WCRI Report on IL Work System Highlights Opportunity for Savings

A recent study by the Workers’ Compensation Research Institute (WRCI) regarding the Illinois workers’ compensation system is worth paying attention to for all interested stakeholders across the United States.  The findings of the study highlight the need for claims management teams to not only be proactive in their approach to claims, but engaged with state policymakers regarding the direction of their system.  By taking these steps, programs can reduce costs in their programs and ensure injured workers receive the medical care and treatment they deserve.

 

 

WRCI Study Overview

 

The CompScore™ report reviewed areas concerning medical payments, prices and service utilization of the Illinois workers’ compensation program compared to 17 other states.[1]  It also analyzed how medical payments changed over time through 2016.

 

According to the study findings, the following conclusions were reached related to the Illinois workers’ compensation program:

 

  • Payments per claim were higher than the median of all other study states from 2013 through 2015;

 

  • During this same time frame, medical payments per claim grew an average of 3.1%;

 

  • While Illinois had a lower price paid on claims for non-hospital medical services (patient evaluation and office visits), costs were higher for other medical services. This included the price paid on surgical and other professional medical services; and

 

  • Medical costs continue to be a significant driver in workers’ compensation claims. Areas that were identified as leading to this were medical utilization factors, which included more visits per claim and services performed by health care professionals per visit.

 

 

Reducing Work Comp Costs Via Proactive Claims Management

 

There are many lessons proactive members of the claims management team can learn from the WCRI report regarding workers’ compensation claims in Illinois.  This should serve as a reminder for those seeking to make a difference that good claims management skills require one to be proactive on all files.

 

  • Medical treatment parameters. Proactive claims management teams need to aggressively use these rules to minimize costs.  This includes asking an independent medical examiner to review and provide a professional expert opinion on the care received.  It is also important to receive comment on what care, if any, exceeded the medical treatment parameters;

 

  • Medical fee schedules. Claims management teams should regularly conduct internal audits to determine if medical care is being reimbursed via the applicable medical fee schedules.  Failure to do so can result in paying more than required, which reduces the effectiveness of a program and the bottom line;

 

  • Using litigation as a settlement tool. Workers’ compensation claims sometimes languish, which results in excessive and unnecessary costs to a program.  Claim handlers and others on the team need to be proactive and look for opportunities to place matters into litigation to force settlement discussions.  All affirmative defense must be made in good faith.  It is also important to remember that simply calling the injured worker or their attorney regarding settlement may be all it takes to resolve an ongoing claim.

 

 

Reducing Work Comp Costs Via Public Policy Engagement

 

The findings of the WCRI report demonstrate the importance of engagement by interested stakeholders with lawmakers and state program regulators.  Not being involved in the public square can result in increased workers’ compensation costs.  Workers’ compensation fee schedules and treatment parameters serve as the basis for reimbursement and treatment available to cure and relieve the effects of a work injury.  The impact on the cost of medical claims becomes noticeable in jurisdictions with reimbursement is noticeable in Illinois based on the following study findings:

 

  • Higher than average medical payments; and

 

  • Higher than average provides paid for professional medical services.

 

 

Conclusions

 

The recent WCRI report highlights ongoing areas of concern in Illinois and across the country when it comes to growing workers’ compensation costs.  Proactive stakeholders seeking to reduce workers’ compensation costs need to be engaged in their file load and within the public square to run effective programs.

 

[1] States reviewed included: AR, CA, FL, GA, IN, IA, KY, LA, MA, MI, MN, NJ, NC, PA, TX, VA, and WI.

 

Access the above reference study and learn more about WCRI: https://www.wcrinet.org/reports/compscope-medical-benchmarks-for-illinois-18th-edition 

 

Michael Stack - AmaxxAuthor Michael Stack, CEO Amaxx LLC. He is an expert in workers compensation cost containment systems and helps employers reduce their work comp costs by 20% to 50%.  He works as a consultant to large and mid-market clients, is co-author of Your Ultimate Guide To Mastering Workers Comp Costs, a comprehensive step-by-step manual of cost containment strategies based on hands-on field experience, and is founder & lead trainer of Amaxx Workers’ Comp Training Center.

 

Contact: mstack@reduceyourworkerscomp.com.

Workers’ Comp Roundup Blog: http://blog.reduceyourworkerscomp.com/

 

©2017 Amaxx LLC. All rights reserved under International Copyright Law.

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker, attorney, or qualified professional.

5 Sessions Not to Miss at National Workers’ Comp & Disability

national workers' comp and disability conferenceIt’s the week of our industry’s biggest conference of the year.  There will be a lot of great content, but I’m looking forward to these 5 sessions:

 

The Nordstrom Way: Boosting Injured-Worker Engagement

 

  • Speaker: Janine Kral, VP Risk Management, Nordstrom
  • Room: South Pacific C Session Number: K1
  • Time: Wednesday, December 06, 2017: 8:30 AM – 10:00 AM

 

At Nordstrom, injured-worker advocacy isn’t just a recent strategy. Learn how the retailer — widely recognized for its customer service culture — has applied its customer-focused approach when engaging injured workers and advocating for their care. Janine Kral will describe how the company’s practices have evolved over time to ensure that injured employees are able to stay on the job and deliver the service level crucial to the company’s bottom line.

 

 

Steal These Ideas! Teddy Award-Winning Employers Showcase Their Successful Strategies

 

  • Speaker: Frank Altiere, President, PMA Management Corp
  • Speaker: Roberto Ceniceros, Senior Editor, Risk & Insurance Magazine
  • Room: Islander B-C Session Number: M2
  • Time: Thursday, December 07, 2017: 8:30 AM – 9:45 AM

 

 

Gain direct insight into how risk managers and safety professionals created some of the most successful programs in the nation in this roundtable discussion featuring winners of the 2017 Risk & Insurance Teddy Award. Learn their key strategies and tangible practices that drive documented and sustainable results at their companies. You’ll leave inspired with real take-home ideas to elevate your program to the next level!

 

 

The Intersection of Medicine and Disability — A Doctor’s View

 

  • Speaker: Marcos Iglesias, CMO, Broadspire
  • Room: South Pacific F Session Number: DM3
  • Time: Thursday, December 07, 2017: 10:45 AM – 11:45 AM

 

With qualification for benefit programs like non-occupational disability insurance, social security and workers’ compensation often dependent on a doctor’s determination, claims payers can play a crucial role in helping them make sound assessments. A popular NWCDC speaker, Dr. Marcos Iglesias will help you understand disability-assessment methods and decipher what makes someone disabled, whether it’s a diagnosis or an impairment — and who gets to decide. You’ll discover the value of accurate communications with medical providers and how they can help the injured regain an active life.

 

 

Old Dogs, New Settlement Tricks

 

  • Speaker: Beth Savelli, Former Risk Manager, Swissport USA Inc.
  • Speaker: Daniel Anders, Chief Compliance Officer, Tower MSA Partners
  • Room: Islander F-H Session Number: CM1
  • Time: Wednesday, December 06, 2017: 11:00 AM – 12:15 PM

 

A successful settlement initiative requires analyzing cost drivers across legacy claims to eliminate barriers to resolution, establish whether to settle immediately, or match cases with optimal interventions, such as physician peer review, clinical oversight or legal action. Learn how Swissport, an employer in a high-risk industry, initiated an aggressive settlement process, and discover how you can adopt those lessons to create new claims management practices.

 

 

60 Tips in 60 Minutes — Sage Advice for Overcoming Complex Claim Challenges

 

  • Speaker: Barry Bloom, Managing Principal, The bdb Group
  • Speaker: Caryl Russo, SVP Corporate Care, RWJBarnabas Health
  • Speaker: Kathleen Bray, Corporate Counsel, SFM Mutual Insurance Co
  • Speaker: Stuart Colburn, Shareholder, Downs Stanford P C
  • Speaker: Bill Wainscott, Manager Occupational Health & International Paper Company
  • Speaker: Dawn Watkins, Director of Integrated Disability, Los Angeles Unified School District
  • Speaker: Marcos Iglesias, CMO, Broadspire

 

  • Room: Islander F-H Session Number: G1
  • Time: Friday, December 08, 2017: 8:30 AM – 9:45 AM

 

There is greater likelihood now than ever for worker injuries to develop into complex claims. Flawed claims decisions, inadequate medical attention and other missteps can exacerbate resolution challenges. Fortunately, there are opportunities to prevent complex cases and mitigation measures when they reach that scale. In one of the conference’s most popular sessions, a panel of experts from different workers’ comp disciplines will reveal the lessons they learned — providing their sage advice in a lively, fast-paced presentation that will jump start your Friday morning.

 

See you there!

 

Michael Stack - AmaxxAuthor Michael Stack, CEO Amaxx LLC. He is an expert in workers compensation cost containment systems and helps employers reduce their work comp costs by 20% to 50%.  He works as a consultant to large and mid-market clients, is co-author of Your Ultimate Guide To Mastering Workers Comp Costs, a comprehensive step-by-step manual of cost containment strategies based on hands-on field experience, and is founder & lead trainer of Amaxx Workers’ Comp Training Center. .

 

Contact: mstack@reduceyourworkerscomp.com.

Workers’ Comp Roundup Blog: http://blog.reduceyourworkerscomp.com/

 

©2017 Amaxx LLC. All rights reserved under International Copyright Law.

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker, attorney, or qualified professional.

 

Using Data to Make Your Next Benefit Decision & Other Top News Tidbits

Broadspires’ Danielle Lisenbey Featured in Influential Women in Re/Insurance 2017

 

The risk transfer business remains a male-dominated industry although that is changing quickly. Instead of focusing on lack of woman in our industry, we instead focus on the talent that does exist – and how this pool is growing and maturing by the day.

 

 

Using Data to Make Your Next Benefit Decision

 

By 2020, 83% of employers will offer a consumer-directed health plan (CDHPs). These plans are characterized by cost sharing between employer and member, where high deductibles and out of pocket limits are the tradeoff for lower premiums and tax benefits.

 

As consumers find themselves responsible for a larger portion of their healthcare bill, Express Scripts is committed to protecting patients by improving health outcomes while driving down costs. We do this by leveraging vast data insights that individuals can actually act on.

 

 

Preventing Falls: Make Your Health a Priority

 

Having a health problem can make you more likely to fall. Taking certain kinds of medicines may also increase your risk of falls. So, improving your health can help you avoid a fall. Work with your healthcare provider to manage health problems and to review your medicines. If you have your health under control, your risk of falling is lessened.

 

 

Arizona Full and Final Settlements: What You Need to Know

 

As of November 1st, Senate Bill 1332 will allow for Arizona full and final workers’ compensation settlements. This new law allows future medical claims to be settled full and final, meaning they cannot be re-opened or changed in any way. Prior to this change, injured workers reserved the right to re-open claims for added medical treatment if the injury worsened or required additional care.

 

Opioids in the MSA… Challenges and Strategies

 

If seeing the word opioids one more time doesn’t trigger some sort of reaction, whether sadness, anger, desperation,  or possibly hope at what appears to be traction to ‘Turn the Tide’ of addiction, then I can only surmise that you must live under a rock!  That certainly isn’t the case here, as in our world of MSP compliance, the word opioids is either read, spoken or written every single day.  It permeates our industry and our lives.

 

 

 

Michael Stack - AmaxxAuthor Michael Stack, CEO Amaxx LLC. He is an expert in workers compensation cost containment systems and helps employers reduce their work comp costs by 20% to 50%.  He works as a consultant to large and mid-market clients, is co-author of Your Ultimate Guide To Mastering Workers Comp Costs, a comprehensive step-by-step manual of cost containment strategies based on hands-on field experience, and is founder & lead trainer of Amaxx Workers’ Comp Training Center. .

 

Contact: mstack@reduceyourworkerscomp.com.

Workers’ Comp Roundup Blog: http://blog.reduceyourworkerscomp.com/

 

©2017 Amaxx LLC. All rights reserved under International Copyright Law.

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker, attorney, or qualified professional.

 

Super Spending: Caring for People Whose Needs are Greatest & Other Top News Tidbits

Telehealth Now Offered for CareGuard Members

Ametros has announced their partnership with Kura MD to offer online telehealth services to expedite access to medical care for workers’ compensation injuries. As part of its CareGuard professional administration service, Ametros is now offering its members the opportunity to virtually consult with a physician via a secure video consultation from a Smart Phone. Tablet or PC without having to leave their homes.

 

 

Broadspire’s Erica Fichter Named In Business Insurance 2017 Women to Watch

Business Insurance on Thursday announced the honorees for its 2017 Women to Watch awards.

Business Insurance started the Women to Watch awards program in 2006 to recognize women leaders doing outstanding work in risk management and commercial insurance.

This year, the publication expanded the program to include separate awards for nominees in Europe, the Middle East and Africa. The Women to Watch EMEA winners were announced last week.

 

 

Alleviating the Workers’ Compensation and Disability Management Process

The workers’ compensation and disability management process can be complicated for both employers and their workers. In this Ringler Radio podcast, host Larry Cohen and co-host, Duke Wolpert talk about creating a seamless process with founder and President of Risk Acuity, LLC, Barry Thompson, a leader in workers compensation program improvement and cost containment.

 

 

Super Spending: Caring for People Whose Needs are Greatest

In the most recent edition of our report, Super Spending: U.S. Trends in High-Cost Medication Use, we learned that nearly 0.3% of members in our analysis had annual medication costs at or greater than $50,000 in 2016, a 35% increase from 2014 when we last looked at this population in depth.

Statistically speaking, we’re all on a first-name basis with at least one person who relied on $50,000 or more worth of prescription medications last year. These are our relatives, our friends and our colleagues with complicated illnesses and special treatment needs. The population of people with extraordinarily high medications costs is becoming less rare at a very fast pace.

 

 

New Commercial Repayment Center Contractor on the Horizon; WCRC Contract Protested

A recent press release from the Performant Financial Corporation announced it has been awarded the Commercial Repayment Center (CRC) contract by the Centers for Medicare and Medicaid Services (CMS). Barring a bid protest, we expect a transition to the new CRC contractor over the next few months (CGI Federal’s contract, the outgoing CRC contractor, appears to run through 1/8/2018).

 

 

Ladder Safety on the Job

Falls happen when you lose your balance. Standing on makeshift supports and using ladders incorrectly can cause you to fall. Using the wrong equipment for a task can also increase your chances of being hurt. Watch for hazards: Makeshift supports. Makeshift supports are never quite right for the job. If you stand on top of a trash can or chair instead of a stepstool or ladder, you increase your chances of falling and hurting yourself. You should never make a short ladder taller by putting something under the legs. And you should be careful not to overreach, which can shift your center of gravity and cause you to lose your balance.

 

 

 

Michael Stack - AmaxxAuthor Michael Stack, CEO Amaxx LLC. He is an expert in workers compensation cost containment systems and helps employers reduce their work comp costs by 20% to 50%.  He works as a consultant to large and mid-market clients, is co-author of Your Ultimate Guide To Mastering Workers Comp Costs, a comprehensive step-by-step manual of cost containment strategies based on hands-on field experience, and is founder & lead trainer of Amaxx Workers’ Comp Training Center. .

 

Contact: mstack@reduceyourworkerscomp.com.

Workers’ Comp Roundup Blog: http://blog.reduceyourworkerscomp.com/

 

©2017 Amaxx LLC. All rights reserved under International Copyright Law.

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker, attorney, or qualified professional.

 

Dr. Jacob Lazarovic Joins Amaxx As Medical Advisor

Kennebunkport, Maine. September 13, 2017 – Amaxx, the nation’s leading resource for workers’ compensation cost containment best practices is proud to announce the addition of Jacob Lazarovic, MD as Medical Advisor.  Dr. Lazarovic will work directly with Amaxx Virtual Consulting professional services clients on the evaluation and implementation of workers’ compensation medical cost containment best practices.

 

Jacob Lazarovic, MD brings to Amaxx 30 years of experience in medical management and managed care. He has been published extensively in industry journals and has held several senior medical management positions at companies including HealthAmerica, Blue Cross/Blue Shield of Florida and Vivra Specialty Partners.

 

Dr. Lazarovic comes to Amaxx from Broadspire, where he spent 18 years as Chief Medical Officer. In this role, his department produced clinical guidelines and criteria to support sound medical claim and case management practices; participated in analysis, reporting and benchmarking of outcomes and quality improvement initiatives; developed educational and training programs that updated the clinical knowledge and skills of claim professionals and nurses; provided expertise to enhance the medical bill review process; and operated a comprehensive and unique in-house physician review (peer review) service.

 

“I am thrilled to be working with Dr. Lazarovic,” said Michael Stack, CEO of Amaxx, adding, “I’ve worked with Dr. Jake for many years in his role as Chief Medical Officer at Broadspire prior to his retirement, and have tremendous respect for what he accomplished for that organization.  I value the opportunity to work with him more closely, as well as share his knowledge and expertise with my client base.”

 

Dr. Lazarovic, who is based in Boca Raton, FL stated “it is a pleasure to be working with Michael and Amaxx.  I look forward to focusing on the clinical aspects of its consulting activities, enabling clients to better ensure that the medical services they manage are of optimal quality, availability, and cost-effectiveness.”

 

 

Workers’ Comp Mastery Training

 

Join Michael Stack & Dr. Lazarovic in their Workers’ Comp Mastery training session “How to Leverage Evidence Based Medicine to Create Better Workers’ Comp Claim Outcomes” on Tuesday, September 19, 2017 at 2:00 pm EST.  Learn how to leverage evidence based medicine tools, review case examples, as well as best practices on integrating evidence based medicine into your program.

 

 

About Amaxx

 

Amaxx helps employers in all industries reduce workers’ compensation costs through education, publishing and consulting. The injury management system taught is a best-in-class process based on 25 years experience lowering employer’s workers’ compensation costs while improving overall program efficiency.  Contact Michael Stack, mstack@reduceyourworkerscomp.com.

 

 

 

Medicare is Taking Action… and Other Workers’ Comp News Tidbits

Medicare Set Aside Compliance – Medicare is Taking Action

As the Centers for Medicare and Medicaid Services (“CMS” or “Medicare”) ratchet up their active monitoring of Medicare Set Aside (“MSA”) accounts, using a professional administrator to help make sure reporting is in order is becoming even more critical.

 

There is no doubt that CMS is taking compliance with the Medicare Secondary Payer Guidelines more seriously these days.  Just take a look at the sequence of initiatives they have put into motion over the past several years to prevent wrongful payments from the Medicare fund – from implementing mandatory reporting to earlier recovery processes to expanding the scope of MSAs to liability and non-fault cases. (see Exhibit A for a brief timeline of Medicare’s actions)

 

 

The Mission of WILG to Help Injured Workers

The Workers’ Injury Law & Advocacy Group also known as WILG, is the national non-profit membership organization dedicated to representing the interests of millions of workers and their families who, each year, suffer the consequences of work-related injuries or occupational illnesses. In this podcast, Ringler Radio host Larry Cohen and co-host, Duke Wolpert talk to attorney Michael K. Gruber, President of WILG, about his mission for 2017 and what to watch for in legislation that might impact workers.

 

 

Elite Women in Insurance 2017

Despite women’s growing presence in the insurance industry, few have successfully broken through into leadership roles – but the women featured on the following pages prove that’s slowly changing. Nearly 20% of the 2017 Elite Women hold top CEO or leadership positions, including the first female to start an insurance provider in the US. But the list doesn’t end there – it also includes countless executive officers, division heads, agency managers and more who have overcome obstacles and broken barriers to become some of the industry’s top professionals.

 

 

2017 RAND Study Evaluates Occupational Disability Guidelines (ODG)

RAND Corp. published its review of the (1) Technical Quality and (2) Clinical Acceptance of the Occupational Disability Guidelines (ODG) published by Work Loss Data Institute (WLDI). This paper briefly discusses the RAND report. WLDI publishes the ODG, arguably the most successful treatment guidelines in the occupational medicine space. Over 100,000 users support the platform. Continually updated, ODG incorporates over 10,000 ICD-9 codes, 65,000 ICD-10 codes, and 10,000 CPT codes

 

 

Optimistic Voices

Workers’ comp industry optimists expect that President Trump’s economic policies will help propel additional insurer premium volume growth through 2017 and even beyond. Recent growth in employment and wages are expected to generate billions in new workers’ comp premiums written. Factors like lower business taxes, reduced regulatory burdens and shifts in trade policy espoused by the president could fuel further growth.

 

 

 

Michael Stack - AmaxxAuthor Michael Stack, Principal, Amaxx LLC. He is an expert in workers compensation cost containment systems and helps employers reduce their work comp costs by 20% to 50%.  He works as a consultant to large and mid-market clients, is co-author of Your Ultimate Guide To Mastering Workers Comp Costs, a comprehensive step-by-step manual of cost containment strategies based on hands-on field experience, and is founder & lead trainer of Amaxx Workers’ Comp Training Center. .

 

Contact: mstack@reduceyourworkerscomp.com.

Workers’ Comp Roundup Blog: http://blog.reduceyourworkerscomp.com/

 

©2017 Amaxx LLC. All rights reserved under International Copyright Law.

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker, attorney, or qualified professional.

Porter Leslie Announced As The President of Ametros

WILMINGTON, Mass. – Ametros, the industry leader in post-settlement medical administration, announced the promotion of Porter Leslie to President of Ametros. The announcement was made by Marques Torbert, CEO of Ametros.

 

“Porter has a track record of executing strategic initiatives with remarkable success,” remarked Marques, “In his new role, he will help the company get closer to achieving its mission of revolutionizing the insurance and healthcare services industry by developing more cutting-edge products and innovative services to benefit our clients and members.”

 

Porter joined Ametros in 2015 and in his previous role as Chief Strategy Officer, had been instrumental in driving growth and change across various disciplines within the company, including IT, marketing, new product development, and strategic partnerships.

 

“We have built a phenomenal team with close to 50 employees, who provide nationwide support for anyone who needs help managing their healthcare after settlement,” commented Porter. “I feel privileged to be asked to lead some of the smartest and dedicated minds in the industry.  There is no limit to what we can accomplish together.”

 

 

About Ametros

 

Ametros is changing the way individuals navigate healthcare by providing them with the tools and support necessary to make savvy decisions on how to spend their medical funds. Ametros’ team works closely with patients, insurers, employers, attorneys, medical providers and Medicare to create a seamless experience for their clients. Their depth of expertise in the Medicare Set Aside, property and casualty insurance, healthcare, legal, financial and software industries positions them to offer the best solutions in the marketplace. Their flagship products, CareGuard and Amethyst, are revolutionizing the way funds from insurance claim settlements are administered after settlement, for Medicare Set Aside accounts and any other medical allocation. Ametros is backed by Clarion Capital Partners, LLC, a New York based private equity firm. For more information, visit www.ametroscards.com.

Broadspire® Names Dr. Marcos Iglesias Chief Medical Officer

ATLANTA, June 22, 2017 (GLOBE NEWSWIRE) — Broadspire®, a division of Crawford & Company®, and a leading global third-party administrator, today announced that Dr. Marcos Iglesias has been named the company’s new chief medical officer, effective June 26. Dr. Iglesias assumes the position from Dr. Jacob Lazarovic, who announced his retirement after 18 years with Broadspire.

 

“Providing appropriate clinical oversight for injured employees is a critical aspect of the services we provide, and so we are excited to have Dr. Iglesias join Broadspire to provide strategic leadership in this area; his extensive medical and business background, particularly in injury management, makes him an excellent fit for us,” said Neil Lentine, chief operating officer at Broadspire.

 

Dr. Iglesias brings with him extensive practice and administrative experience in a number of medical areas, including occupational medicine, workers compensation, utilization management and disability management. Prior to joining Broadspire, Dr. Iglesias practiced medicine for 16 years and then held a number of senior management positions with insurance companies; most recently he served as vice president and medical director at The Hartford Insurance Company. Prior to that he held the positions of medical director at Midwest Employers Casualty Company and Lincoln Financial Group.

 

“Broadspire is known in the industry for its successful medical management approach, which includes making certain that injured workers receive clinically appropriate and cost effective care,” said Dr. Iglesias. “I am excited to join a company that has always been at the forefront of managed care thought leadership, and I look forward to working with the entire clinical team, as well as Broadspire customers, as we work to provide the best care for those affected by injury.”

 

Among his professional achievements, Dr. Iglesias is Board Certified in Family Medicine (ABFM) and Utilization Review and Quality Assurance (ABQAURP). He is a Fellow of the American Academy of Family Physicians (AAFP), the American College of Occupational and Environmental Medicine (ACOEM) and the American Institute of Healthcare Quality (AIHQ). He is also certified in Health Care Quality and Management (CHCQM).

 

Dr. Iglesias received his medical degree in Medicine and Family Medicine from the University of Toronto and later received a master’s in Medical Management from the Marshall School of Business at the University of Southern California.

 

 

About Broadspire®

Broadspire®, a leading global third-party administrator, offers casualty claim, medical management, accident and health, and disability and leave management solutions, helping increase employee productivity and reducing the cost of risk through early intervention, professional expertise and data analytics. As a Crawford Company, Broadspire is based in Atlanta, Ga. Services are offered by Crawford & Company under the Broadspire brand in countries outside the U.S.

 

 

About Crawford®

Based in Atlanta, Crawford & Company (NYSE:CRD‐A) (NYSE:CRD‐B) is the world’s largest publicly listed independent provider of claims management solutions to insurance companies and self‐insured entities with an expansive global network serving clients in more than 70 countries. The Crawford Solution® offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines including property and casualty claims management, workers’ compensation claims and medical management, and legal settlement administration. More information is available at www.crawfordandcompany.com.

 

For more information please contact: Nancy Hamlet/404.300.1918 Nancy_hamlet@us.crawco.com

 

 

Comprehensive Solution to Reduce Opioid Abuse & Other Top News Tidbits

A Comprehensive Solution to Reduce Opioid Abuse

In a recent pilot study of just more than 100,000 Express Scripts members new to opioid therapy, we observed a 38% reduction in hospitalizations and 40% reduction in emergency room (ER) visits in the intervention group versus control group during six months of follow up. Half of patients received an educational letter from the Express Scripts Neuroscience Therapeutic Resource Center (TRC) and half no intervention at all. A subset of patients receiving the TRC educational letter who had high-risk patterns of opioid use also received a counseling call from a Neuroscience TRC specialist pharmacist.

 

 

Best Practices from our Care Advocate Team

Ensuring the injured party is taken care of after settlement so that they can get the treatment and guidance they need is our number one priority.  Our Care Advocate team takes on this critical responsibility.

After settlement, the injured individual becomes our client (or “member”) and works directly with our Care Advocates.  We’d like to highlight a few of the services and practices we’ve implemented to go above and beyond for our members to help make the transition to their post-settlement care seamless.

 

 

Not So Secret Tips for Quick and Successful MSA Submissions

It’s no secret quick and successful Medicare Set-Aside submissions to the Centers for Medicare and Medicaid Services (CMS) are driven by medical records which meet CMS requirements for review and approval of the MSA. At Tower MSA Partners we strive to work with our customers to prepare and submit to CMS MSAs meeting these requirements. By doing so, we limit the time for CMS to review the MSA and avoid unexpected MSA counter-highers which may jeopardize settlement of a workers’ compensation case or at least delay resolution.

 

 

Ringler Associates President Geoff Hunt Talks about the Acquisition of Galaher Settlements

Geoff Hunt, president of Ringler Associates, discusses the company’s recent acquisition of Galaher Settlements and explains how the move will benefit everyone, including purchasers of structured settlements.

 

 

 

 

 

The Difference Between Active and Passive Injury Care

There are two possible approaches to injury care – active and passive treatment. While both can help get your employees on the road toward recovery, only active treatment limits long-term impact and keeps employees in the work environment as much as possible.

 

 

 

 

 

 

 

Author Michael Stack, Principal, Amaxx LLC. He is an expert in workers compensation cost containment systems and helps employers reduce their work comp costs by 20% to 50%.  He works as a consultant to large and mid-market clients, is co-author of Your Ultimate Guide To Mastering Workers Comp Costs, a comprehensive step-by-step manual of cost containment strategies based on hands-on field experience, and is founder & lead trainer of Amaxx Workers’ Comp Training Center. .

 

Contact: mstack@reduceyourworkerscomp.com.

Workers’ Comp Roundup Blog: http://blog.reduceyourworkerscomp.com/

 

©2017 Amaxx LLC. All rights reserved under International Copyright Law.

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker, attorney, or qualified professional.

 

 

RIMS 2017 Conference and Other News Tidbits

RIMS Conference 2017: Disrupt the Status Quo & Join the Risk Revolution

“RIMS Annual Conference is a must do for any level of risk professional. By attending you can increase your knowledge and walk away with better deals on your insurance renewals. The conference is well worth every moment.” – RIMS 2016 Attendee

 

 

RIMS 2017 Live Streaming | Monday, April 24 (RIMS Members Only)

RIMS will be streaming RIMS 2017 live on Monday, April 24 at 8:30 am EDT – just for RIMS members. Watch the General Session and Awards Luncheon. Register now and watch for free.

 

 

Derreck Kayongo To Deliver RIMS 2017 Opening Keynote

Have you ever wondered what happens to that barely used bar of soap in your hotel room? This guy did, and he didn’t like the answer. So Derreck Kayongo talked hotels into donating their used bars of soap instead of throwing them away. His Global Soap Project takes donated, melted, purified and reprocessed hotel soap and redistributes it to vulnerable populations around the world. This successful entrepreneur is a renowned expert in environmental sustainability and global health and is using his knowledge to disrupt the way hotels dispose of their “trash.”

 

 

Broadspire Joins City of Murals w/ Jane Golden at RIMS 2017

Look for Jane Golden of @muralarts in Booth 701 on Monday 4/24.

 

 

Tips to Prevent Prescription Drug Abuse at Home

The National Prescription Drug Take Back Day aims to provide a safe, convenient, and responsible means of disposing of prescription drugs. Prescription drug abuse has reached epidemic proportions across the U.S. According to the National Survey on Drug Use and Health, more than 6 million Americans abuse prescription drugs, and much of the abuse begins at home. In fact, more than 70% of those who illegally use prescription pain relievers obtained them through friends or family, including surreptitiously raiding the home medicine cabinet.

 

 

 

Author Michael Stack, Principal, Amaxx LLC. He is an expert in workers compensation cost containment systems and helps employers reduce their work comp costs by 20% to 50%.  He works as a consultant to large and mid-market clients, is co-author of Your Ultimate Guide To Mastering Workers Comp Costs, a comprehensive step-by-step manual of cost containment strategies based on hands-on field experience, and is founder & lead trainer of Amaxx Workers’ Comp Training Center. .

 

Contact: mstack@reduceyourworkerscomp.com.

Workers’ Comp Roundup Blog: http://blog.reduceyourworkerscomp.com/

Live Stream WC Training: http://workerscompclub.com/livestreamtraining

 

©2017 Amaxx LLC. All rights reserved under International Copyright Law.

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker, attorney, or qualified professional.

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