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Drug costs per compensation claim decrease in most states: WCRI



Prescription payments per medical claim fell by 15% or more in many states, but claims per claim are still high in some parts of the country, according to a report released Tuesday by the Workers Compensation Research Institute.

In its study of drug costs per claim for workers in 28 states, WCRI in Cambridge, Massachusetts, found that states saw median payments for prescription drugs decrease 41% between the first quarter of 2017 and the first quarter of 2021.

While the states of Arkansas California and Kentucky reported reductions of more than 50% in prescription amounts per employee compensation during this time period, Connecticut's pay share increased by 30% and Florida's increased by 5%.

States spent the most on dermatologicals, from $ 7 per claim in Iowa to $ 1

90 per claim in Louisiana between the first quarter of 2017 and the first quarter of 2020, with physicians distributing the most payments in 12 of the 28 states.

The second most widely used group of drugs, non-steroidal anti-inflammatory drugs, saw pay-per-claims from $ 21 in Delaware to $ 126 in Louisiana.

The reduced use of opioids in workers' compensation systems also continued among the studies, but the reduction per opioid claim ranged from a 40% reduction in Louisiana to 81% in California.

The study includes Arkansas, California, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Jersey, New Mexico, New York, North Carolina, Pennsylvania, South Carolina, Tennessee, Texas, Virginia and Wisconsin.

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