Leaders Speak

By Jim Begg, Vice President, National Accounts, Apricus Diagnostic imaging services play a crucial role in workers’ compensation by providing essential insights into the nature and severity of an injury, guiding treatment plans, and optimizing an effective recovery process. Imaging techniques not only assist health care professionals in providing medical care, but also enable employers… [Read more]

By Ted Smith, Senior Vice President, Apricus In workers’ compensation, catastrophic (CAT) injuries occur with relatively low frequency. However, when they happen, payers demand an all-hands-on-deck approach that can benefit from specialized experts to manage specific aspects of these complicated claims. To address this, some payers have established their own internal catastrophic claims teams, engaging… [Read more]

By Sandip Chatterjee, EVP Client Management & Innovation, MedRisk Remarkable technologies entering the market could radically transform claims management in workers’ compensation. These revolutionary innovations include natural language processing, virtual reality, cost-effective sensors, intricate reporting mechanisms, and especially artificial intelligence or AI. Last week’s Leaders Speak article stressed the need to remain focused on patient… [Read more]

By Sri Sridharan, President, MedRisk In the “age of AI,” how do we stay focused on our fundamental objectives and leverage technological advancements in achieving them? Today’s rapidly advancing environment has introduced our industry to the wonders of groundbreaking technology such as artificial intelligence (AI), sensors, virtual reality (VR) headsets, and natural language processing (NLP)… [Read more]

By Jennifer McCarthy, CP, Clinical Review Manager, One Call Amputations often occur due to health complications, but limb loss may also result from a traumatic injury at work, home, or in the community. Most people rarely think of how to cope without an arm, leg, finger, or toe – or what it takes to return… [Read more]

By Linda Colsen, SVP of Product Management, One Call Approximately 22 million workers are exposed to hazardous, on-the-job noise each year.1 About one in eight people in the U.S. working population has difficulty hearing, and of those, about one in four was caused by occupational exposures.2 The Centers for Disease Control and Prevention concludes that… [Read more]

By Tammy Bradly, senior director of clinical product marketing for Genex Services Improving the experience of injured employees is a pressing concern in the workers’ compensation industry. A positive experience suggests that the injured employee has a trusting relationship with their treatment team, claims professional and case manager, and is involved in their recovery. But… [Read more]

By Nikki Wilson, Senior Director, Clinical Pharmacy Services, Enlyte Most pharmacy claims reporting across the industry (unless called out specifically) reflects in-network (retail pharmacy and mail order) pharmacy transactions that apply the benefit of pre-dispense logic including real-time rules and recommendations. However, this is not reflective of the full picture of what’s happening within workers’… [Read more]

By Melissa M. Smith, OTR/L, ECHM, CAPS, CHAMP, Clinical Specialist, Adaptive Housing Solutions, ATF Medical With a staggering 41% of the US adult population considered obese, researchers have analyzed its impact on workers’ comp. A Duke University Medical Center study demonstrated a clear relationship between BMI (body mass index) and the number of workers’ comp… [Read more]

By Kevin Wallace ATP, CRTS, Rehab Technology Specialist, ATF Medical Obesity rates are on the rise. Researchers project that by 2030 – just 7 years away – a full 50% of the US adult population will be obese. This public health issue directly impacts workers’ comp payers. Claims involving obese workers cost three times more… [Read more]