Does Medical Directions Make any Differences in Workers' Compensation System? Analysis of Employee and Employer Directed Medical Care in Relation to Prolonged Physical Therapy and Attorney Involvement among Rotator Cuff Tear Claims.
Xuguang Grant Tao, Paul Kauffman, Nimisha Kalia, Nina Leung, Nicholas F Tsourmas, Larry Yuspeh, Edward J Bernacki
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Abstract
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: 8,814 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 to 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 to employee direction, respectively.
Conclusion: Employee directed medical care is associated with more physical therapy and employer involved direction is associated with more attorney involvement.
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