This article emphasizes the need for a proactive, data-driven approach to workers’ compensation case management. Ron Skrocki critiques programs that rely on delayed, reactive intervention and outlines how integrating configurable rules, early telephonic and field case management, and robust analytics can improve outcomes and reduce costs. He urges organizations to reassess current practices, optimize provider networks, and closely monitor utilization to maximize case management's value and impact.
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The Regulatory Rollercoaster: A High-Stakes Game of Collaboration and Adaptability
As the workers' compensation and auto industry braces itself for the regulatory changes sweeping across Michigan, Florida and California, one thing is clear—collaboration, adaptability and a keen eye for detail will be the keys to succeeding at this high-stakes game.
6 Considerations for Medical Transportation Arrangements for Injured Employees
Beyond convenience, reliable transportation prevents missed appointments that can delay recovery and worsen health outcomes. Here are some valuable tips for arranging medical transportation effectively.
Current Used Vehicle Market Conditions: Q2 2024
Wholesale prices fell for the second consecutive month in May and continued to fall into mid-June, as the less-than-impressive 2024 Spring/tax season market came to an early close. Nevertheless, wholesale and retail used vehicle market conditions are amenable to a less dramatic ongoing decline in prices than seen last year, as much of the correction to historical patterns of depreciation, seasonality and price-spread versus new vehicles has already taken place.
Out-of-Network Dispensing Channels and Their Unique Challenges
Join Tom Kerr as he interviews Nikki Wilson, Senior Director of Clinical Pharmacy Services to dive deeper into part two of our annual drug trends series. In this short video they will discuss aggregate trends and challenges within our combined in- and out-of-network channels to address the total view of prescription activity.
Technology Meets Empathy in Modern Telephonic Case Management
Discover how early intervention telephonic case management (TCM) integrates clinical expertise, AI, and technology to enhance workers' compensation claims, promote faster recoveries, and build trust with injured employees.
7 Tips for Managing Prosthetics in Workers’ Compensation
Work-related injuries involving limb or other losses are rare but tragic for any individual and require sensitive care coordination. The complexity and high costs associated with prosthetics require detailed attention to ensure both the well-being of the injured employee and cost-effective management. Here are key insights and strategies to optimize outcomes in these sensitive cases: