There are some interesting stats in the Florida Division of Workers' Compensation’s annual report for 2023.
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Joe Paduda
Total medical spend was just over $900 million.
- Lost-time claim count was down more than 10% from 2019 to 2023 (pre-COVID to post-COVID).
- Over 60% of medical cost for LT claims was for facilities.
- 3.7 million bills were reported — an average of $243 per bill and 2.4 line items per bill.
- Opioid scripts dropped 62% from 2019 to 2023. Good news, indeed.
- Repackaged drugs are still a huge problem in Florida, costing employers and taxpayers about $400 per line item, 74% more than non-repackaged drugs.
- 40% of Florida drug spend is for these repackaged physician-dispensed drugs. This is a travesty, showing just how corrupt Florida legislators are.
- Average paid for hospital inpatient bills dropped by about $11,000 from 2022 to 2023.
- Paid per outpatient bill dropped by just $220 to $3,271 over the same period.
- Paid per ambulatory surgical center bill dropped to $7,695, a decrease of about $300.
What does this mean for you?
The physician dispensing scam is still alive and costing employers and taxpayers millions.
Frequency is down — a lot — which means fewer claims, less need for medical management services, and lower premiums.
Joseph Paduda is the principal of Health Strategy Associates, a consulting firm focused on improving medical management programs in workers’ compensation. This column is republished with his permission from his Managed Care Matters blog.
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