Study finds medical costs under workers’ compensation low in Michigan

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Workers Compensation Research Institute (WCRI) releases CompScope Medical Benchmarks for Michigan, 18th Edition.

WCRI has published its CompScope Medical Benchmarks for Michigan, 18th Edition. This report is designed to help policymakers and other stakeholders evaluate state workers’ compensation systems.

The study looked at medical payments, prices, and utilization in Michigan compared with 17 states (Arkansas, California, Florida, Georgia, Indiana, Illinois, Iowa, Kentucky, Louisiana, Massachusetts, Minnesota, New Jersey, North Carolina, Pennsylvania, Texas, Virginia, and Wisconsin) over a period from 2010 through 2015.

Michigan had among the lowest medical payments per claim in the study. It was also found that prices were stable over a 5-year period. The relatively low medical payments and stable prices were likely due to our fee schedule.

Our 2 cents on low prices

Medical providers are hesitant to accept patients on workers’ compensation insurance. It can be challenging to get medical treatment authorized. Telephone calls to claims adjusters frequently go unanswered. Bills are routinely disputed.

Michigan law requires providers to accept payment based upon a fee schedule. This is known as “cost containment” and charges must be submitted on a CMS 1500 or UB-92 claim form. Insurance companies will not process bills without these forms and payment gets delayed.

Medical payments under cost containment are sometimes just a fraction of what is billed. Some doctors have given up accepting workers’ compensation insurance and this limits options for people hurt on-the-job. It is important to keep medical costs down but not at the expense of quality care. Policymakers in Michigan would be wise to remember this fact.

Michigan Workers Comp Lawyers never charges a fee to evaluate a potential case. Our law firm has represented injured and disabled workers exclusively for more than 35 years. Call (855) 221-2667 for a free consultation today.

Related information:

Hurt yourself at work? That will be $8,502.43 for the emergency room visit.

Photo courtesy of Creative Commons, by CarbonNYC [in SF!].

Author Bio Jeffrey Kaufman

Author
Jeffrey E. Kaufman
Michigan Workers Comp Attorney

Jeffrey E. Kaufman has extensive experience in workers compensation cases and has recovered millions of dollars in benefits for his clients. He believes all injured workers deserve to be on equal footing with insurance companies and employers, and fights tenaciously so their rights are secured and protected.


“Jeff also helped me with getting my Blue Cross bills paid. I would absolutely recommend him and the whole firm. Jeff and the firm did everything they were supposed to do for me and my case.”
Ricardo Perfetto

Hundreds of 5-Star Reviews

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Get Help From our Michigan Workers’ Comp Lawyers Today

You’re not alone. Our Michigan workers’ comp lawyers have been called the best in the state, and our clients love how they’re treated with care, respect, and responsiveness. We will give you the time you need, we will explain your legal rights, and we will always treat you with respect.

Our workers’ compensation and Social Security disability lawyers always put your needs first. Get to know your legal team.

Our attorneys post regularly about common issues related to workers’ comp, including common injuries, settlement calculations, laws, and more.

Injured? It’s Time to Get Some Answers

Don’t let the insurance adjuster push you around. Request your free consultation today.

"*" indicates required fields

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

Our attorneys post regularly about common issues related to workers’ comp, including common injuries, settlement calculations, laws, and more.

Our workers’ compensation and Social Security disability lawyers always put your needs first. Get to know your legal team.