Uninsured Workers Have More Severe Hospitalizations: Examining the Texas Workers' Compensation System, 2012

New Solutions : a Journal of Environmental and Occupational Health Policy : NS
Bethany BoggessLisa Pompeii

Abstract

Texas' unique elective system of workers' compensation (WC) coverage is being discussed widely in the United States as a possible model to be adopted by other states. Texas is the only state that does not mandate that employers provide state-certified WC insurance. Oklahoma passed legislation for a similar system in 2013, but it was declared unconstitutional by the Oklahoma Supreme Court in 2016. This study examined 9523 work-related hospitalizations that occurred in Texas in 2012 using Texas Department of State Health Services data. We sought to examine work-related injury characteristics by insurance source. An unexpected finding was that among those with WC, 44.6% of the hospitalizations were not recorded as work related by hospital staff. These unrecorded cases had 1.9 (1.6-2.2) times higher prevalence of a severe risk of mortality compared to WC cases that were recorded as work related. Uninsured and publicly insured workers also had a higher prevalence of severe mortality risk. The hospital charges for one year were $615.2 million, including at least $102.8 million paid by sources other than WC, and with $29.6 million that was paid for by injured workers or by taxpayers. There is an urgent need for more research to examin...Continue Reading

References

Aug 29, 2002·American Journal of Public Health·Lenore S AzaroffDavid H Wegman
Sep 13, 2006·Journal of Occupational and Environmental Medicine·Z Joyce FanBarbara A Silverstein
Sep 24, 2009·Demography·Pia M Orrenius, Madeline Zavodny
Mar 30, 2012·American Journal of Industrial Medicine·J D Rebecca Smith

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Citations

Apr 26, 2019·Medical Care Research and Review : MCRR·Jeanne M SearsNorma B Coe
Sep 8, 2020·International nursing review·O Prajankett, A Markaki

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