Absence Benefit Utilization, Duration of Leaves, and Payments Vary By Benefit and over Time for Short- and Long-Term Disability and Workers' Compensation for Employees with Headaches and Migraines in the United States.


Kleinman NL1, Beren I2
1WorkPartners, LLC, Missouri City, TX, USA, 2WorkPartners, LLC, Denver, CO, USA

OBJECTIVES : Use objective data to compare the prevalence of Headaches/Migraines (HA/MIG), the HA/MIG patients’ all-cause utilization of short-and-long-term disability(STD-and-LTD, respectively) and workers' compensation (WC), and explore changes over time.

METHODS : Retrospective analysis using the WorkPartners Research Reference Database (RRDb) from 2001—2019. For each year, subjects with medical-claims for HA/MIG were identified based on claim-start-date. For each absence-benefit the analysis-focused on the prevalence of HA/MIG and the percent of eligible HA/MIG-employees utilizing the benefit, leave-length (days) and the payments as a %-of-salary (MedianPay). Years were compared to the baseline(2001). Disability/WC-payments included lump-sum-distributions and potentially-extended beyond the year initially incurred. Workplace-accidents were paid under the WC-benefit. WC-claims without absence from work(medical only)were excluded. Because sick-leave (SL) may be taken for any reason, leaves-and-payments under the SL-benefit were excluded. For each benefit, average leave-length and MedianPay were calculated and compared with baseline.

RESULTS : The prevalence of HA/MIG averaged 3.6%. At baseline: 13% filed STD claims, 0.4% filed LTD claims, and 1.5% filed WC claims. STD claims were 39.1 mean-days and paid 70.5% of salary (median); LTD claims were 168.2 mean-days and paid 27.5% of salary; and WC claims were 71.1 mean-days and paid 67.2% of salary. From 2002—2019, 10.1%—16.3% of eligibles filed STD claims that lasted from 80.4%—122.4% of baseline days (BDs) and 71.4%—127.6% of MedianPay. From 2002—2019, 0.7%—1.7% filed LTD claims that lasted 64.3%—637.4% of BDs and 75.6%—217.6% of MedianPay. From 2002—2019, 0.7%—1.8% filed WC-claims that lasted from 83.9%—279.6% of BDs and 74.2%—2017.1% of MedianPay. MedianPay was highest in 2013 for STD, 2002 for LTD, and 2005 for WC. Claims lengths were longest in 2016 for STD, 2005 for LTD, and 2015 for WC.

CONCLUSIONS : Employees with Headaches and Migraines used different absence benefits over time with varying durations and payments. Using a constant cost over time for all benefits is not accurate or appropriate.

Conference/Value in Health Info

2021-05, ISPOR 2021, Montreal, Canada

Value in Health, Volume 24, Issue 5, S1 (May 2021)




Economic Evaluation, Health Service Delivery & Process of Care, Real World Data & Information Systems

Topic Subcategory

Disease Management, Health & Insurance Records Systems, Work & Home Productivity - Indirect Costs


Neurological Disorders

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