The Texas Department of Insurance, Division of Workers’ Compensation (DWC) regularly evaluates insurance carriers and health care providers for compliance with Texas Labor Code §402.075 and 28 Texas Administrative Code §180.19.
Performance Based Oversight (PBO) is a review of Insurance carriers’ and health care providers’ performance in selected areas of compliance.
The purpose of PBO is to:
- Set performance expectations
- Reward excellence
- Encourage continuous improvement
Assessment Methodology
Insurance carriers are assessed on even years. Health care providers are assessed on odd years.
- 2022 Insurance Carrier Methodology (pdf) 1/10/2022
- 2023 Health Care Provider Methodology (pdf) | memo 7/26/2022
Assessment Results
Insurance Carrier Tier Assessments Overall Results
| Assessment Year | Insurance Carriers | High Tier Performers | Average Tier Performers | Poor Tier Performers |
| 2022 | 136 | 41 | 82 | 13 |
- 2022 insurance carrier tier placement results (pdf)
Health Care Provider Tier Assessments Overall Results for DWC Form-069, Report of Medical Evaluation Category
| Assessment Year | Health Care Providers | High Tier Performers | Average Tier Performers | Poor Tier Performers |
| 2021 | 96 | 66 | 15 | 15 |
- 2021 health care provider placement results DWC Form-069, Report of Medical Evaluation Category (pdf)
Health Care Provider Tier Assessments Overall Results for DWC Form-073, Work Status Report Category
| Assessment Year | Health Care Providers | High Tier Performers | Average Tier Performers | Poor Tier Performers |
| 2021 | 91 | 45 | 38 | 8 |
- 2021 health care provider placement results DWC Form-073, Work Status Report Category (pdf)