Adopting Medicare Fee Schedules

Considerations for the California Workers' Compensation Program

Barbara O. Wynn

ResearchPublished 2004

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.

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  • Availability: Available
  • Year: 2004
  • Print Format: Paperback
  • Paperback Pages: 186
  • Paperback Price: $24.00
  • Paperback ISBN/EAN: 978-0-8330-3476-2
  • Document Number: MR-1776-ICJ

Citation

RAND Style Manual
Wynn, Barbara O., Adopting Medicare Fee Schedules: Considerations for the California Workers' Compensation Program, RAND Corporation, MR-1776-ICJ, 2004. As of September 12, 2024: https://www.rand.org/pubs/monograph_reports/MR1776.html
Chicago Manual of Style
Wynn, Barbara O., Adopting Medicare Fee Schedules: Considerations for the California Workers' Compensation Program. Santa Monica, CA: RAND Corporation, 2004. https://www.rand.org/pubs/monograph_reports/MR1776.html. Also available in print form.
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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.

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