TY - JOUR PY - 2021// TI - Prevention, medical management and adjudication of workplace injuries: a thirty-two year follow-up of an integrated workers' compensation program JO - Journal of Occupational and Environmental Medicine A1 - Bernacki, Edward J. A1 - Kalia, Nimisha A1 - Soistman, Sharon A1 - Minor, Sebastian A. A1 - Barry, Jill A1 - Lavin, Robert A. A1 - Tao, Xuguang Grant SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: Describe the cost outcomes of an integrated workers' compensation program.

METHODS: We studied a population that increased from 20K to 59K, incurring 8,807 lost time claims between 1988 and 2020.

RESULTS: Lost-time claims decreased from 22.15 to 4.32 per 1,000 employees (1988-2020), and total closed lost-time claim costs per $100 payroll, decreased from $0.62 to $0.17 (1988-2017). The percent of claims resolved within 3 years of the accident increased from 10% to 89% (1988-2017). Adjusting for medical inflation and wage increases, total workers' compensation benefits paid per claim decreased $124 per year, medical benefits decreased $45 per year and indemnity benefits decreased $79 per year.

CONCLUSION: On both a population (per employee) and on a per claim basis, workers' compensation costs decreased substantially, which is attributable to improvements in accident prevention and decreases in claim duration.

Language: en

LA - en SN - 1076-2752 UR - http://dx.doi.org/10.1097/JOM.0000000000002275 ID - ref1 ER -