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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