Featured Articles

Understand the questions to ask when choosing a network of doctors and facilities to treat your employees injured on the job – not all PPOs are the same! By Ilene Wachs, President, Horizon Casualty Services, Inc. New Jersey ranks #2 in the nation in cost of workers’ compensation insurance (California is #1) and almost half… [Read more]

By: Stan Smith, Vice President, Post-Acute Care, Paradigm; and Jennifer Brockman, Vice President, Orthopedic and Spine, Paradigm The workers’ compensation system has many attributes that make it challenging to navigate─unique state-mandated treatment guidelines and state-regulated fee schedule reimbursement structures are just two examples. However, there is one aspect that is the same in any sector… [Read more]

Before starting HomeCare Connect, its founders asked workers’ comp payers about the problems they ran into with current ancillary providers of home health services. Issues included: Sluggish response to referrals. Trouble staffing hospital discharges. Poor customer service. Reporting issues.  Spotty communication.  Slow, inaccurate billing. So, HomeCare Connect committed to doing business with a sense of… [Read more]

By Cem Kus, Chief Executive Officer & Founder, MTI America Employers, risk professionals, workers compensation insurance executives and third-party claims administrators already understand the underlying importance of ancillary services when it comes to helping employees after they’ve suffered a work-related injury or illness. What they may not realize, and COVID-19 reinforces, is these services –… [Read more]

By Linda Colsen, VP of Product Management, One Call When people are asked to name the most important things in life, health and home are two of the top five answers given.1 So it makes sense that when these two worlds collide in workers’ compensation, cases can become more complex in nature. Instead of receiving… [Read more]

A Q&A with Gus Tschaar, Chief Bill Review Officer, Paradigm Innovation in surgical implant technology undoubtedly benefits injured workers, but it also means increased billing complexity for payers. This, in turn, creates ongoing challenges while trying to manage dozens of details for injured worker cases. Paradigm’s surgical implant cost management platform is designed to deliver… [Read more]

By Phil Walls, RPh, Chief Clinical Officer, myMatrixx As of this writing, more than 116,576,359 people in the United States have been fully vaccinated for COVID-19, or 35.1 percent of the population, according to data from the Centers for Disease Control (CDC). The CDC is also currently reporting a decrease of 81% in the rolling… [Read more]

Claims professionals have long been the frontline of claims management – this has not changed. What has changed is just about everything else. Claims continue to grow in complexity – and therefore have become more complex to manage. The claims workforce is changing, too. As we continue to try to attract talent to the industry,… [Read more]

By Ted Smith, Senior Vice President of National Sales, Apricus Apricus is saying goodbye to the term ancillary when it comes to caregiving in workers’ compensation. That’s because diagnostic imaging, physical medicine, durable medical equipment (DME), home health, and other services are often foundational to injured workers’ recoveries. They’re not secondary — they’re essential. These… [Read more]

By Thomas Warsop, CEO at One Call One Call is reimagining the future of care coordination for workers and their families by leveraging our more than 30 years of industry experience and redefining how our solutions can move people through their care journeys better than ever before. Like many companies, the COVID-19 pandemic forced us… [Read more]