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You are here: Home / Archives for Leaders Speak

Leaders Speak

Dave North: Quality Healthcare Assumes Center Stage

April 11, 2011 by WorkCompWire

Dave North: Quality Healthcare Assumes Center Stage

By: David A. North, President & CEO, Sedgwick Claims Management Services, Inc. A shift in current thinking is beginning to emerge when it comes to the treatment of injured workers. We have become an industry focused on delivering managed care rather than health care, and change is inevitable. Less emphasis should be placed on negotiating… [Read more]

Filed Under: Leaders Speak

Dr. Steven Feinberg: Delayed Recovery, Early Intervention & Functional Restoration

April 4, 2011 by WorkCompWire

Dr. Steven Feinberg: Delayed Recovery, Early Intervention & Functional Restoration

By Dr. Steven Feinberg, CMO, American Pain Solutions (APS) and Dr. Melvin Belsky, CCO, APS & Medical Director, Corporate WC, Safeway, Inc. Remarkably, there is an evidenced-based alternative to out of control and unnecessary medical and indemnity costs where the injured worker’s functional recovery is delayed. Its implementation on a larger scale requires a paradigm… [Read more]

Filed Under: Leaders Speak

Dr. Steven Feinberg: Opioids and Chronic Pain Treatment

March 28, 2011 by WorkCompWire

Dr. Steven Feinberg: Opioids and Chronic Pain Treatment

By Dr. Steven Feinberg, CMO, American Pain Solutions Many physicians do not fully understand the proper role of opioids in the treatment of injured workers and they do not understand the importance of a biopsychosocial, whole-person approach as promoted in the evidence-based and presumptively correct California DWC Medical Treatment Utilization Schedule (MTUS) Chronic Pain Medical… [Read more]

Filed Under: Leaders Speak

Jeffrey Miller: Healthcare Reform and Workers’ Compensation: Potential Impacts

March 14, 2011 by WorkCompWire

Jeffrey Miller: Healthcare Reform and Workers’ Compensation: Potential Impacts

By Jeffrey D. Miller, Chief Operating Officer, Paladin Managed Care Services Healthcare reform as passed in President Obama’s “Patient Protection and Affordable Care Act” is a reality and will be with us in some form into the future. Opinions vary widely on the merits, drawbacks, and implications of this new law, and your particular assessment… [Read more]

Filed Under: Leaders Speak

Kent Spafford: Defining Quality

March 7, 2011 by WorkCompWire

Kent Spafford: Defining Quality

By: Kent Spafford, Chairman of the Board, One Call Medical Since my first column, “Embracing Quality,” I have received a significant number of responses from readers who agree that price can no longer be the sole criterion by which they make their service-buying decisions, and quality has become increasingly more important to an overall cost-effective… [Read more]

Filed Under: Leaders Speak

Kent Spafford: Embracing Quality

February 28, 2011 by WorkCompWire

Kent Spafford: Embracing Quality

By: Kent Spafford, Chairman of the Board, One Call Medical Having been engaged in workers’ compensation for many years, it’s been interesting to monitor industry trends over time. Since September 2009 and over the last 18 months, there has been considerable movement to embrace “quality” and the impact it has on overall claims costs and… [Read more]

Filed Under: Leaders Speak

Shelley Boyce: Expect More

February 21, 2011 by WorkCompWire

Shelley Boyce: Expect More

By: Shelley Boyce, CEO, MedRisk Workers’ Compensation managed care has come a long way since its emergence in the mid-1990’s. When it first arrived on the scene, managed workers’ comp looked a lot like group health – big generalist discounted networks – with discounts below state fee schedules instead of discounts below billed charges. As… [Read more]

Filed Under: Leaders Speak

Shelley Boyce: Guidelines Are Not All Created Equal

February 14, 2011 by WorkCompWire

Shelley Boyce: Guidelines Are Not All Created Equal

By: Shelley Boyce, CEO, MedRisk Evidence-based medicine is now widely accepted in workers’ compensation and guidelines are proliferating. New York State recently implemented guidelines addressing lower back, neck, shoulder, and knee conditions and is working on a fifth guideline on carpal tunnel. I applaud this and other states’ efforts to go far beyond simply authorizing… [Read more]

Filed Under: Leaders Speak

Joe Paduda: The RFP Process – A Better Way

February 7, 2011 by WorkCompWire

Joe Paduda: The RFP Process – A Better Way

By Joe Paduda, Author, Managed Care Matters Last week’s piece detailed the problems inherent in the RFP process; lots of vendors doing lots of work answering lots of questions in an attempt to win business where only one will succeed. Decisions delayed, decisions deferred, decisions never made. Potential vendors answering formulaic questions with pat answers,… [Read more]

Filed Under: Leaders Speak

Joe Paduda: Do Unto Others – Reflections on the RFP Process

February 1, 2011 by WorkCompWire

Joe Paduda: Do Unto Others – Reflections on the RFP Process

By Joe Paduda, Author, Managed Care Matters Workers comp payers – TPAs, employers and insurance companies – buy lots of services from many different vendors. Some are ‘purchased’ by adjusters and case managers on a claim-by-claim basis, but most payers use the formal ‘request for proposal’ process when big dollars are at stake. Vendors of… [Read more]

Filed Under: Leaders Speak

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