Back in September, I wrote a post that said a study by the Workers’ Comp Research Institute (WCRI) indicated that the ACA may shift claims to workers’ comp.
Last week, the WCRI held a webinar, which I attended, and along with the presentation by outgoing WCRI President and CEO Rick Victor, my fellow blogger, Joe Paduda, gave an opposing view.
According to Joe, “it’s very hard to attribute case-shifting to ACA) based on what I see as a very complex and diverse health care world.”
The reasons for Joe’s skepticism can be based on the following assumptions those who are making the case for case-shifting have expressed:
- HMOs are capitated
- there are financial incentives e.g. capitation at the primary care level
- primary care providers are aware of the financial implications of case assignment
- PCPs purposely assign cases to work comp based on those financials the ACA will lead to more Accountable Care Organizations that will use capitation more
To get deeper into Joe’s perspective on case-shifting, click on the following link to his blog post:
Here are the slides from the webinar: