Leaders Speak

By Cliff Belliveau, myMatrixx Chief Innovation Officer and Phil Walls, Chief Clinical Officer So far, in 2023 we’ve seen Artificial Intelligence (AI) rapidly become a major topic with massive implications for nearly every facet of life — including in the fields of healthcare and workers’ compensation. The ongoing development and startling proficiency of Machine Learning… [Read more]

By Cliff Belliveau, myMatrixx Chief Innovation Officer For anyone watching, 2023 has undoubtedly been the year of Artificial Intelligence (AI). Although it has been used for years in fields ranging from finance to manufacturing to personal assistants such as Siri and Alexa, the public launch of ChatGPT by OpenAI last November marked a real turning… [Read more]

By Dr. Michael Hamby, CEO, Claims Eval In last week’s article, I highlighted some helpful working definitions of Diversity, Equity, and Inclusion (commonly referred to as DEI, DE&I, and DEIB). I wrote about how to make DEI a part of your company’s structural integrity, meaning a foundational part of your company culture. DEI is being… [Read more]

By Dr. Michael Hamby, CEO, Claims Eval By now, most people have heard the term “DEI” being over utilized by businesses and organizations. But diversity, equity, and inclusion are more than the latest HR trend or industry buzzword. They’re values that, if integrated into your business, have the potential to increase your talent acquisition and… [Read more]

By Krista Johnson, Senior Director of Special Programs and Andrea Mils, Executive VP, Sales, Ametros When settling a workers’ compensation claim involving a catastrophic injury, insurers and other payers need to prioritize the future management of medical funds. These workers’ comp patients usually require expensive and complicated life-long care. Their medical funds need to be… [Read more]

By Ron Mazariegos, JD, VP Claims and Vendor Management, Arrowood Indemnity Company Currently 38 states, 3 territories and the District of Columbia allow the medical use of cannabis products. 23 states allow adult recreational use of cannabis with Minnesota being the latest state. With 76% of the U.S. allowing some form medical marijuana, it’s no… [Read more]

By Bob Reardon, CEO, ISG Strategic partnerships play a crucial role in the insurance industry, enabling carriers to tackle complex challenges such as reducing total losses. Simon Sinek, renowned author and speaker, emphasizes, “People don’t buy what you do; they buy why you do it.” The most successful client relationships are when we understand the… [Read more]

By Bob Reardon, CEO, ISG Claims organizations outsource services to help them achieve the best clinical and financial outcomes. Often, these relationships are framed as a vendor-client dynamic, yet the companies that have the most successful outcomes have shifted their mindset toward treating these companies as partners rather than vendors. A partner-oriented approach encourages open… [Read more]

By Daniel M. Anders, Esq., MSCC, CMSP, Chief Compliance Officer, Tower MSA Partners In a recent announcement, the Centers for Medicare and Medicaid Services (CMS) opened the door for a new MSA review no matter how long ago the prior CMS MSA approval occurred. And, CMS has been formally approving MSAs for more than 20… [Read more]

By Daniel M. Anders, Esq., MSCC, CMSP, Chief Compliance Officer, Tower MSA Partners If you search for commodities online, you’ll find such items as crude oil, coffee, gold, wheat, cotton, corn and sugar. What you won’t find are Medicare Set-Asides. While I point this out jokingly, the reality is that some work comp payers treat… [Read more]