December 15, 2017

WorkCompRecap: Applied Analytics!

Today’s issue of WorkCompRecap features the recent announcement from CLARA analytics of the launch of its latest tool, Network Optimizer, which is a network analysis solution that incorporates case-mix adjusted scoring into a claims professional’s view of the network stack, allowing claims teams to instantly view physician scores…[Continue Reading]

CompLinks: 12/15/17

CompLinks are a daily set of pertinent links that we believe will be of interest to our readers. What we missed while we were in Vegas Managed Care Matters Texas Mutual 2017 year in review Texas Mutual Blog California regulators commit to quarterly comp drug formulary updates Business Insurance Editor’s Note: These links lead to outside news sources.… [Continue Reading]

CLARA analytics Unveils Network Analysis Solution to Incorporate Case-Mix Adjusted Scoring into Network Stacks

Santa Clara, CA – CLARA analytics recently unveiled its latest product, Network Optimizer, at the National Workers’ Compensation and Disability Conference (NWCDC). Network Optimizer is an industry-first network analysis solution that incorporates case-mix adjusted scoring into a claims professional’s view of the network stack. This enables claims teams to instantly view physician scores while alerting them to quality, available doctors in a given specialty and closest geographical location to the injured…[Continue Reading]

One Call Announces New Amputee Offering with Broadspire

Jacksonville, FL – One Call Care Management (One Call) and Broadspire, a division of Crawford & Company recently announced a partnership to develop a customized patient-centric amputee program. The amputee program will not only benefit existing amputees requiring a replacement prosthetic, but also injured workers with recent amputations requiring a holistic review process and access to best-in-care providers. “Across every aspect of our program, we strive to provide a seamless and consultative approach…[Continue Reading]

SAIF Hopes for Fewer Falls and More Fa-la-las this Season with New Videos

Salem, OR – ‘Tis the season for holiday hazards–from chestnuts roasting on an open fire to walking in a winter wonderland, safety risks are everywhere this time of year. That’s why SAIF has released two 360-degree videos to help remind Oregonians about small things that can add up to big trouble. The videos, where viewers try to spot holiday hazards, highlight home holiday safety risks and work holiday safety risks. “Most people know not to step on the top part of a ladder, or to remove tripping hazards…[Continue Reading]

NY Man Sentenced for Fraud, Played Ice Hockey while Receiving Workers’ Comp Benefits

Albany, NY – New York State Inspector General Catherine Leahy Scott recently announced the resignation, guilty plea and sentencing of a Central New York aide for a State youth detention center who defrauded the Workers’ Compensation system by claiming a debilitating injury kept him from doing his job but was still able to play competitive ice hockey and perform other strenuous activities. Samuel Spina, 45, of Rome, who previously pleaded guilty to Insurance Fraud in the Fifth Degree…[Continue Reading]

WorkCompRecap: Intersection Introspection!

Today’s issue of WorkCompRecap features a Guest Post from Mark Pew of PRIUM (also known as the Rx Professor!), who is recapping and exploring the concepts from an NWCDC session given by Dr. Marcos Iglesias, Chief Medical Officer of Broadspire, on the intersection of medicine and disability. In the session, Dr. Iglesias presented his…[Continue Reading]

CompLinks: 12/14/17

CompLinks are a daily set of pertinent links that we believe will be of interest to our readers. Managing the Pandora’s Box of Comorbidities Safety National Conference Chronicles My Thoughts on the New MTUS Treatment Guidelines UR Nation The Significance of Maximum Medical Improvement in Worker’s Comp ReduceYourWorkersComp Editor’s Note: These links lead to outside news sources. We… [Continue Reading]

Guest Post: Mark Pew on “The Intersection of Medicine and Disability” from NWCDC

Las Vegas, CA – At the 2017 #NWCDConf in Las Vegas on December 7, Dr. Marcos Iglesias (Chief Medical Officer for Broadspire) presented his perspective on the intersection of medicine and disability but it might not have been what attendees expected. Though the terms “impairment” and “disability” are often mistakenly used interchangeably, in his opinion they are two completely different concepts. Disability addresses a lack of function in an administrative or legal arena, its definition can…[Continue Reading]

Bardavon and Planned Administrators, Inc. to Launch Integrated Commercial Health and Workers’ Comp Solution

Overland Park, KS – At the National Workers’ Compensation and Disability Conference 2017 in Las Vegas, Nev., Bardavon Health Innovations and Planned Administrators, Inc. (PAI), a third party administrator for property and casualty, announced an integrated commercial health and workers’ compensation solution for large employers nationwide. Employers who participate in this program will be able to enhance workforce productivity and population health outcomes. These insights, not previously…[Continue Reading]

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