Study: Drop in California Workers’ Comp Hospital Stays and Spinal Surgeries

The number of California workers’ compensation inpatient hospital stays fell 31.2 percent between 2008 and 2016 compared with a 19.6 percent drop in hospital stays paid under private plans, a new California Workers’ Compensation Institute study shows.

The study also shows a 2.4 percent increase in Medicare inpatient stays, and a 19.6 percent increase in inpatient stays paid by Medi-Cal, which saw a huge jump in enrollment with the rollout of Affordable Care Act plans.

To measure the use of inpatient services and procedures in the different systems, CWCI Senior Research Associate Stacy Jones analyzed discharge data compiled by the state Office of Statewide Health Planning and Development on more than 32 million inpatient hospital stays from 2008 through 2016.

Workers’ compensation is the smallest of the four medical delivery systems reviewed, accounting for just 0.5 percent of all inpatient stays in 2016, which the study notes is down from 0.7 percent in 2008, primarily due to a surge in Medi-Cal hospitalizations after 3.7 million adult Californians were added to the Medi-Cal rolls once the ACA plans became available in 2014.

The study also shows a steady drop in workers’ comp inpatient stays from 2008 to 2016 as claim volume declined, use of ambulatory surgery centers increased, utilization review and independent medical review programs required that treatment requests meet evidence-based medicine standards, technological and procedural advances allowed more services to be provided in outpatient settings, and the number of spinal fusions fell by 36 percnet after duplicate payments for spinal implant hardware were eliminated from the workers’ compensation inpatient fee schedule.

• In addition to tracking inpatient trends for California workers’ compensation, Medicare, Medi-Cal and private plans over the 9-year span of the study, other analyses and exhibits in the report provide detailed data showing:
• The breakdown of surgical vs. medical (non-surgical) inpatient hospitalizations for each payer group;
• The top 10 inpatient discharges by diagnostic-related group (MS-DRGs) in California workers’ compensation and what percentage of inpatient discharges they represent in the 3 other systems;
• The breakdown of workers’ comp inpatient stays among the top five Major Diagnostic Categories (MDCs);
• The distribution of the top 10 workers’ comp discharges involving musculoskeletal MDCs and what proportion of inpatient stays they represent in the other payer groups;
• Changes in the number of implant-eligible spinal surgeries in workers’ comp and in the other systems; and
• The top 10 hospitals based on the share of their inpatient discharges that were covered by workers’ comp.

CWCI has published the results of the study in a CWCI Research Update report, “California Workers’ Compensation Inpatient Hospital Trends.” Institute members and subscribers can access the report at the CWCI website, and others can purchase it for $21 at the CWCI online store.

Related:

• California Workers’ Comp Medical Review Volume Fell Slightly in 2017
• Study Shows California Workers’ Comp Medical Review Volume May Be Leveling off
• California Workers’ Comp Drug Formulary Would Reduce Costs, Study Shows

Topics California Workers' Compensation