@article{ref1,
title="Industrial injury hospitalizations billed to payers other than workers' compensation: characteristics and trends by state",
journal="Health services research",
year="2016",
author="Sears, Jeanne M. and Bowman, Stephen M. and Blanar, Laura and Hogg-Johnson, Sheilah",
volume="52",
number="2",
pages="763-785",
abstract="OBJECTIVE: To describe characteristics of industrial injury hospitalizations, and to test the hypothesis that industrial injuries were increasingly billed to non-workers' compensation (WC) payers over time. DATA SOURCES: Hospitalization data for 1998-2009 from State Inpatient Databases, Healthcare Cost and Utilization Project, and Agency for Healthcare Research and Quality. STUDY DESIGN: Retrospective secondary analyses described the distribution of payer, age, gender, race/ethnicity, and injury severity for injuries identified using industrial place of occurrence codes. Logistic regression models estimated trends in expected payer. PRINCIPAL FINDINGS: There was a significant increase over time in the odds of an industrial injury not being billed to WC in California and Colorado, but a significant decrease in New York. These states had markedly different WC policy histories. Industrial injuries among older workers were more often billed to a non-WC payer, primarily Medicare. <br><br>CONCLUSIONS: Findings suggest potentially dramatic cost shifting from WC to Medicare. This study adds to limited, but mounting evidence that, in at least some states, the burden on non-WC payers to cover health care for industrial injuries is growing, even while WC-related employer costs are decreasing-an area that warrants further research.<br><br>© Health Research and Educational Trust.<p /> <p>Language: en</p>",
language="en",
issn="0017-9124",
doi="10.1111/1475-6773.12500",
url="http://dx.doi.org/10.1111/1475-6773.12500"
}