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Comp medical payments, claims with opioids down in California



Work compensation for medical payments and claims with opioid prescriptions in California continued to decline in 2019, according to a study released Thursday by the Workers Compensation Insurance Rating Bureau. , a decline of 3.8% compared to 2018. The state reported 654,000 claims, an increase of 1% over the previous year, but medical payments per claim decreased by 4.8% to $ 3,003 in 2019, according to Oakland, California -based credit rating agencies.

WCIRB analyzed trends in medical payment and use by provider type, service locations and service type and found that physical medicine and rehabilitation continued to be the fastest growing sector of medical costs in all medical services, with physiotherapy accounting for almost a quarter of all costs healthcare transactions in 201

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Hospital-based providers received the largest share of medical payments in 2018 at 28%, in line with previous years, with doctor's office visits accounting for almost 80% of all medical transactions.

Pharmaceutical payments continued to decline, covering only 3.1% of workers compensating for medical payments, a decrease from 4.1% in 2017, and only 4% of all claims had an opioid prescribed at the end of 2019, a decrease of 7% compared to the first quarter of 2017. Payments for controlled substances also decreased, which corresponds to less than one percent of the total medical payments.


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