Workers Comp Drug Payment Trends- WCRI Webinar

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WCRI Webinar -Workers Comp Drug Payment Trends Across States

Workers Comp drug payment trends are still important even after the opioid crisis.

From WCRI – 

The study includes prescriptions dispensed for non-COVID-19 claims with injuries occurring within three years of the prescription fill date and paid under workers’ compensation during each quarter. The 28 states included in the study are Arkansas, California, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Jersey, New Mexico, New York, North Carolina, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Wisconsin.

I decided to post this one live, if possible  Please excuse any typos.  I will review and correct any errors later today.  I have to publish the newsletter right after writing this article.

Dr. Vennela Thumula, Senior Policy Analyst is presenting for WCRI (Workers Compensation Research Institute).

Workers comp drug payment trends indicate an overall decrease from all the study states.

The per-claim prescription cost decreased by over 30% in 10 years.  I found that to be an amazing figure with the overall workers comp claim costs increasing for over 20 years.

chart of workers comp drug payment trends since 2015
(c) WCRI – Used With Permission

The dermatological prescriptions seemed to experience the largest increase during the last 10 years except in South Carolina where payments for topicals had limits enacted in 2022. One only has to look at the slide below to see why South Carolina limited the reimbursement rates for topical RXs.

 

 

 

From the presentation and the above summary slide, Lousiana and Pennsylvania experienced increases in Workers Comp drug payments

Opioid prescriptions have decreased – a great sign for the WC insurance industry.   What was once a crisis now looks to be contained since the start of the pandemic.

Conclusion – one should not try to post a live 30-minute webinar that covers so much material so quickly.  The full study report can be found here.  WCRI members can obtain it for free.

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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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