• Menu
  • Skip to main content
  • Skip to secondary navigation
  • Skip to primary sidebar
  • Skip to footer

Before Header

  • About
  • Contact
  • Privacy
 
Paradigm

Amaxx Workers Comp Blog

Reduce Workers Compensation Costs By 20-50%

Header Right

  • Home
    • Training Center
  • Search
    • Free Resources & Solutions
    • Subscribe to Free Newsletter
    • Create Free Training Center Account
    • Enroll in On-Demand Courses
    • Activate WC Mastery Membership
    • Request Strategic Coaching Session
    • Buy WC Guidebooks
  • Membership
    • Insider (free account)
    • WC Mastery
    • Teams & Managers Mastery
    • Training Partners
  • Products
    • On-Demand Courses
    • Specialty Courses
    • Certifications & Mastery Courses
    • Ultimate Guidebooks
    • Coaching
  • Blog
    • Video Blogs
    • COVID-19 / Coronavirus Pandemic
  • Login

Mobile Menu

  • Home
    • Training Center
  • Search
    • Free Resources & Solutions
    • Subscribe to Free Newsletter
    • Create Free Training Center Account
    • Enroll in On-Demand Courses
    • Activate WC Mastery Membership
    • Request Strategic Coaching Session
    • Buy WC Guidebooks
  • Membership
    • Insider (free account)
    • WC Mastery
    • Teams & Managers Mastery
    • Training Partners
  • Products
    • On-Demand Courses
    • Specialty Courses
    • Certifications & Mastery Courses
    • Ultimate Guidebooks
    • Coaching
  • Blog
    • Video Blogs
    • COVID-19 / Coronavirus Pandemic
  • Login
  • About
  • Contact
  • Privacy
You are here: Home / Medical Cost Containment / Coordinating Medical Care / Kevin Turner Featured in AMAXX Webinar on Catastrophic Workers’ Comp Claim Strategies

Kevin Turner Featured in AMAXX Webinar on Catastrophic Workers’ Comp Claim Strategies

February 17, 2021 By //  by Senior Editor

Paradigm Catastrophic Care Management CEO Kevin Turner recently shared, with Michael Stack of AMAXX’s Workers’ Comp Training Center, his 30-plus years of extensive knowledge and experience with strategies for handling catastrophic care claims. In the training session, “Highly Effective Strategies to Manage Catastrophic Workers’ Comp Claims,” the two industry experts went into depth on the very high stakes, both emotional and financial, that this relatively small group of high costs of claims represents.

From defining catastrophic claims to developing and implementing a care plan, Kevin emphasized the importance of personalized care throughout the process. These cases have an enormous psychological component, not just for the injured workers, but for their families. Successfully managing these challenging cases often means addressing psychological concerns, along with coordinating the highly specialized medical care catastrophically injured workers require.

Clearly defining catastrophic claims

In defining a catastrophic claim, Kevin stressed that a catastrophic loss can mean different things for different organizations. What a company defines as a catastrophic loss can vary greatly, depending on the specific profession and the size of the organization. However, when discussing catastrophic care management in workers’ compensation, Kevin explained the defining factors for the types of cases that a medical management company such as Paradigm handles.

While costs can vary, the average catastrophic claim is typically $1.35 million in medical costs and, as mentioned above, these cases have an enormous impact on the lives of injured workers and their families. Additionally, these injuries can disrupt daily workplace operations and even the lives of co-workers and the broader community.

Kevin further defined catastrophic injuries as being so rare, so traumatic, and so expensive, they require not only a highly specialized system of care, but a very specific mindset when developing and implementing a care plan. Catastrophic injuries typically fall under the following diagnoses:

  • Multiple trauma
  • Severe burns
  • Traumatic brain injuries
  • Spinal cord injuries
  • Amputations

Establishing catastrophic care management plans

Kevin and Michael then transitioned to the primary focus of the course, which was how to successfully build a care plan for these injuries. According to Kevin, there are six main priorities that a catastrophic care management team should focus on while handling these cases:

  • Establishing rapport and trust at the time of the injury
  • Conducting a detailed, long-term investigation
  • Establishing a medical and support team that is right for the case
  • Constantly communicating with the injured worker and the family
  • Developing an effective plan for ongoing treatment and transitioning to home and a potential return to work
  • Holding weekly claims roundtables with stakeholders to build a long-term action plan

Since the injured worker is often incapacitated, especially at the outset of the case, successful catastrophic care management depends on establishing genuine rapport and trust with the family. According to Kevin, one of the biggest hurdles to successful care is poor communication, which is why staying in touch throughout the process should be fundamental.

Delayed and improper medical treatment is another danger that catastrophically injured workers face, so care management teams need to conduct exhaustive investigations and have the clinical support and resources needed to act properly. Often, this involves taking a biopsychosocial approach to care that includes the psychological impact on the worker, as well as the family.

Implementing the care plan

Finally, in the third part of the program, Kevin and Michael discussed many of the important aspects that go into implementing the care plan from a results-oriented standpoint. Kevin stressed that, due to the rarity of these types of cases, many organizations and payers aren’t prepared to handle all of the intricacies that go with catastrophic workers’ compensation case management. Working with a specialized care management organization can often mean the difference between a positive outcome and returning to work versus a longer-term case with a far higher-risk exposure. In the end, both experts agreed that having a plan and the right team in place before the unthinkable occurs can make a substantial difference in the lives of injured workers, their families, their employers, and their communities.

Paradigm is committed to guaranteed outcome-focused results for the most challenging catastrophic workplace injuries. We invite you to learn more about the incredible work our team does every day and the powerful impact of the Paradigm Systematic Care ManagementSM model.

Register for the replay of the Amaxx training session featuring Kevin Turner via the Paradigm registration link. You will receive a user specific password via email in order to login and access the replay at no cost to you.

Filed Under: Coordinating Medical Care

Related Articles

Long COVID in Workers Compensation: A First Look

Long COVID in Workers Compensation: A First Look

Paradigm Named to 2022 Best Workplaces in Health Care™ List by Great Place to Work® and Fortune

Paradigm Named to 2022 Best Workplaces in Health Care™ List by Great Place to Work® and Fortune

‘Patient-Driven’ Approach Promotes Focus on Injured Workers’ Behavioral Health to Improve Outcomes

‘Patient-Driven’ Approach Promotes Focus on Injured Workers’ Behavioral Health to Improve Outcomes

Whole-Person Care, Real Results: The Impact of Behavioral Health Expertise, from Injury to Recovery

Whole-Person Care, Real Results: The Impact of Behavioral Health Expertise, from Injury to Recovery

Value-Based Care Model Offers Solution to Wide Swings in Outcomes and Costs for Injured Workers

Value-Based Care Model Offers Solution to Wide Swings in Outcomes and Costs for Injured Workers

Careful Pre-Planning is Key to Mitigate Financial, Human Impacts of Catastrophic Injuries

Careful Pre-Planning is Key to Mitigate Financial, Human Impacts of Catastrophic Injuries

Episodes of Care Has the Power to Transform Recovery

Episodes of Care Has the Power to Transform Recovery

Careless Mistakes With Workers’ Comp Doctor Selection

Careless Mistakes With Workers’ Comp Doctor Selection

Paradigm and Shirley Ryan AbilityLab Announce First-of-Its Kind, Value-Based Partnership

Paradigm and Shirley Ryan AbilityLab Announce First-of-Its Kind, Value-Based Partnership

Independent Study by Actuarial Firm Finds Paradigm Catastrophic Care Management’s Improved Outcomes Managing Workers’ Compensation Claims

Independent Study by Actuarial Firm Finds Paradigm Catastrophic Care Management’s Improved Outcomes Managing Workers’ Compensation Claims

Catastrophically Injured Workers: How to Protect the Most Vulnerable During COVID-19

Catastrophically Injured Workers: How to Protect the Most Vulnerable During COVID-19

How Targeted Behavioral Health Support Keeps Catastrophic Claims on Track for Best Outcomes

How Targeted Behavioral Health Support Keeps Catastrophic Claims on Track for Best Outcomes

Train to Succeed

BECOME CERTIFIED IN WORKERS’ COMPENSATION

Proven Course Catalog & WC Toolbox Give You The Power To Achieve Lower Costs and Better Injured Worker Outcomes

VISIT WORKERS' COMP TRAINING CENTER

Free Download

The 6-Step Process To Determine Workers' Comp Injury Causation - FREE Download Click Here Now!

Previous Post: « Improve Medical Case Management in Workers’ Comp Claims
Next Post: Part 1: Stop Wasting Time Doing Workers’ Comp Claim Audits »

Primary Sidebar

FREE DOWNLOAD

The 6-Step Process To Determine Workers' Comp Injury Causation - FREE Download Click Here Now!

Our Sponsors

Catastrophic and Risk Solutions, Case Management Solutions, and Specialty Networks
 

Medcor

Injury Triage, Onsite Clinics
 

ARCADIA - Enhancing Settlement Outcomes

The Structured Settlements Company
 

MSAs, Section 111 Audits, & Conditional Payment Resolutions

Post-Settlement Administration

Read Our Award-Winning Blog

Blog Categories

Search Our Archive

Subscribe to Our FREE Newsletter

Return-to-Work Essentials

Footer

Search Our Archive

Search our continually growing archive of over 2500 articles about Workers' Comp issues.

Quiclinks

  • Calculators
  • Terms & Abbreviations
  • Glossary of WC Premium Terms
  • WC Resources
  • Best Practices
  • Industries
  • Return-to-Work Essentials

RSS Recent Blog Posts

  • 11 Tips for Taking an Effective Recorded Statement in Workers’ Compensation Claims
  • 10 Best Practices for the Workers Compensation Claim Handler
  • Properly Handling Mental Claims in Workers’ Compensation
SUBSCRIBE TO OUR FEE NEWSLETTER
Let Us Help You Stomp Down the High Cost of Workers' Comp!
Top of Page ↑
  • Home
  • Training Center
  • Search
  • Membership
  • Products
  • Blog
  • About
  • Contact
  • Subscribe
  • Login
Copyright © 2023 Amaxx, LLC. All Rights Reserved. · Privacy Policy / Legal Notice