The Use of Networks to Care for Injured Workers - What's Been the Impact?

Medical provider networks (MPNs) for workers compensation have become increasingly popular over the last two decades. We’ve seen not only an increase in the share of services performed by in-network providers, but also a leap in sophistication. They have evolved from simple lists of in-network doctors to complex provider networks that provide a spectrum of medical care—from primary to specialty care—for on-the-job injuries.

In this report, we look at the impact of these networks on workers compensation prices and utilization, including the:

  • Growth in the use of these networks
  • Difference between in-network and out-of-network prices
  • Relationship between the share of service done in-network to payments allowed by physician fee schedules relative to Medicare prices
  • Impact of networks on the utilization of physician services and prescription drugs

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