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.
More stories
Top Collision Industry Trends to Watch in 2024
Over the last several years, the collision industry has faced unprecedented challenges. Will 2024 produce more of the same?
Medicare Set-Aside and Workers' Compensation
This course will educate claims professionals on why it is important to protect Medicare’s interests and requirements for complying with the law. Included in the course is MSA preparation, submission & challenges faced when handling MSAs.
Stay-at-Work/Return-to-Work Tools for Claims Handlers
This course will discuss the most effective tools available for claims professionals to facilitate stay-at-work/return-to-work and assist employers with implementing a culture of return to work. Claims professionals will learn the importance of timely SAW/RTW and effective methods of working with employers and providers to improving overall injured/ill employee outcomes
Reducing Opioid Utilization in High MED Claims
Prescription opioid overdose deaths have largely been trending downward in the past few years, with a peak in 2017. This is due to a concerted effort nationwide from the medical community, government, and health advocates. However, there are thousands of injured employees who have been taking opioids for years.
Purveyors of Hope: Case Management Award Winners Help Injured Employees Defy Odds
In our second installment of our Heart of Case Management series, Kate Gilligan is charged with helping a burn survivor rebuild his life, while Janet Knorp challenges a physician’s dire outlook on an injured employee’s ability to return to work. Find out how these case managers defied the odds and gave these individuals new hope.
Concerns over pain-management alternatives prompt state audit
Nikki Wilson was among top industry experts interviewed by Business Insurance regarding a recent initiative by the Texas Division of Workers’ Compensation to ensure providers follow state formulary compliance in using gabapentinoids as an opioid alternative for pain management.