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The effect of a health care management initiative on reducing workers' compensation costs.

Authors
Green-McKenzie-J; Rainer-S; Behrman-A; Emmett-E
Source
J Occup Environ Med 2002 Dec; 44(12):1100-1105
NIOSHTIC No.
20038206
Abstract
The effect of both a cost control and health care management initiative (HCMI) on Workers' Compensation costs at a self-insured University Hospital was assessed. Seven cohorts of injured workers were studied. Cost control measures started in 1993 included early return to work and injury prevention programs, internal administration of legal cases, and utilization of modified duty assignments. The health care management initiative fully in place in 1997 included aggressive case management and preferred provider panel utilization. Workers' Compensation indemnity costs and lost workdays incurred by each cohort were compared. A 41 to 59% reduction in indemnity payments and 46 to 67% reduction in lost time cases were realized after the health care management initiative was fully in place. During this time, accepted claims were reduced by 10 to 15%. The quality of the provider panel, as measured by academic credentials, experience and board certification, did not change. Cost control measures, without comprehensive case management, did not decrease these parameters significantly. The health care management initiative realized reductions in lost time cases and Workers' Compensation indemnity costs.
Keywords
Health-care; Management-personnel; Injuries; Worker-health; Disabled-workers; Lost-work-days; Injury-prevention; Administration; Work-practices; Health-care-personnel
Contact
Judith Green-McKenzie, Hospital of the University of Pennsylvania, 3400 Spruce Street, Occupational Medicine, Philadelphia, PA 19104-4283, USA
CODEN
JOEMFM
Publication Date
20021201
Document Type
Journal Article
Email Address
jmckenzi@mail.med.upenn.edu
Funding Type
Grant
Fiscal Year
2003
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-T42-CCT-310419
Issue of Publication
12
ISSN
1076-2752
Source Name
Journal of Occupational and Environmental Medicine
State
PA; MD
Performing Organization
Johns Hopkins University
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