Florida Trend | Florida's Business Authority

Florida TaxWatch Research Shows Independent Medical Review Of Workers' Compensation Is Worthy Of Consideration

TALLAHASSEE, Fla. – In a new research report from Florida’s premier independent watchdog, Florida TaxWatch looks at the success of the Independent Medical Review (IMR) program in California and examines if an IMR program is a solution to keeping Florida’s workers’ compensation costs low.

A recent study found that Florida ranked 33rd among the 50 states and the District of Columbia in terms of workers’ compensation insurance premium rates. Two Florida Supreme Court cases - Westphal v. City of St. Petersburg and Castellanos v. Next Door Company - have the potential to significantly increase workers’ compensation insurance premiums paid by employers.

“Workers’ compensation is a critical safety net to protect Florida businesses and families,” said Florida TaxWatch President & CEO Dominic M. Calabro. “If the state policymakers want to continue to grow Florida’s economy, it is imperative that the Legislature take the IMR process into consideration.” 

The report examines how California has implemented a cost-effective, non-judicial process developed by MAXIMUS Federal Services, Inc., in which disputes about the medical treatment of injured workers are resolved by physicians instead of by the courts.  

“MAXIMUS is proud of the work we are doing in California on Independent Medical Review,” said Tom Naughton, President of MAXIMUS Federal Citizen Services. “The evidence-based IMR program assists in ensuring workers’ compensation insurance adheres to the core goal of getting individuals back to work quickly and at a reasonable cost. This program enables more efficient resolution of claims while reducing the need for lengthy and costly judicial processes and provides states with the opportunity to re-invest these cost savings into further program improvements. We are honored by the praise from Florida TaxWatch and would welcome the opportunity to work with Florida legislators on a similar program based on this proven concept.”

If a similar process were to be applied in Florida, it could result in the following:

  • A reduction in lien costs
  • Expedited hearings
  • A reduction in temporary disability duration
  • A reduction in litigation costs
  • The supply of opioids being limited

IMR provides a balance between providing timely and fair benefits to injured workers and minimizing costs to employers. Florida TaxWatch recommends the Legislature more fully evaluate the pros and cons of IMR, calculate the potential savings to the state, and identify the steps necessary to implement this process in Florida.

Read the FULL analysis here