Paduda: What's Happening in Golden State Work Comp?

Friday, July 18, 2025 | 0

California has long been seen as the leading indicator of social, business, economic and cultural change. Its $4.1 trillion economy just surpassed Japan’s, making it the fourth-largest economy in the world (if it were a separate country).

Joe Paduda

The Golden State accounts for 21% of total U.S. work comp benefits.

The Workers' Compensation Insurance Rating Bureau of California's excellent annual report is out. The findings are troubling, indeed. 

We will dive into some of the details in future reports. Here are key takeaways:

• Medical benefits jumped more than 10% from 2023 to 2024.
• Medical benefits now account for 54% of total benefits paid.
• There’s no doubt that rising medical costs are a, if not the, key driver of the insurance commissioner’s 8.7% increase in work comp premium rate.

Before we jump to conclusions, few, if any, other states are reporting significant increases in medical costs. However:

• California data is much more current than most.
• Few states have the breadth and depth of WCIRB's details.

What does this mean for you?

The time to prepare is running out.

Joseph Paduda is the principal of Health Strategy Associates, a consulting firm focused on improving medical management programs in workers’ compensation. This column is republished with his permission from his Managed Care Matters blog.