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Does Medical Directions Make Any Differences in Workers' Compensation System? Analysis of Employee- and
Xuguang Grant Tao1, Paul Kauffman, Nimisha Kalia
1From the Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland (X.G.T., N.K., N.L., N.F.T., L.Y., E.J.B.); AF Group, Lansing, Michigan (P.K.); General Electric, Norwalk, CT (N.K.); and Texas Mutual, Workers' Compensation Insurance, Austin, Texas (N.L., N.F.T.).
Objective:
To explore differences in employee- or employer-directed medical care for workplace injuries, related to the prolonged physical therapy (PT) and attorney involvement in the workers' compensation claim process.
Method:
Eight thousand eight hundred fourteen rotator cuff tear claims filed to a nationwide insurance carrier from 2007 to 2022 were analyzed for difference in prolonged PT (≥360 days) and attorney involvement by medical direction groups.
Result:
Employee-directed and shared employee- and employer-directed medical care had odds ratios of 1.41 and 1.58 for prolonged PT compared with employer direction, respectively. Employer-directed and shared employee and employer medical direction had odds ratios of 2.33 and 1.62 for attorney involvement compared with employee direction, respectively.
Conclusion:
Employee-directed medical care is associated with more PT, and employer-involved direction is associated with more attorney involvement.
