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: 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.
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