Workers' Compensation

Research conducted by: RAND Justice, Infrastructure, and Environment; RAND Health; Center for Health and Safety in the Workplace

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Changes Needed to Reduce Volatility in California's Workers' Compensation Insurance Market

California's workers' compensation insurance market will remain vulnerable to wide swings in performance unless changes are made to improve the predictability of costs, transparency of pricing decisions, regulatory oversight and consistency of the incentives facing different parties.

Reports (24)

Evaluating Healthcare Coverage for U.S. Reserve Component Personnel — Jun 28, 2012

The military's TRICARE Reserve Select program offers reservists the option of purchasing health insurance through the military on terms that compare favorably with typical employer benefits, but the program does not appear to be effectively targeting those most likely to be uninsured.

Allowances for Spinal Hardware under California’s Official Medical Fee Schedule: Issues and Options — May 9, 2012

Testimony presented before the California State Senate Labor and Industrial Relations Committee on May 9, 2012.

What is the Impact of Health Care Reform on Workers' Compensation Medical Care? — Apr 23, 2012

When enacting, implementing, and evaluating health care reform, policymakers should consider potential spillover effects on workers' compensation insurance. The experience of Massachusetts's heath care reform suggests that reform may reduce medical costs.

Targeting of SSDI Program Could Be Improved by Reducing the Variation in Initial Determinations — Mar 20, 2012

Though consistency in applying disability assessment criteria is intended, it is not easily achieved in practice. For many SSDI applicants, whether they are allowed or denied benefits depends upon the examiner to which their application is assigned.

California Workplace Safety Program Can Reduce Injuries When Inspectors Enforce It — Jan 26, 2012

The first evaluation of the California Injury and Illness Prevention Program found that it reduces workplace injuries, but only at businesses that had been cited for not addressing the regulation's more-specific safety mandates. Having inspectors conduct more in-depth assessments and linking the violations and injuries to the program would have more impact.

Medical Care Provided Under California's Workers' Compensation Program: Effects of the Reforms and Additional Opportunities to Improve the Quality and Efficiency of Care — Aug 22, 2011

This book examines changes to California's workers' compensation affecting medical care provided to injured workers and identifies areas in which more changes could improve quality and efficiency of care.

RAND/UCLA Quality-of-Care Measures for Carpal Tunnel Syndrome: Tools for Assessing Quality of Care and Appropriateness of Surgery — Aug 16, 2011

Offers two rigorously developed tools for assessing the quality of care received by patients with carpal tunnel syndrome and for determining whether surgery is necessary for individual patients.

Workers' Compensation Reform and Return to Work: The California Experience — Jan 4, 2011

Provides a comprehensive analysis of the effects of several large changes to the workers' compensation system on return to work rates for California's injured workers.

The Frequency, Severity, and Economic Consequences of Musculoskeletal Injuries to Firefighters in California — Jun 21, 2010

This book describes the effect of work-related musculoskeletal disorders on firefighters' earnings and employment, disability ratings, and employment outcomes since California's reforms to workers' compensation and medical delivery systems.

Pay for Performance in California's Workers' Compensation Medical Treatment System: An Assessment of Options, Challenges, and Potential Benefits — Jul 1, 2008

This paper assesses the options, challenges, and benefits of adopting pay-for-performance incentives for physician services in California's workers' compensation program.

Issues and Performance in the Pennsylvania Workers' Compensation System — Mar 15, 2008

Examines the performance of Pennsylvania's workers' compensation system, the major policy issues the system faces, and options that the commonwealth might consider to address these issues.

Research Colloquium on Workers’ Compensation Medical Benefit Delivery and Return to Work — Nov 1, 2006

These proceedings are the product of a May 2003 colloquium on the workers' compensation medical benefit delivery system, with a focus on the access, cost, and quality issues facing the system and mechanisms to improve its quality and efficiency.

Evaluating Medical Treatment Guideline Sets for Injured Workers in California — Aug 23, 2005

Identifying the medical treatment guidelines that determine the appropriateness of treatment for California workers' compensation recipients.

Adopting Medicare Fee Schedules: Considerations for the California Workers' Compensation Program — Jan 1, 2004

Explores issues arising from the proposed linking of the California workers' compensation health care fee schedule to Medicare fee schedules

Evaluation of California’s Permanent Disability Rating Schedule: Interim Report — Jan 1, 2004

The authors focus on California's permanent disability rating schedule, which is at the center of legislative debates on how to reduce the costs of the state's workers' compensation system.

Improving Dispute Resolution for California's Injured Workers: Executive Summary — Jan 1, 2003

Analyzes the causes of delays, high cost, and inconsistency in the California workers' compensation courts.

Improving Dispute Resolution for California's Injured Workers — Jan 1, 2003

Analyzes the causes of delays, high cost, and inconsistency in the California workers' compensation courts.

Inflation in Hospital Charges: Implications for the California Workers’ Compensation Program — Jan 1, 2003

Testimony presented to the California Senate Labor and Industrial Relations Committee on January 15, 2003.

Permanent Disability at Private, Self-Insured Firms: A Study of Earnings Loss, Replacement, and Return to Work for Workers' Compensation Claimants — Jan 1, 2001

This report examines the consequences of a disabling workplace injury for workers at 68 private self-insured employers in California from 1991 through 1995.

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