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You are here: Home / Benchmarking & FTE & Operational Comparison / Doctors DISPENSE and Prescribe Medications in Illinois

Doctors DISPENSE and Prescribe Medications in Illinois

April 20, 2010 By //  by Robert Elliott, J.D. Leave a Comment

Payment per claim for prescription drugs used to treat injured workers in Illinois was slightly lower than in most study states, according to a new study by the Workers Compensation Research Institute (WCRI). It is interesting to note, in Illinois physicians both dispense and prescribe medications. 

The 16-state study
 by the Cambridge, MA-based WCRI found the average payment per claim for prescription drugs in the Illinois workers’ compensation system was $361, slightly lower than the median of the study states. The average price per pill paid to pharmacies in Illinois was close to the 16-state median. Typical prices were seen for medications used most commonly in treating injured workers.

The WCRI study,
  Prescription Benchmarks for Illinois, found although the average price per pill paid to pharmacies in Illinois was close to the median of the 16 states, the price was higher in Illinois compared to what was paid in nearby states (Indiana, Iowa, Michigan, and Wisconsin).

The study also noted
the utilization of prescription drugs in Illinois was similar to the median states, reflected in the average number of pills per claim and the average number of prescriptions per claim with prescription. Typical utilization was seen for the medications commonly used to treat injured workers in Illinois.    

Prescription costs per claim
 in Illinois might be lower, except physicians tend to dispense higher priced medications, WCRI reported.

Some Illinois physicians wrote
 and dispensed prescriptions at their offices directly to the patient. Physicians dispensed 22% of all prescriptions. When physicians dispensed prescription drugs, they were paid a higher fee than what pharmacies are paid for the same medication by prescription. (workersxzcompxzkit)

For example, the average
price per pill paid for Vicodin® was $0.78 when dispensed in office by the physician. When filled as a prescription to pharmacy, the medication cost $0.53.

Author Robert Elliott,
executive vice president, Amaxx Risks Solutions, Inc. has worked successfully for 20 years with many industries to reduce Workers’ Compensation costs, including airlines, healthcare, manufacturing, printing/publishing, pharmaceuticals, retail, hospitality and manufacturing. He can be contacted at:  [email protected] or 860-553-6604.
 
Podcast/Webcast: Occupational Health Strategies
Click Here:

http://www.workerscompkit.com/gallagher/podcast/Occupational_Health_Strategies/index.php

WC Calculator: http://www.reduceyourworkerscomp.com/calculator.php

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers' comp issues.

© 2010 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact [email protected] ReduceYourWorkersComp.com.

Filed Under: Benchmarking & FTE & Operational Comparison, Medical Cost Containment, Medical Issues Tagged With: Drug (RX) Costs, Illinois Workers Comp, Medical Issues, Payment of medical bills

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