RFP_5800_SLW3033_ATT_10_v1.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
Worker's Compensation Third Party Administration Service
Solicitation number
RFP 5800 SLW3033
Issued by
Texas

About this file

This is a Financial Analysis Report attachment to a Request for Proposals issued by the City of Austin, Texas, for Worker's Compensation Third Party Administration Services. The document presents workers' compensation payment data and claim analysis for the City of Austin as of October 30, 2025, and includes historical fiscal year information spanning from 1974 through 2025. The report breaks down payments by service category, including chiropractor services, death benefits, dental, durable medical equipment, emergency medical services, hospital inpatient and outpatient services, laboratory services, various income benefit types, mileage, physical therapy, physician office visits, prescriptions, case management, home health, and allocated expenses. The data provides claim counts and percentage allocations to total spending across multiple fiscal years, with particular emphasis on medical payments only versus all payment types.

The financial analysis demonstrates the City's historical workers' compensation expenditure patterns and claim volume trends, serving as critical baseline information for prospective third-party administrators to understand the scope and complexity of the administration contract. The detailed breakdown by service type and claim year enables bidders to assess staffing requirements, processing capabilities, and cost management strategies necessary to administer the City's workers' compensation program effectively. This exhibit provides the financial foundation upon which qualified workers' compensation third-party administrators with public sector experience can develop competitive proposals and demonstrate their capacity to manage the City's claims administration needs.

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Summary (2)

City of Austin
Fiscal Year 2026
Payments as of 10-30-25
By Paytype
Row LabelsSum of PayAmtRow LabelsSum of PayAmtCount of Payment TypeAverage
ChiropractorChiropractor
Death BenefitsDeath Benefits
DentalDental
DMEDME
EMSEMS
Hospital/InpatientHospital/Inpatient
Hospital/OutpatientHospital/Outpatient
Impairment Income BenefitsImpairment Income Benefits
LABLAB
Lifetime Income BenefitsLifetime Income Benefits
MileageMileage
Physical TherapyPhysical Therapy
Physician Expense/Office visitsPhysician Expense/Office visits
PrescriptionsPrescriptions
Supplemental Income BenefitsSupplemental Income Benefits
Temporary Income BenefitsTemporary Income Benefits
Allocated ExpenseAllocated Expense
Home HealthHome Health
Case Management(Field & VCR)Case Management (Field & VCR)
Grand TotalGrand Total
City of Austin
Fiscal Year 2025
Payments and Claim Counts by Fiscal Year (includes Indemnity)
Row LabelsSum of PayAmt# of ClaimsPercentage to Total Spend
1974
1977
1979
1985
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Grand Total
City of Austin
Fiscal Year 2025
Payments and Claim Counts by Claim Year Medical Payments Only
Row LabelsSum of PayAmtCountPercentage to Total Spend
1979
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Grand Total

&"-,Bold"COA

RFP BCR

EXHIBIT 4 - FINANCIAL ANALYSIS REPORT

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