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Insights
An Evolving Landscape for Workers Compensation: Industry Executives Share Their Top Concerns
An Evolving Landscape for Workers Compensation: Industry Executives Share Their Top Concerns
NCCI Page Content Two
​​​​​​​​​InsightsWhat's Trending
 
By NCCI InsightsDecember 06, 2021
 
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Page Content

Top workers compensation insurance executives have spoken and here is what they had to say.

As it has annually for nearly two decades, NCCI recently surveyed more than 100 workers compensation insurance executives to hear what topics are top of mind for the industry. The results are not surprising, but the list of top concerns contains a multitude of interconnected complexities, particularly as it relates to the topics of:​​

  • Rate Adequacy
  • COVID Impacts
  • Shifting Workforce/Workplace
  • Rising Medical Costs

When you overlay the added considerations of very broad topics, such as regulatory activity and the economic outlook, it’s easy to see why these executives have a lot to consider when guiding their organizations into 2022 and beyond.

 

Top Concerns

Rate Adequacy—Carriers are focused on ongoing loss cost decreases, driven primarily by declining frequency across all areas and categories, and their ultimate impact on premium levels.

  • ​How long might these trends continue and what factors might contribute to a change in direction?
  • Will the “great reshuffle” in the US workforce impact claim frequencies and severities?
  • What can we expect in a post-COVID economy in terms of inflation, unemployment, and interest rates?

Resources related to this subject on ncci.com include:

  • Workers Compensation Frequency & Severity—What’s COVID Got to Do With It?
  • Is Inflation Back?
  • Latest Trends in Worker Demographics

COVID Impacts—Even as the pandemic appears to be subsiding in some areas, the potential for new variants and longer-term impacts reverberate, creating a significant shift in the industry landscape.

  • How would the expansion of presumption for infectious diseases impact workers compensation coverages and costs?
  • What will be the impact from a significant number of employees working from home rather than in an office?
  • How do we quantify the costs and challenges associated with “long-haul” COVID, including return to work, and the financial impact of resulting medical and indemnity claims?

Resources related to this subject on ncci.com include:

  • 2021 State Activity: COVID-19 WC Presumptions (PDF)
  • Telecommuting and Workers Compensation: What We Know
  • COVID-19 and The New Reality—Prolonged COVID

Shifting Workforce/Workplace—With so many dynamics at play, the workforce and workplace of tomorrow contain more unknowns than at any time in recent memory.

  • How will the dust settle on “the great reshuffle” of workers coming into new jobs, new industries, and with new working environments in many cases?
  • Are there increased safety concerns due to an inexperienced and yet ever-aging workforce? Will we see a change in the long-term downward trend in frequency?
  • To what extent will gig or contract workers become employees covered by workers compensation?
  • How will the insurance industry maintain its expertise and attract new talent in a highly competitive employment marketplace?

Resources related to this subject on ncci.com include:

  • Is There a Labor Shortage?
  • Workers Compensation Frequency and Severity—What’s COVID Got to Do With It?
  • Nontraditional Work Arrangements and the Gig Economy

Rising Medical Costs—Even with new efficiencies such as telemedicine gaining popularity, the outlook for medical inflation is problematic for the industry.

  • How should insurers balance the cost of new medical technology with the impact on recovery for injured workers? How do they determine the appropriate care to achieve the best outcomes?
  • How will cost containment regulation (Medicare reimbursement, fee schedules, etc.) trend into the future?
  • What is the impact of ongoing trends in the broader healthcare market, especially provider/network/hospital consolidation?
  • How will prescription costs, regulation, and management trend? What about opioids and marijuana?

Resources related to this subject on ncci.com include:

  • Traumatic Brain Injuries in Workers Compensation—Associated Medical Services and Costs
  • Formulary Implementations and Initial Impacts on Workers Compensation (coming soon)
  • 2021 Marijuana Legalization Update
  • State Insight, available exclusively to carriers and regulators, provides state-based information on medical data reports, the current status of marijuana legalization, and the most recent legislative activity.
 

At the start of each year, NCCI publishes this summary of industry top concerns and the corresponding list of research that can be found on ncci.com. NCCI continues to update its focus and content based on stakeholder feedback to help drive informed decision making.

NCCI’s summary of responses in this article is intended to provide a general sense of the most frequently mentioned items, and the underlying questions that the executives have for the future. For more analysis of critical work comp issues, check out the INSIGHTS portal.

​This article is provided solely as a reference tool to be used for informational purposes only. The information in this article shall not be construed or interpreted as providing legal or any other advice. Use of this article for any purpose other than as set forth herein is strictly prohibited.
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