The CBO’s Single Payer Report and worker’s comp

The CBO’s 34-page analysis of Single Payer is out, and there are no references to workers’ comp or occupational injuries/illnesses.  That doesn’t mean there aren’t plenty of ways Single Payer would affect work comp. Briefly, Single Payer is a very … Continue reading The CBO’s Single Payer Report and worker’s comp

Article source:Managed Care Matters

RIMS reminders

Morning all! I’m not attending RIMS, but if you are, a few things to help you survive – and profit from – the week. 1.  Realize you can’t be everywhere and do everything. Prioritize. 2.  Leave time for last-minute meetings and the … Continue reading RIMS reminders

Article source:Managed Care Matters

So what?

or the longer version…What does this have to do with workers’ comp? I hear that far too often, usually when talking with a work comp exec about Medicare reimbursement changes, the number of workers without health insurance, MS-DRGs, Medicaid expansion, … Continue reading So what?

Article source:Managed Care Matters

Gallagher Bassett’s using data to improve care for work comp patients

What passes for predictive modeling today is like Google maps, except the app tells you when to turn a half-hour after you’ve passed the intersection. Adjuster finding out a claimant had spinal surgery 6 weeks ago… By the time adjusters … Continue reading Gallagher Bassett’s using data to improve care for work comp patients

Article source:Managed Care Matters

California’s State Fund is on the way to making UR work way better

Pick any eight – Utilization Review is: a pain in the neck for everyone involved marginally useful mostly manual, with limited cross-platform integration (claims, bill review, medical management, reporting) annoying, frustrating, and a time waster for providers forcing everyone to … Continue reading California’s State Fund is on the way to making UR work way better

Article source:Managed Care Matters

Research roundup

The information every work comp professional needs is ready – the annual comparison of every state’s workers comp laws is available here.  Put together by the experts at WCRI and IAIABC, it includes laws for each of Canada’s provinces too. … Continue reading Research roundup

Article source:Managed Care Matters

The buyer – user disconnect, aka the Shiny Object problem

Sorry, too darn busy this week to get my usual 4 or so posts in. Had a very interesting conversation with a work comp services exec earlier this week which got me thinking about “portals” – those internet entry points … Continue reading The buyer – user disconnect, aka the Shiny Object problem

Article source:Managed Care Matters