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Cost of Workers’ Compensation Claims on the Rise
While the frequency of workers' comp claims is decreasing, the cost is increasing. Learn more about the cost of workers' compensation.

Home > Business Insurance > Cost of Workers’ Compensation Claims on the Rise

Cost of Workers’ Compensation Claims on the Rise

While the frequency of workers' comp claims is decreasing, the cost is increasing. Learn more about the cost of workers' compensation.
The workers’ compensation sector of the commercial insurance industry is generally a stable and profitable segment. However, the claims in this market have become costlier, with concerns over severity on the rise. While the frequency of claims has declined, several factors have increased the cost of workers’ compensation.

According to a survey by the National Council on Compensation Insurance, the top concerns for the workers’ compensation sector are the changing workforce and rising medical costs resulting from medical inflation, treatment innovations, and hospital consolidations. Further complicating the issue, different states have varying reasons for increases. The Workers’ Compensation Research Institute found a steady rise in lost-time claims for most states, and states without fee schedules are seeing a steeper climb in these claims.

 

The Changing Workforce

In 2021, 23% of the U.S. workforce was older than 55, and most experts agree the aging workforce is a prominent cause of the increased cost of workers’ compensation. Workers 55 and over account for over one-fifth of lost-time injuries and 31% of the costs. Older workers are also more likely to have comorbidities, such as diabetes, heart disease, or mental health issues, resulting in a slower healing process, more complex and expensive treatments, and a longer time away from work than younger workers.

Still, younger workforces can also lead to expensive claims. As more employers experience labor shortages, they may take on less experienced staff, whose lack of expertise can make them more susceptible to injury. Industries impacted by the labor shortage, such as construction and manufacturing, may increase severe injuries, including falls from heights, burns, or machinery- or driving-related accidents.

 

Medical Inflation

Medical inflation has also resulted in an increased cost per claim. According to Rising Medical Solutions, medical inflation bumped to 6.6% in 2021 for workers’ compensation, up from the three-year average of 6.4%. In addition, mergers between medical facilities and consolidations of physicians’ practices are driving up costs. As the number of facilities decreases, their bargaining power increases, leading to increased costs. Improvements to technology have also increased claim costs; since the equipment is more expensive, so is the treatment.

The workers’ compensation sector of the commercial insurance industry is generally a stable and profitable segment. However, the claims in this market have become costlier, with concerns over severity on the rise. While the frequency of claims has declined, several factors have increased the cost of workers’ compensation.

According to a survey by the National Council on Compensation Insurance, the top concerns for the workers’ compensation sector are the changing workforce and rising medical costs resulting from medical inflation, treatment innovations, and hospital consolidations. Further complicating the issue, different states have varying reasons for increases. The Workers’ Compensation Research Institute found a steady rise in lost-time claims for most states, and states without fee schedules are seeing a steeper climb in these claims.

 

The Changing Workforce

In 2021, 23% of the U.S. workforce was older than 55, and most experts agree the aging workforce is a prominent cause of the increased cost of workers’ compensation. Workers 55 and over account for over one-fifth of lost-time injuries and 31% of the costs. Older workers are also more likely to have comorbidities, such as diabetes, heart disease, or mental health issues, resulting in a slower healing process, more complex and expensive treatments, and a longer time away from work than younger workers.

Still, younger workforces can also lead to expensive claims. As more employers experience labor shortages, they may take on less experienced staff, whose lack of expertise can make them more susceptible to injury. Industries impacted by the labor shortage, such as construction and manufacturing, may increase severe injuries, including falls from heights, burns, or machinery- or driving-related accidents.

 

Medical Inflation

Medical inflation has also resulted in an increased cost per claim. According to Rising Medical Solutions, medical inflation bumped to 6.6% in 2021 for workers’ compensation, up from the three-year average of 6.4%. In addition, mergers between medical facilities and consolidations of physicians’ practices are driving up costs. As the number of facilities decreases, their bargaining power increases, leading to increased costs. Improvements to technology have also increased claim costs; since the equipment is more expensive, so is the treatment.

The Last Word

For more information on workers’ compensation in your state or how to help combat the increase in the cost of workers’ compensation, please contact an InsureGood Advisor today.

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