Insights
Navigating Complexity in Collision Claims
6 MIN READ
The collision industry is at a turning point. Advances in vehicle technology, rising repair costs and ongoing supply chain disruptions are putting even more pressure on organizations to improve outcomes by controlling severity and reducing cycle time. In this environment, accuracy and efficiency are equally as important in driving operational success.
AI and the Next Generation of Provider Networks: Redefining Performance, Consistency and Decision-Making
4 MIN READ
As variability in access and care delivery increases, the next phase of network evolution is being defined by how effectively organizations can manage that complexity. In 2026, AI and advanced analytics are becoming central to this shift, transforming provider networks from static structures into continuously optimized systems.
Evolving Access to Care: How Provider Supply and Network Stability Are Shaping Injured Individual Experiences in 2026
5 MIN READ
Access to timely, appropriate medical care remains one of the most important drivers of recovery, claim progression, and overall experience for injured individuals. But in 2026, the access story is no longer defined solely by provider shortages. Instead, it is shaped by a more complex care environment in which provider mix, geography, health system dynamics, technology, new care access points and network stability all influence how and where care begins.
Pharmacy Patterns as Predictors of Workers’ Compensation Claim Complexity
10 MIN READ
Workers' compensation claims vary dramatically in complexity, duration, and cost. While some injured workers recover quickly with minimal intervention, others experience prolonged disability requiring extensive medical treatment. Pharmacy data provides a unique window into claim trajectory, often revealing patterns that predict complexity before other clinical indicators emerge.
End-to-End Claim Insight: Identifying Risk Early to Protect Outcomes and Cost
10 MIN READ
An employee strains a shoulder lifting inventory. On day one, the injury looks routine. The diagnosis is familiar, and the treatment plan feels straightforward. Nothing about the claim seems especially concerning.
Auto Casualty Claims
8 MIN READ
First-party automobile medical claims reflect a market that is beginning to demonstrate measurable cost discipline after several years of steady severity growth. Following increases in allowed medical cost per claimant from 2022 through 2024, the 2025 loss year marks the first year-over-year decline in allowed cost per claimant, decreasing 0.6% from the prior year.
Behavioral Health Trends in Workers’ Compensation
3 MIN READ
This study looked at all lost-time (LT) claims with dates of injury 1/1/2025–12/31/2025, valued at 15 months (3/31/2026) to determine the impact of behavioral health treatments on the costs of a workers’ compensation claim. We looked at the impact of behavior health treatments (identified by diagnosis and/or CPT treatment codes) on the total medical costs of claims, the total medical treatment duration days, and the frequency of the different types of behavioral health diagnoses.
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