The CBO’s 34-page analysis of Single Payer is out, and there are no references to workers’ comp or occupational injuries/illnesses. That doesn’t mean there aren’t plenty of ways Single Payer would affect work comp. Briefly, Single Payer is a very … Continue reading The CBO’s Single Payer Report and worker’s comp
Article source:Managed Care Matters
Morning all! I’m not attending RIMS, but if you are, a few things to help you survive – and profit from – the week. 1. Realize you can’t be everywhere and do everything. Prioritize. 2. Leave time for last-minute meetings and the … Continue reading RIMS reminders
Article source:Managed Care Matters
or the longer version…What does this have to do with workers’ comp? I hear that far too often, usually when talking with a work comp exec about Medicare reimbursement changes, the number of workers without health insurance, MS-DRGs, Medicaid expansion, … Continue reading So what?
Article source:Managed Care Matters
What passes for predictive modeling today is like Google maps, except the app tells you when to turn a half-hour after you’ve passed the intersection. Adjuster finding out a claimant had spinal surgery 6 weeks ago… By the time adjusters … Continue reading Gallagher Bassett’s using data to improve care for work comp patients
Article source:Managed Care Matters
Pick any eight – Utilization Review is: a pain in the neck for everyone involved marginally useful mostly manual, with limited cross-platform integration (claims, bill review, medical management, reporting) annoying, frustrating, and a time waster for providers forcing everyone to … Continue reading California’s State Fund is on the way to making UR work way better
Article source:Managed Care Matters
The information every work comp professional needs is ready – the annual comparison of every state’s workers comp laws is available here. Put together by the experts at WCRI and IAIABC, it includes laws for each of Canada’s provinces too. … Continue reading Research roundup
Article source:Managed Care Matters
Sorry, too darn busy this week to get my usual 4 or so posts in. Had a very interesting conversation with a work comp services exec earlier this week which got me thinking about “portals” – those internet entry points … Continue reading The buyer – user disconnect, aka the Shiny Object problem
Article source:Managed Care Matters
I’m reading Uwe Reinhardt’s last book, Priced Out. Reinhardt, a universally respected and admired economist with a strong focus on healthcare, died in late 2017. He left a legacy of curiosity and compassion – and practical results. Reinhardt was instrumental … Continue reading Where single payer works – part 1
Article source:Managed Care Matters
in which I attempt to summarize recent research into workers’ comp and medical management and describe what it means for you. Thanks to Elain Goodman of WorkCompCentral, we learned this morning that folks who consumed marijuana during recovery from an … Continue reading Research Roundup
Article source:Managed Care Matters
We have a healthplan you’ll absolutely love. Covers EVERYTHING – glasses, hearing aids, nursing home care, doctor visits, hospital care, surgery, drugs – all FREE! It’s the about-to-be-announced BernieCare 2.0, aka the “Whole Enchilada Plan”. You can go to any … Continue reading On the one hand…
Article source:Managed Care Matters
Stogut Rosenberry 