Evaluation of the Washington State Workers' Compensation Managed Care Pilot Project II
| Autor: | Gary M. Franklin, Roy Plaeger-Brockway, Jutta Joesch, Carolyn W. Madden, Marcia R. Weaver, Kevin C. Cain, Thomas M. Wickizer, Linda Murphy, Allen Cheadle, Kelly B. Kyes |
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| Rok vydání: | 1999 |
| Předmět: |
Program evaluation
medicine.medical_specialty Capitation business.industry Outpatient surgery Public Health Environmental and Occupational Health Health services research Workers' compensation Occupational safety and health Occupational medicine Nursing Family medicine Medicine Managed care business health care economics and organizations |
| Zdroj: | Medical Care. 37:982-993 |
| ISSN: | 0025-7079 |
| DOI: | 10.1097/00005650-199910000-00003 |
| Popis: | OBJECTIVES: This study examined the effect of managed care on medical and disability costs as part of an evaluation of the Washington State Workers' Compensation Managed Care Pilot (MCP). METHODS: One hundred twenty firms (7,041 employees) agreed to have their injured workers treated in managed care plans. Managed care introduced two changes from the fee-for-service (FFS) delivery system currently used by injured workers in Washington State: experience- rated capitation and a primary occupational medicine delivery network. The FFS control group included injured workers employed at 392 firms (12,000 employees). Medical and disability costs were compared for 1,058 injuries in the managed care group and 1,159 injuries in the FFS group occurring between April 1995 and June 1996. Univariate and multivariate statistical methods were used to analyze the effects of managed care on medical and disability costs. RESULTS: The mean unadjusted medical cost per injury ($587) for the managed care group was 21.5% lower (P = 0.06) than for the FFS group ($748). Adjustment for differences in worker and firm-level characteristics through multivariate analysis had little effect on the unadjusted results, except that the difference in costs between managed care and FFS groups became statistically significant (P |
| Databáze: | OpenAIRE |
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