Leaders Speak

By Silvia Sacalis, PharmD, Vice President of Clinical Services, Healthesystems Workers’ comp has grown more complex as the care and conditions we manage continue to evolve, and industry professionals are taking notice. Healthesystems partnered with Risk & Insurance magazine to conduct the 2020 Workers’ Comp Industry Insights Survey, collecting the opinions of 669 workers’ comp… [Read more]

By Erin Zablocki, CDME, CEAC, ECHM, Executive Director, Rehab Technology, ATF Medical Insurers, third-party administrators and employers run a big risk if they do not pair a rehab specialist with a contractor when adapting a home for an injured worker. It takes a team with special skill sets to select the most appropriate equipment and… [Read more]

By Rick Wyche, ATP, Director, Business Development ATF Medical Cheap can be very expensive. All too often adjusters forget this when selecting durable medical equipment (DME) for injured workers with complex needs. Instead of thinking broadly about the person’s medical condition, challenges, and goals, they focus on how little they can spend on some specific… [Read more]

By Shawn Deane, General Counsel, Ametros In Part Iof this series, the benefits of professional administration were covered from the perspective of the claimant / injured Individual, their attorney and Medicare. In this installment, points of view will be addressed from payers and structured settlement entities / brokers. Payers Insurance carriers and self-insureds (payers) have… [Read more]

By Shawn Deane, General Counsel, Ametros Professional administration involves the use of a professional third-party to manage the portion of an injured individual’s settlement funds attributed to future (post-settlement) medical expenses, inclusive of a Medicare Set Aside (MSA). Specifically, in the Medicare and MSA realm, professional administrators are defined as, “corporate entities administering [MSA] funds… [Read more]

By James Sliwa, DO, Chief Medical Officer, Chief Quality and Safety Officer, and Senior Vice President, Shirley Ryan AbilityLab (formerly Rehabilitation Institute of Chicago) In rehabilitation, a lack of sensitive and objective outcomes measures makes it difficult to predict how and where patients will achieve the best, fastest outcomes. As a result, the true value… [Read more]

By James Sliwa, DO, Chief Medical Officer, Chief Quality and Safety Officer, and Senior Vice President, Shirley Ryan AbilityLab (formerly Rehabilitation Institute of Chicago) Rehabilitation, unlike other medical specialties, has no equivalent to an objective blood test or an X-ray to help measure or direct the results of treatment. Current assessment tools are not well-equipped… [Read more]

By Dr. Mitch Freeman, Pharm.D. Senior Vice President & Chief Clinical Officer, Mitchell Is your clinical program running at its best? When there are so many changes to track, from clinical and regulatory to business perspectives, it can be easy to overlook certain factors that could help optimize your program. As we continue into the… [Read more]

By Dr. Mitch Freeman, Pharm.D. Senior Vice President & Chief Clinical Officer, Mitchell Are you seeing an increase of naloxone prescriptions in your workers’ compensation claims? This may become more common as states move to encourage the co-prescribing of naloxone with opioid prescriptions. As the U.S. continues to make headway in battling the opioid crisis,… [Read more]

By Michelle Despres, PT, CEAS II, CETS, National Product Leader for Physical Therapy, One Call Patient-centric – it is a topic we love to talk about in this industry. We want to do everything in our power to set injured workers up for success. What can we do to provide the most holistic care? What… [Read more]