Leaders Speak

By Joe Paduda, Principal, Health Strategy Associates Workers’ compensation does not exist in a vacuum. It’s a small – as in less than one percent – fraction of the overall healthcare system, and changes that affect the rest of the system impact workers’ compensation. Here are three: The Medicaid Cliff About 15 million people were… [Read more]

By John C. Peters, PhD, Chief Science Officer, Gain Life, Inc. Claims automation software is all the rage as the workers’ compensation industry looks for ways to increase productivity, save money, and deliver a better experience for injured workers. Automation software platforms aim to save money by cutting medical costs and returning injured workers to… [Read more]

By John C. Peters, PhD, Chief Science Officer, Gain Life, Inc. One of the first questions asked by claims leadership when deciding whether to make an investment in a new claims “solution” is, what will be the return on investment (ROI)? Will this new solution reduce claim costs? Will it improve claims processing efficiency? Will… [Read more]

By Doug Markham, Chief Operating Officer, Wisedocs Back in 2017, Stanford computer scientist Andrew Ng compared the spread of artificial intelligence (AI) to the development of electricity. “Just as electricity transformed almost everything 100 years ago,” Ng said. “Today I actually have a hard time thinking of an industry that I don’t think AI will… [Read more]

By Doug Markham, Chief Operating Officer, Wisedocs Timely decision making is a crucial part of any job, but in the workers’ compensation industry these decisions carry extra weight. According to former US Secretary of Labour Thomas E. Perez, “When workers are hurt, a robust workers’ compensation program can make the difference between poverty and recovery.”… [Read more]

By Jon Gunter & Barbara Fairchild, Co-CEOs, IMPAXX Last week we explored four key lessons learned in Medicare Secondary Payer (MSP) compliance in 2022. From the potential for Civil Monetary Penalties and the responsible use of artificial intelligence to managing funds and reducing settlement costs. This week we will delve into issues, both new and… [Read more]

By Barbara Fairchild & Jon Gunter, Co-CEOs, IMPAXX 2022 was filled with significant and surprising events from the Medicare Secondary Payer (MSP) compliance standpoint. In this two-part series, we will explore the eight key events that shaped 2022 and the lessons we can learn from these events as we begin 2023. Lesson One: It’s Time… [Read more]

By Larry Brinton, Jr., Chief Sales Officer, accūrō Solutions Connecting with old friends and making new acquaintances are some of the perks of attending workers’ comp conferences. When cruising the exhibit halls, we frequently see the same people – year in and year out – often sporting new logos on their shirts. In-person events enable… [Read more]

By Stephen Junker, Chief Information Officer, accūrō Solutions The last 25 years have brought remarkable changes in technology. Back then, I had a state-of-the-art Nokia flip phone in my pocket. This wonderfully compact and powerful device allowed me to make phone calls and text, although the latter was a little janky. My current pocket-sized computer… [Read more]

By Heather Sanderson, Founder and President, Sanderson Firm PLLC  As of August 2022, there are nearly 65 million Medicare beneficiaries nationwide. About 30 million of those (roughly 50%) are enrolled in a Medicare Advantage (Medicare Part C) Plan, and about 90% are enrolled in a Medicare Prescription Drug (Part D) Plan. Medicare statistics demonstrate that… [Read more]