Strategies to Manage the Pandora’s Box of Comorbid Conditions

“Sitting is as bad as smoking.” 10,000 Americans a day turn 65, increasing the possibility of comorbid conditions on claims. Claims with a comorbidity diagnosis are increasing. A comorbid diagnosis can give the provider, injured worker and payer more realistic expectations for return to work and recovery. Eric Patten, Director of Clinical Management and Complex […]

Telemedicine Case Study

At the 2016 SAWCA Annual Conference, Tearsanne Carlisle Davis from the University of Mississippi Medical Center, Center for Telehealth, discussed how they are using telehealth to enhance care for patients.  She started by saying they do NOT provide telehealth for workers’ compensation because of the complexities associated with that.  Telehealth lets doctors examine and treat […]

Robotics & Technology Advances

At the 2016 SAWCA Annual Conference, Dr Sharon Heise, Associate Director of the Institute for Human and Machine Cognition (IHMC) provided a preview of the coming age of robotics. Sensory assistance is one area where technology can be very useful in workers’ compensation. Traumatic injury can lead to sensory loss. Much of their so work […]

Technology’s Impact on Medical Care

At the 2016 SAWCA Annual Conference a panel discussed how new technology is changing the medical community. The panel was: Jarrod Magan – VP of Client Technology Services – Sedgwick Tammy Boyd – Vice President of Business Development & Marketing – NeuroInternational Jill Rosenthal – SVP and Chief Medical Officer – Zenith Insurance Robert Snyder […]

Why Surgical Rates Vary

At the WCRI Annual Issues & Research Conference, Dr Olesya Formenko from WCRI talked about a  study into why there are variations in surgery rates for patients with back injuries. In the WCRI study, spinal surgery rates on back injury claims varied from a low of 7% in California, to a high of 19% in […]

States with Decreased Medical Payments

At the 2016 WCRI Annual Issues & Research conference, Carol Tellis from WCRI discussed CompScope findings on trends in medical payments per claim from 2009-2014. From 2009-2014, half the study states had little change in medical payments per claim. 9 of the study states had increases under 3% with three states having a reduction in […]

California Workers’ Compensation Medical Dispute Resolution

At the 2016 WCRI Annual Issues & Research Conference, Alex Swedlow from California Workers’ Compensation Institute (CWCI) discussed their studies around medical review and medical dispute resolution in California workers’ compensation. CWCI studies many potential areas of of friction to see the impact this had on state benefit costs. There is almost no correlation between […]

Best Practices in Urine Drug Monitoring

Established medical guidelines recommend urine drug/toxicology screenings to help ensure the safety of patients prescribed opioids long term and to identify any aberrant use. However, a study conducted by the California Workers’ Compensation Institute shared new research that reveals the growing practice of urine drug screening is overused and abused, driving claims expenses for services […]

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How Medical Over-Diagnosis Drives Claims Costs

At the 2015 SIIA Annual Conference, a panel presented a session entitled “How Medical Red Herrings and Over-Diagnosis Drive Poor Outcomes and Big Losses”. The panel was: Dr. David Ross, Chief Medical Officer from NeuroPas Global LLC Keith Rosenbloom, Senior Strategist Workers Comp and Risk Control from Lockton Companies LLC Dr Jennifer Christian, President of […]

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So Who ARE the “Best” Providers?

At the 2015 SIIA National Conference, James Harvey from Sedgwick and Bruce Singleton from MultiPlan presented a session discussing efforts at identifying medical providers who produce the best outcomes. The session was done in a Q/A format. How long have you been using outcomes based networks? Sedgwick started this in California years ago. They have […]

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