July 11, 2018

Study: CT workers’ comp. reforms showing results

PHOTO | Contributed
PHOTO | Contributed

A change to Connecticut law has led to lower workers compensation payments for outpatient surgeries, according to a recent study by the Workers Compensation Research Institute.

WCRI said Connecticut in 2015 and 2016 experienced an overall 22 percent decrease in hospital payments for outpatient knee and shoulder surgeries that are common in workers' compensation programs.

The Massachusetts-based not-for-profit research organization said the lower costs are related to a 2015 Connecticut law that benchmarked outpatient reimbursement rates to Medicare rates. The practice has become more common, with 10 states introducing it between 2005 and 2015, WCRI said. Of those 10, Connecticut and six others have seen per-episode payments decline.

Connecticut's regulation sets the outpatient reimbursement rate at 210 percent of Medicare rates.

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