reduce our clients’ Workers Compensation premiums by using time-tested techniques. J&L’s claims, premium, reserve and Experience Mod reviews have saved employers over $9.8 million in earned premiums over the last three years. J&L has saved numerous companies from bankruptcy proceedings as a result of insurance overpayments.

James has over 27 years of experience in insurance claims, audit, and underwriting, specializing in Workers’ Compensation. He has supervised, and managed the administration of Workers’ Compensation claims, and underwriting in over 45 states. His professional experience includes being the Director of Risk Management for the North Carolina School Boards Association. He created a very successful Workers’ Compensation Injury Rehabilitation Unit for school personnel.

James’s educational background, which centered on computer technology, culminated in earning a Masters of Business Administration (MBA); an Associate in Claims designation (AIC); and an Associate in Risk Management designation (ARM). He is a Chartered Financial Consultant (ChFC) and a licensed financial advisor. The NC Department of Insurance has certified him as an insurance instructor. He also possesses a Bachelors’ Degree in Actuarial Science.

LexisNexis has twice recognized his blog as one of the Top 25 Blogs on Workers’ Compensation. J&L has been listed in AM Best’s Preferred Providers Directory for Insurance Experts – Workers Compensation for over eight years. He recently won the prestigious Baucom Shine Lifetime Achievement Award for his volunteer contributions to the area of risk management and safety. James was recently named as an instructor for the prestigious Insurance Academy.

James is on the Board of Directors and Treasurer of the North Carolina Mid-State Safety Council. He has published two manuals on Workers’ Compensation and three different claims processing manuals. He has also written and has been quoted in numerous articles on reducing Workers’ Compensation costs for public and private employers. James publishes a weekly newsletter with 7,000 readers.

He currently possess press credentials and am invited to various national Workers Compensation conferences as a reporter.

James’s articles or interviews on Workers’ Compensation have appeared in the following publications or websites:

  • Risk and Insurance Management Society (RIMS)
  • Entrepreneur Magazine
  • Bloomberg Business News
  • WorkCompCentral.com
  • Claims Magazine
  • Risk & Insurance Magazine
  • Insurance Journal
  • Workers Compensation.com
  • LinkedIn, Twitter, Facebook and other social media sites
  • Various trade publications


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