Cover: Adopting Medicare Fee Schedules

Adopting Medicare Fee Schedules

Considerations for the California Workers' Compensation Program

Published 2004

by Barbara O. Wynn

Download

Download eBook for Free

Full Document

FormatFile SizeNotes
PDF file 0.9 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Summary Only

FormatFile SizeNotes
PDF file 0.2 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Purchase

Purchase Print Copy

 Format Price
Add to Cart Paperback186 pages $24.00

Medical costs have become the fastest-growing component of the California workers' compensation program, increasing from 45 percent of benefit costs in the mid-1990s to an estimated 55 percent of benefit costs in 2003. In response to concerns about these rapidly increasing costs, the California Commission on Health and Safety and Workers' Compensation is recommending changes in the current Division of Workers' Compensation Official Medical Fee Schedule (OMFS) that determines the amount health care providers are paid for their medical services to the state's injured workers. Specifically, the Commission proposes that the OMFS be linked to Medicare fee schedules for all services other than pharmaceutical services. This study examines areas that must be addressed if such a link were to occur, including policy issues arising from the differences between the OMFS and the Medicare fee schedules, modifications that are likely to be necessary to tailor the Medicare fee schedules to California's injured workers, and the implications of automatic annual updates to the schedules.

The research presented in this report was prepared for the California Commissionon Health and Safety and Workers' Compensation. This research was conducted bythe RAND Institute for Civil Justice.

This report is part of the RAND monograph report series. The monograph/report was a product of RAND from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.