Featured Articles

How Value-Based, Episodic Care Coordination Reduces Total Cost and Reaches Treatment Goals By Michael Choo, MD; FACEP; FAAEM; CMRO | Chief Medical Officer & SVP, Paradigm Workplace musculoskeletal (MSK) injuries—such as shoulder strain/sprain, knee strain/sprain, or back strain/sprain—are among the most common incidents that take workers off the job. Despite their frequency, even a relatively… [Read more]

Visibility into psychosocial and mental health factors – and the influence they have on work-related injury and recovery – continues to be a key area of focus for workers’ compensation stakeholders. More than a third of respondents to the Workers’ Compensation Industry Insights Survey, conducted by Healthesystems in partnership with Risk & Insurance®, identified psychosocial… [Read more]

Right Facility + Right Care + Right Length of Time + Right Cost By Linda Colsen, SVP of Product Management, One Call  When an injured worker can’t go straight home following discharge from a hospital or medical facility, it adds another layer of complexity to the claim. Where do they stay? How long will they… [Read more]

The workers’ compensation industry is undergoing dramatic change as mergers and acquisitions continue to rise. Naturally, this may heighten concerns for payers who fear shrinking competition will lead to fewer options. However, when companies and solutions are integrated properly, it can create an entirely new value proposition and experience for customers. When done right, organizations… [Read more]

Rising drug prices continue to be an area of concern that defies easy explanation. While utilization of cost-saving generics continues to go up, so too does overall spending. According to a 2021 study, generic medications represent 84% of drugs sold in the United States by volume, but only 12% of U.S. spending. Do increased name-brand… [Read more]

Strong provider relationships and proactive issue resolution are the key to appeals mitigation. In an increasingly competitive market, workers’ compensation insurers are dealing with a multitude of issues, including the COVID-19 pandemic of which long-term effects are still unfolding; as well as soaring inflation; and an evolving workforce (the “Great Resignation”), which has created additional… [Read more]

When it comes to work-related injuries, no two are alike. Those injured may need an array of specialized supports to achieve the best outcome and potentially return to a productive life. Nearly half of workers’ comp claims result in medical expenses ranging from $10,000 – $500,000 with high-cost claims accounting for a larger share of… [Read more]

In November, more employees quit their jobs than any other month in U.S. history. As the Great Resignation continues well into 2022, employers across the country are still feeling its troubling effects. For businesses and claims organizations, the problem is especially acute, as the industries had already been experiencing significant turnover due to an aging… [Read more]

The priorities and challenges revealed in Healthe’s 2022 Workers’ Compensation Industry Insights Survey Report are very much reflective of an industry focused on moving forward from the pandemic – but with some residual hurdles yet to overcome. This fourth year of the survey captured responses from nearly 500 respondents across many roles and organizations, providing… [Read more]

By Tammy Bradly, Sr. Director Clinical Product Marketing at Enlyte How confident are you in driving to a new destination without a navigation system? What roadblocks might you encounter and how would you know if you’re following the safest and quickest route? Would you remember directions someone had given you at a time when you… [Read more]