“Post-surgery readmissions and reoperations are the primary quality indicators being used by commercial, governmental, and a limited number of workers' compensation payors in their value-based purchasing programs,” said John Ruser, president and CEO of WCRI. “The study can help policymakers and other stakeholders shed light on the areas where quality improvement is most needed. It can also prove to be useful to patients as they consider treatment options.”
The study quantifies the 30-day and 90-day reoperation and readmission rates for workers' compensation patients undergoing lumbar spine surgeries, and compares these rates with those for non-workers' compensation patients reported by other studies. It also discusses the major types of reoperations and the main reasons for readmissions, examines medical payments per claim, and describes interstate variation in the prevalence of reoperation and readmission.
The analysis for this report focuses on workers with low back pain who underwent either lumbar discectomy/decompression or lumbar fusion surgery in 18 states for injuries that arose between October 1, 2015, and September 30, 2016, with experience through March 31, 2018. The 18 study states, which represent 61 percent of all workers' compensation benefits paid nationwide, are Arkansas, California, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Massachusetts, Michigan, Minnesota, New Jersey, North Carolina, Pennsylvania, Tennessee, Texas, Virginia, and Wisconsin.
Webinars are $50 for Non-Members and FREE for WCRI Members, members of the press, legislators as well as their staff, and state public officials who make policy decisions regarding workers' compensation. All attendees receive a free copy of the slides and a recording of the webinar. Click here to register.
The Workers Compensation Research Institute (WCRI) is an independent, not-for-profit research organization based in Cambridge, MA. Organized in late 1983, the Institute does not take positions on the issues it researches; rather, it provides information obtained through studies and data collection efforts, which conform to recognized scientific methods. Objectivity is further ensured through rigorous, unbiased peer review procedures. WCRI's diverse membership includes employers; insurers; governmental entities; managed care companies; health care providers; insurance regulators; state labor organizations; and state administrative agencies in the U.S., Canada, Australia, and New Zealand.
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