Clinical engagement and pharmacy management drove consistent reductions in Medicare set-aside allocations over a four-year period, according to Tower MSA Partners.
Three structural threats — coverage cost-shifting, a narrowing wage-medical inflation gap, and rising labor market risk — may be poised to end workers’ comp’s decades-long winning streak.
Cumulative trauma claims in California have more than doubled in cost since 2021, according to the Workers’ Compensation Insurance Rating Bureau of California.
Prices paid for nonhospital professional services ranged from 28% below the multistate median to 174% above it in 2025, according to the Workers Compensation Research Institute.
After years of decline, prescription payments per medical claim increased in the majority of states studied between 2022 and 2025, according to the Workers Compensation Research Institute.
Rural hospital closures significantly increase travel distances to emergency care for injured workers, yet medical costs and disability durations largely unchanged: WCRI study.
Medical costs in the workers’ compensation system grew at a more moderate pace than the broader economy in early 2026, but NCCI says the trend is unlikely to last.
Average payments for air ambulance transport in workers’ compensation climbed sharply between 2013 and 2024, with wide variation across states, according to the Workers Compensation Research Institute.
New survey data from 507 industry professionals highlights the challenges of managing claims complexities when visibility into injured workers’ medical information and cost drivers is limited – and where solutions might be found.
Workers’ comp pharmacy leaders face a shifting landscape in 2026, where supply disruptions, regulatory pressure, and AI-driven insights will define performance.
Injured workers can drive down workers’ compensation costs rather than inflate them—if they’re properly educated and engaged in their own recovery using proven ERAS principles.
As workers’ compensation claims become more costly and time-consuming to resolve, understanding the multiple factors driving complexity has never been more critical for effective claims management.
Breezy Seguros’ CEO Monica Adwani sees firsthand how speaking an injured worker’s native language improves workers’ compensation — both for the worker and the business that employs them.
With U.S. businesses spending more than $1 billion per week on workplace injuries, a renewed focus on the persistent causes that have dominated injury statistics for 25 years is called for.
A key physician payment factor continues its decline while facility rates rise, creating varied impacts for insurers depending on state-level fee schedule rules.
New WCRI research reveals surgical claims are up to nine times more likely to become high-cost cases, with timing of intensive care emerging as critical factor.