December 16, 2017

Deborah Watkins: Survey Says! 92% of Companies Lack Confidence Adjusters Can Manage MSP Compliance

Deborah Watkins

Are you concerned about adjusters having the necessary knowledge and skills to properly manage Medicare Secondary Payer (MSP) compliance? You are not alone! The time for a data-driven, analytic-powered approach to compliance is now. Today’s industry leaders and early adopters have already begun embracing this method. An analytic-powered approach uses…[Continue Reading]

Dr. Teresa Bartlett: Telemedicine Offers Injured Workers a New Care Alternative

Dr. Teresa Bartlett

Although telemedicine has been around for more than 50 years, the explosion in technology, the expanded interconnectivity, the social acceptance of video chat as a part of everyday living, and the continuing need to remove barriers to healthcare access have accelerated interest in telemedicine as a medical delivery platform. While there are various facets to…[Continue Reading]

Dr. Teresa Bartlett: Telemedicine Offers Virtual Patient Care

Dr. Teresa Bartlett

Telemedicine is on the rise. It has been found to be a convenient, effective healthcare delivery mechanism capable of producing positive outcomes for patients. With the advancement of technology, increasing consumer demands, and projected shortage of physicians in some areas, telemedicine’s expanded use and increasing popularity can be expected to continue…[Continue Reading]

Dr. Robert Hall: 21 Questions to Consider for Home Health Services for Workers’ Comp Populations

Dr Robert Hall

Home health services are an important bridge between an acute injury (or medical condition) requiring continued medical treatment and/or functional assistance and the time when the patient’s care needs can be met either independently or by family members in the home environment. In order for home health services to provide focused and medically necessary care…[Continue Reading]

Dr. Robert Hall: Anoxic Brain Injury: An Underreported and Oftentimes Overlooked Consequence of Overdose

Dr Robert Hall

A few weeks back, a new patient of mine was accompanied into the examination room by his daughter. Although he was in his mid-50’s, he needed a significant amount of assistance due to decreased balance and unsteady walking. The reason for the referral was to evaluate the cause of his right shoulder and neck pain and hand numbness, which were ultimately found…[Continue Reading]

Michael Gavin: Behavioral Health: Bet or Investment?

Michael Gavin

When I was seven years old, I bet my uncle $20 that the New England Patriots would beat the Philadelphia Eagles in a regular season, just-another-Sunday matchup. I lost. And perhaps in an effort to warn me off of any future gambling proclivities, he demanded payment. In full. That day marked the beginning of my education in the many differences between “betting” and “investing”…[Continue Reading]

Mark Pew: Paying for the Person

Mark Pew

BioPsychoSocial is a popular buzzword in workers’ compensation. Some have recently added Spiritual (not necessarily referring to religion, but a person’s relationship with transcendence). Every conference talks about it in some way, shape or form. If the audience is listening, they’ll hear tips on how to treat the “whole person” by addressing not just the physical ailment…[Continue Reading]

Art Lynch: The Benefits and Challenges of Using Value-Based Contracting in Workers’ Comp

Art Lynch

Value-based contracting continues to attract attention through a wide-ranging dialogue focused on the need for health care reimbursements to reward outcomes over activity. Last week, we reviewed the types of value-based models that are deployed in commercial health care. While there are similarities between group health and workers’ comp there are significant differences, too…[Continue Reading]

Art Lynch: Defining ‘Value-Based Contracting’ Requires More Than A Few Words

Art Lynch

Value-based contracting is one of the most talked-about topics at conferences, in stewardship meetings and in workers’ compensation requests for proposal (RFPs). But for all the discussion around the term, one thing seems missing: a common definition. Value-based contracting seems fairly straightforward to most observers and that might be part of the problem…[Continue Reading]

Eric F. Patten: Strategies to Manage the Pandora’s Box of Comorbid Conditions

Eric Patten

Originating from Greek mythology, the phrase “to open Pandora’s box” calls to mind how a seemingly innocuous act, such as opening a box, can unleash a plethora of negative consequences. That’s how many workers’ compensation (WC) program managers feel about covering injured workers who incur relatively minor workplace injuries that quickly spiral out of control…[Continue Reading]

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