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2023 WORKERS’ COMP INDUSTRY
INSIGHTS SURVEY REPORT

Delivered by Healthesystems
Powered by Risk & Insurance®

 * Introduction
 * Participants
 * Industry Challenges
 * Beneficial Programs
 * Medical Program Priorities
 * Recovery Barriers
 * Technology
 * Analytics
 * Claim Complexity
 * Claims Professional Perspective

Get the full report

--------------------------------------------------------------------------------

PAST SURVEYS

 * 2022
 * 2021
 * 2020
 * 2019

The fifth annual Workers’ Comp Industry Insights Survey was conducted in
collaboration with Risk & Insurance® magazine, in person at the National Comp
conference and online through mid November, 2022. This survey continues to
reveal important insights and challenges. Please scroll down for high level
results or download the report for full details.

Download The Full Report Now

#1

industry concern is healthcare provider/service shortages

71%

say managing patient comorbidities is top medical program priority

67%

want better solutions to support front-line claims decisions

58%

concerned about medical price inflation


OVERVIEW OF PARTICIPANTS

503 stakeholders from across the workers’ comp industry responded to the survey.


PARTICIPANT ORGANIZATIONS

 * Employer 117
 * Insurance Carrier 105
 * Healthcare Provider 55
 * Brokerage 29
 * State/Government Agency28
 * Consultancy 28
 * Third Party Administrator 27
 * Managed Care Organization 18
 * Law Firm 16
 * Other 80

Click
to Reveal Organizations
and Roles


PARTICIPANT INDIVIDUAL ROLES

 * 123 Executive Leadership
 * 74 Risk Management
 * 70 Claims Leadership
 * 40 Clinical/Case Management
 * 37 Claims Professional/Adjustor
 * 28 Broker/Agent
 * 15 Medical Program Management
 * 15 Legal/Regulatory
 * 15 Healthcare Provider
 * 81 Other (please specify)


INDUSTRY CHALLENGES

What challenges facing the workers’ comp industry most concern you today?

 1. 1
    
    Healthcare provider/ service shortages
    
    58%
 2. 2
    
    Medical price inflation
    
    58%
 3. 3
    
    Increasingly complex claims
    
    56%
 4. 4
    
    Workers' Comp litigation
    
    55%
 5. 5
    
    New workplace safety challenges
    
    53%

TAKE NOTE

--------------------------------------------------------------------------------

Healthcare provider shortages was a close second top challenge for executive
leaders who ranked medical price inflation as their biggest concern.


BENEFICIAL PROGRAMS

What programs implemented by your organization over the past 2-3 years have been
most beneficial?

 1. 1
    
    Claims process improvements/operational efficiency
    
    54%
 2. 2
    
    Implementation of virtual/remote technologies
    
    50%
 3. 3
    
    Employee retention and recruitment
    
    49%
 4. 4
    
    Initiatives to improve the injured worker’s experience
    
    46%
 5. 5
    
    Technological integration with partners and providers
    
    33%

TAKE NOTE

--------------------------------------------------------------------------------

Claims process improvement and efficiency reaped big benefits for most
organizations, but initiatives to improve the injured worker experience was the
most beneficial program for state and government agencies.


MEDICAL PROGRAM PRIORITIES

What are the top priorities for your workers’ comp medical management program?

 1. 1
    
    Manage patient chronic conditions/comorbidities
    
    71%
 2. 2
    
    Solutions to support front-line claims decisions
    
    67%
 3. 3
    
    Increase use of in-network providers
    
    60%
 4. 4
    
    Enhance claims process automation capabilities
    
    58%
 5. 5
    
    Identify and manage social determinants of health (substance abuse, language
    barriers, social isolation)
    
    56%

TAKE NOTE

--------------------------------------------------------------------------------

Solutions to support front-line claims decision was the top priority for
insurance carriers.


RECOVERY BARRIERS

What do you feel are the biggest barriers to injured worker recovery?

 1. 1
    
    Injured workers’ unfamiliarity navigating workers’ comp system
    
    66%
 2. 2
    
    Comorbidities
    
    57%
 3. 3
    
    Limited availability of transitional duty/return to work options
    
    53%
 4. 4
    
    Care coordination/communication challenges
    
    52%
 5. 5
    
    Injured worker social determinants of health
    
    48%

TAKE NOTE

--------------------------------------------------------------------------------

Injured workers’ unfamiliarity navigating the workers’ comp systems has been
cited as the #1 barrier to recovery for three straight years.


TECHNOLOGY

Which technological advances will be most important to your workers’ comp
medical management program in the next 3-5 years?

 1. 1
    
    Claims process automation
    
    68%
 2. 2
    
    Telemedicine/virtual technologies
    
    59%
 3. 3
    
    Interoperability and data sharing between payers, providers & vendors
    
    49%
 4. 4
    
    Predictive/prescriptive analytics
    
    45%
 5. 5
    
    Mobile technologies
    
    44%

TAKE NOTE

--------------------------------------------------------------------------------

Claims process automation increased in importance from roughly 48% last year to
nearly 68% this year.


ANALYTICS

Which applications of enhanced data analytics and artificial intelligence would
be most valuable to your organization?

 1. 1
    
    Personalize the injured worker experience
    
    65%
 2. 2
    
    Identify potential fraud, waste, and abuse
    
    59%
 3. 3
    
    Identify high litigation risk claims
    
    55%
 4. 4
    
    Inform and guide clinical decision support for claims professionals
    
    54%
 5. 5
    
    Identify, segment, and manage high-risk patient populations
    
    50%

TAKE NOTE

--------------------------------------------------------------------------------

Personalizing the injured worker experience was a clear #1 for employers, but
insurance carriers selected inform and guide clinical decisions as the most
valuable data application.


CLAIM COMPLEXITY

Which types of claim complexity most concern you?

 1. 1
    
    Mental health conditions
    
    62%
 2. 2
    
    Comorbidities
    
    61%
 3. 3
    
    Undetected fraud
    
    46%
 4. 4
    
    Lack of transparency into/inability to control medical prices
    
    43%
 5. 5
    
    Injured worker substance abuse
    
    41%

TAKE NOTE

--------------------------------------------------------------------------------

Mental health conditions were a smaller concern for employers, who ranked it #3.


CLAIMS PROFESSIONAL PERSPECTIVE

If you are a claims professional or adjuster, what obstacles (if any) do you
face when facilitating medical care for injured workers?

 1. 1
    
    Difficulty obtaining information from medical providers
    
    69%
 2. 2
    
    Difficulty reaching and/or obtaining information from injured workers
    
    66%
 3. 3
    
    Too many claims to manage
    
    62%
 4. 4
    
    Lack of reliable and accessible clinical decision support information
    
    45%
 5. 5
    
    Legislative/regulatory requirements
    
    41%

TAKE NOTE

--------------------------------------------------------------------------------

62% of claims professionals reported having too many claims to manage, as
opposed to 42% last year.


THE 2023 WORKERS' COMP INDUSTRY SURVEY REPORT

Get the full report

The 2023 Workers’ Comp Industry Insights Survey Report offers:

 * Comprehensive perspective on industry stakeholders' thoughts and opinions
 * Detailed survey results and charts
 * Key findings and comparative perspectives by job roles and organization type


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