Abstract
Background: In recent decades, the frequency of Medical Only (MO) and Lost Time (LT) workers' compensation claims has decreased, while average severity (medical and indemnity costs) has increased. Objective: The aim of this study was to compare claim frequency, mix, and severity (cost) over two periods using a claim cohort follow-up method. Methods: Sixty-two thousand five hundred thirty-three claims during two periods (1999 to 2002 and 2003 to 2006) were followed seven years postinjury. Descriptive analysis and significant testing methods were used to compare claim frequency and costs. Results: The number of claims per $1M of premium decreased 50.4% for MO claims and 35.6% for LT claims, consequently increasing the LT claim proportion. The average cost of LT claims did not increase. Conclusion: The severity increase is attributable to the proportional change in LT and MO claims. While the number of LT claims decreased, the inflation-adjusted average cost of LT claims did not increase.
| Original language | English (US) |
|---|---|
| Pages (from-to) | e320-e324 |
| Journal | Journal of Occupational and Environmental Medicine |
| Volume | 58 |
| Issue number | 9 |
| DOIs | |
| State | Published - Oct 19 2016 |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
A Seven-Year Longitudinal Claim Analysis to Assess the Factors Contributing to the Increased Severity of Work-Related Injuries. / Kalia, Nimisha; Lavin, Robert A.; Yuspeh, Larry; Bernacki, Edward J.; Tao, Xu Guang.
In: Journal of Occupational and Environmental Medicine, Vol. 58, No. 9, 19.10.2016, p. e320-e324.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A Seven-Year Longitudinal Claim Analysis to Assess the Factors Contributing to the Increased Severity of Work-Related Injuries
AU - Kalia, Nimisha
AU - Lavin, Robert A.
AU - Yuspeh, Larry
AU - Bernacki, Edward J.
AU - Tao, Xu Guang
PY - 2016/10/19
Y1 - 2016/10/19
N2 - Background: In recent decades, the frequency of Medical Only (MO) and Lost Time (LT) workers' compensation claims has decreased, while average severity (medical and indemnity costs) has increased. Objective: The aim of this study was to compare claim frequency, mix, and severity (cost) over two periods using a claim cohort follow-up method. Methods: Sixty-two thousand five hundred thirty-three claims during two periods (1999 to 2002 and 2003 to 2006) were followed seven years postinjury. Descriptive analysis and significant testing methods were used to compare claim frequency and costs. Results: The number of claims per $1M of premium decreased 50.4% for MO claims and 35.6% for LT claims, consequently increasing the LT claim proportion. The average cost of LT claims did not increase. Conclusion: The severity increase is attributable to the proportional change in LT and MO claims. While the number of LT claims decreased, the inflation-adjusted average cost of LT claims did not increase.
AB - Background: In recent decades, the frequency of Medical Only (MO) and Lost Time (LT) workers' compensation claims has decreased, while average severity (medical and indemnity costs) has increased. Objective: The aim of this study was to compare claim frequency, mix, and severity (cost) over two periods using a claim cohort follow-up method. Methods: Sixty-two thousand five hundred thirty-three claims during two periods (1999 to 2002 and 2003 to 2006) were followed seven years postinjury. Descriptive analysis and significant testing methods were used to compare claim frequency and costs. Results: The number of claims per $1M of premium decreased 50.4% for MO claims and 35.6% for LT claims, consequently increasing the LT claim proportion. The average cost of LT claims did not increase. Conclusion: The severity increase is attributable to the proportional change in LT and MO claims. While the number of LT claims decreased, the inflation-adjusted average cost of LT claims did not increase.
UR - http://www.scopus.com/inward/record.url?scp=84988596455&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84988596455&partnerID=8YFLogxK
U2 - 10.1097/JOM.0000000000000842
DO - 10.1097/JOM.0000000000000842
M3 - Article
C2 - 27608153
AN - SCOPUS:84988596455
VL - 58
SP - e320-e324
JO - Journal of Occupational and Environmental Medicine
JF - Journal of Occupational and Environmental Medicine
SN - 1076-2752
IS - 9
ER -