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Texas comp regulators say provider networks save money



The Texas Division of Workers’ Compensation said in its latest assessment of network medical claims that they tend to be more cost-effective and have better return-to-work and functional outcomes compared to non-network claims.

Network claims also tended to receive initial non-emergency medical care more quickly than non-network claims, the division said.

The division reports 30 networks certified to provide medical care, of which 24 were actively treating injured workers.

The average in-network medical cost six months after injury was $2,886 in 2022, compared to the average non-network cost of $2,897. The gap was wider in 2021, when the average in-network cost was $2,531

and the average non-network cost was $2,721.

Meanwhile, the gap in average medical costs 18 months after injury widened in 2022. The average in-network cost in 2022 was $3,372, down from $3,485 in 2021. The average out-of-network cost decreased slightly to $3,852 from $3,881.

WorkCompCentral is a sister magazine to Business Insurance. More stories here.


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