The Department of Labor and
Industry is required to commission an annual study to determine whether the fee
schedule for health care services is adequate to ensure that injured workers
have sufficient access to quality health care.
This Study, first introduced in 1994, was designed to assess the impact
of changes in the Workers’ Compensation law on continuing availability of
medical providers for Workers’ Compensation patients.
The annual Pennsylvania Medical Access Study
depends upon responses from surveys to a large sample of injured workers and
Surveys are mailed to a sample of 10,000
Pennsylvania workers who sustained job-related injuries during the first eight
months of current year. Respondents are
asked to provide information about the medical treatment they received relating
to the injury. Approximately 2,000
workers have responded to the survey each year.
Survey responses are confidential, whether by internet,
or by mail using the business reply envelopes provided.
A sample of 1,800 physicians and providers in
specialties important for treating work-related injuries are mailed the
Provider Survey. They are asked about
the timeliness and accuracy of payments received for the treatment of Workers’
Compensation patients, and also about their experience in using the Fee Review
Jim Plastaras TLGResearch@comcast.net