Big data is increasingly at the heart of the analytics solutions future-focused claims organizations in workers’ compensation are developing.
Visualizing provider behavior to identify irregular activities can help reduce billions per year lost to insurance fraud, waste and abuse.
Ask almost anyone what’s wrong with health care in the U.S. and you’re likely to hear about runaway costs. The other common refrain is that for all we spend as a country, the results, too often, are only lackluster. One hoped-for remedy to the nation’s health care ills is so-called value-based contracting. This involves paying a fixed amount for a procedure—and for the results—rather than paying for each CPT code or procedure performed. Value-based scenarios are drawing more interest in group health. But how this setup would unfold in workers’ compensation remains less clear due to the industry environment.
New image viewer improves time to open images related to medical bills.
New offerings include enhanced CSI surveys, repair status messaging and online reputation management for collision repairers.
Specialty medications, which are typically used to treat patients with complex, chronic conditions, continue to be a major area of pharmaceutical development and can have significant costs.
In workers' compensation, catastrophic claims often require a significant number and various types of ancillary services, anything from a rehabilitation facility, DME, transportation, home health services and more.