The impact of cost intensive physicians on workers' compensation

Edward J. Bernacki, Xuguang Tao, Larry Yuspeh

Research output: Contribution to journalArticle

Abstract

Objective: To identify physicians linked to high-cost workers' compensation claims. Methods: Contrast the cost and duration of claims associated with cost intensive physicians (CIPs) and other physicians (OPs) on 5 years of closed claims paid by the Louisiana Workers' Compensation Corporation. Results: Identified 77 CIPs of 2034 physicians who treated Louisiana Workers' Compensation Corporation claimants. CIPs made up 3.8% of physicians but accounted for 72% of costs. CIP's treated 16 times more claimants, and their average claim cost was four times higher than the OPs ($46,239 vs $11,390, P < 0.01). CIP claims settled in 697 versus 278 days for OPs. Adjusted for age, sex, marital status, International Classification of Diseases, 9th revision group, and initial reserve, the odds ratio of CIP claims with a final cost of >$50,000 was 5.4. CONCLUSION: A small group of physicians (<4%) have a profound effect on overall workers' compensation costs.

Original languageEnglish (US)
Pages (from-to)22-28
Number of pages7
JournalJournal of occupational and environmental medicine
Volume52
Issue number1
DOIs
StatePublished - Jan 2010

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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