Workers Comp Treating Physicians – Big Change Occurring – WCRI

Facebook
Twitter
LinkedIn

Workers Comp Treating Physicians – WCRI New Report – Landscape Changing

When the Workers Comp treating physicians shift treatment patterns, the subject demands a mention.  One of the big shifts that I have noticed in my medical bill analysis when conducting reviews was recently analyzed by WCRI (Workers Comp Research Institute).

WCRI’s report showed that the Worker Comp treating physicians and office visits changed dramatically in certain states.  When I had to change my healthcare treatment, I experienced what the chart below shows. I now am seen in an office visit setting by a Physicians Assistant. I do not feel that I am receiving a diminished level of care.

The chart shows how Workers Comp patients seek treatment from Nurse Practitioners (NPs) and Physician Assistants (PAs).  The full study and report by WCRI can be found here. 

The three main questions answered by the study and report according to WCRI:

  • How has workers’ access to primary care physicians, as opposed to nurse practitioners or physician assistants, changed since 2013, including during the pandemic?
  • Did the use of advanced practitioners (nurse practitioners and physician assistants) instead of physicians vary across states and between urban and rural areas?
  • How did the increases in the number of advanced practitioners impact claim costs, disability duration, and types of care provided?

Articles in this blog on NPs show my affinity to having them onsite to decrease Workers Comp budgets quickly –

Nurse Practitioner Good For Workers Comp? 

 

Moving Away from Workers Comp Treating Physicians in One Graph

From the WCRI webpage

Analyzing workers’ compensation data from 2013 to 2022, the study identifies trends in access to primary care physicians versus advanced practitioners like nurse practitioners and physician assistants. It examines regional differences in advanced practitioner use and the effects of provider supply changes on claim costs, disability duration, and types of care provided. Using WCRI’s Detailed Benchmark/Evaluation (DBE) database, the study offers valuable insights to help stakeholders address changes in the medical workforce.

graph WCRI workers comp treating physicians changing

Over 40% of office visits in 16 study states from the chart indicate that NPs and PAs workers comp patients.  Four states -Nevada, Indiana, New Mexico, and North Carolina claimants receive treatment by NPs or PAs over 50% of the time.  That shows a big shift in treatment patterns.

Bottom Line

See if your state is in the above graph.  Workers comp treating physicians are now shifting to PAs and NPs.  Employers, adjusters, and anyone who deals with WC may have to shift their Workers Comp medical treatment network.

See the study link at the top of the article.  This study and report justify the nominal fee.  If you are a WCRI member, then you can receive it freebies.  Either way, this study earns the fee.

Facebook
Twitter
LinkedIn

Related...

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

Subscribe

Get the latest workers' comp news FREE!

This field is for validation purposes and should be left unchanged.
Name