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.
- 2024 Insurance Carrier Assessment Plan 1/30/24
- 2023 Health Care Provider Methodology | memo 7/26/22
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 |
Results for DWC Form-069, Report of Medical Evaluation Category
| Assessment Year | Health Care Providers | High Tier Performers | Average Tier Performers | Poor Tier Performers |
| 2023 | 95 | 58 | 30 | 7 |
Results for DWC Form-073, Work Status Report Category
| Assessment Year | Health Care Providers | High Tier Performers | Average Tier Performers | Poor Tier Performers |
| 2023 | 93 | 45 | 38 | 10 |