Is Employer-Directed Medical Care Associated With Decreased Workers' Compensation Claim Costs?

ABSTRACT

BACKGROUND: The financial impact regarding choice of physician within the workers' compensation domain has not been well studied. OBJECTIVE: The aim of this study was to assess the difference in claim cost between employee- and employer-directed choice of treating physician after injury. METHODS: Thirty-five thousand six hundred forty indemnity lost time claims from a 13-year period at a nationwide company were analyzed with multivariate logistic regression to determine the association of medical direction with risk of high-cost claims. RESULTS: States that have employer-directed physician choice were associated with a lower risk of having high-cost claims (≥$50,000) but higher attorney involvement than employee direction. The net effect of this enhanced presence of attorneys offsets the benefits of employer choice of treating physician. CONCLUSION: States that permit employer selection of treating physician have slightly higher cost due to the higher prevalence of attorney involvement in the claims process.