Compromise Legislation Still Does Not Meet Union Test
Spend five minutes with Ohio Bureau of Workers’ Compensation (BWC) Administrator Steve Buehrer and you will figure out his main goal right now is to get Ohio’s injured workers back to where they belong—back to work.
When Governor John Kasich was elected, advocates for creating private sector competition for the BWC were optimistic. Ohiohas one of a handful of state government monopoly workers’ compensation programs and its costs have been consistently identified as an anchor around theOhioeconomy. However, the election loss around the state collective bargaining law has created a casualty in efforts to address this economic anchor—at least in the near term.
Buehrer, a former state legislator and staff member at the BWC, may have more ambitious goals for his billion dollar agency in the future but right now he is focused on getting anyone injured while worked treated medically and put back on a company payroll. This approach sets a solid metric by which to measure success at the BWC but also focuses on helping the worker be taken care of and getting theOhiobusiness their worker back.
State legislators apparently agree as well. A trio of Ohio House bills was introduced recently narrowly tailored to getting injured workers treated more quickly and getting them back to work. Ohio’s health care system for injured workers operates with Managed Care Organizations (MCOs) assisting in identifying medical providers that serve injured workers. This sounds like traditional managed care, which was the goal, but the reality is far from managed care. This legislation proposed a compromise whereby injured workers relinquish a little flexibility after 45 days to allow MCOs to help them manage their care and, in return, businesses will start paying for health care and medications much earlier in the process, even before they can contest approval of a claim to ensure injured workers get critical medical treatment early.
Nearly 70,000 medical providers are on the MCO lists and this huge list of providers is no accident. Politics has played a role to ensure that most medical providers (think chiropractors) make the list. MCOs have their hands tied when it comes to truly managing costs for the BWC.
Even worse, current rules for determining if the BWC should pay for injured workers’ health care costs create delays in medical treatment for employers to determine whether they should fight the claim and whether the BWC should pay it. Delays in medical treatment are bad for injured workers.
Those two problems are at the heart of the current Statehouse debate. Organized labor, fresh off the collective bargaining victory, is in no mood to bargain. They claim the workers comp House Bills are the next wave of Senate Bill 5 fever. It is unclear whether the Kasich Administration will decide if now is the time to fight on workers’ compensation or other issues that upset organized labor. However, what is known is that if Ohio does not address cost of doing business issues such as workers’ compensation the economy will truly never compete on a global scale.