This session at RIMS 2016 illustrated how to methodically examine and review the right activities in claims audits to improve the bottom line. Speakers in this session were: Jenny Novoa, Senior Director of Risk Management, Gap Inc. Joe Picone, Claim Consulting Practice Leader, Willis Towers Watson An audit is a “methodical examination and review.” In […]

At the 2015 National Workers’ Compensation & Disability Conference, Adam L. Seidner, M.D., Global Medical Director, Travelers Insurance Co. and Silvia Sacalis, PharmD, VP Clinical Services, Healthesystems presented how a comprehensive view of an injured worker’s medical history and treatment course ensures appropriate claims decisions, resulting in optimal care and functional restoration. Silvia started the […]

Data analytics and predictive modeling are quickly becoming workers’ compensation industry staples as more employers recognize that the technology can positively impact their operations by improving claims management, risk assessments and loss costs. This session at the 24th Annual National Workers’ Compensation & Disability Conference illustrated key elements to include in workers’ compensation predictive models. […]

As claims drag on, injured workers may start believing that their injuries, disabilities and chronic pain are worse than they actually are. They may perceive the workers’ compensation system is treating them unjustly and withdraw from work and social activities, fueling further catastrophic thinking and fear. This session at the 24th Annual National Workers’ Compensation […]

At the 2015 National Workers’ Compensation & Disability Conference, Mary O’Donoghue, Vice President, Medical Services, Helmsman Management Services and Stephanie Perilli, Senior Director, Medical & Health Management, The Home Depot discussed how nurse case managers can add value to your data and to create a successful strategy to improve return-to-work outcomes, lower costs and deliver […]

This session at the 24th Annual National Workers’ Compensation & Disability Conference illustrated how Walmart analyzed its overall prescription cost drivers, found alternatives and reduced the prescribing of other pharmaceuticals threatening employee health within their organization. Speakers included: Mark Pew, Senior Vice President at PRIUM Janice Van Allen, Director of Workers’ Compensation at Walmart Stores, […]

At the 2015 National Workers’ Compensation & Disability Conference, Lee Blitstein, Partner, Altman, Lunche and Blitstein and Sharon Weissinger, Senior Occupational Health Manager, Hyatt Hotels discuss employer strategies, clinic strategies, insurance carriers, and judicial considerations for claim prevention, protocols and defense strategies. Employer strategies: work to ensure employees feel comfortable reporting any incidents show compassion […]

Opportunities to manage workplace injuries to their optimal conclusions evaporate when claim handlers ignore medical intervention’s power. Important elements may be lost, including the potential to identify risk factors that can delay recovery, the ability to uncover non-work injury causations, and the efficient coordination of claims-service providers. In this session at the 24th Annual National […]

At the 2015 Workers’Compensation Educational Conference in Orlando, a panel discussed telemedicine and its potential application in the workers’ compensation space. The panel consisted of: Bill Lewis, M.D., Chief Medical Officer, Concentra Medical Centers Steve Shaya, M.D., Chief Medical Officer, Health Net Connect Sri Mummaneni, M.D., Chief Health Officer, Opus Telehealth Telemedicine is being utilized more and more in healthcare models […]

At the 2015 Harbor Health MPN Medical Directors Meeting, a panel discussed current issues impacting workers’ compensation. The panel consisted of: Dr. Tedd Blatt (moderator) Dr. Craig Uejo Dr. Don Dinwoodie Dr. Minh Nguyen Dr. Kayvon Yadidi Question: What are the things physicians can do or should do to improve workers’ compensation? Physicians need to […]