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Workers' Compensation is a
process that is in constant change and has lot's of
noise... |
If you are a self-insured employer, insurance company,
third party administrator, medical management company or a
defense attorney/firm, it is very likely that we can help you
turn down the noise and bring important pieces of this
process into focus. Thereby, you can provide better
outcomes to your customer with less distraction to your
primary business objective.
Utilization Review is a process whereby a request for
treatment by one provider is reviewed and evaluated by the
objective medical evidence supporting the treatment request.
It is without question one of the most important
cost-management tools available today. It is also
perhaps one of the most important programs today that is
promoting an effective healthcare delivery system.
Unfortunately, it is also an area that is ripe with gross
operational inefficiencies and ineffective use of highly
paid human talent.We offer a technology platform that
addresses the operational inefficiencies in the delivery of
UR services. The technology eliminates virtually all of the
clerical and redundant decisions associated with the
process. The result is more consistent and defensible
outcomes and a cost of operation that is about half of the
traditional model... (more).
In California, roughly 25% of all open claims are open
just for liens. The expense the insured is truly
phenomenal. Unfortunately, this is an area that virtually
anyone can do, but not everyone can do well. Complicating the process for the insured is
that there are few mechanisms in place to measure
effectiveness and efficiency in this functional area. We
offer a process to educate stakeholders in key strategies
and tactics in this area. We also offer outsourced
management assistance with any aspect of this process...
(contact me)
An effective job analysis can be a
key factor in many facets of mitigating the costs associated
with workers compensation. Educating the physician
about the nature of the injured employees work requirements
is an essential step to ensure the delivery of the most
effective care while you secure safest and rapid
reintegration of the worker back into the workforce. Unfortunately,
like many medical management functions the JA business is ripe with inefficiencies that make the
ROI on the service a questionable practice in
many instances. However, again, technology has been
developed that make the process extremely cost-efficient and
effective... (contact me)
This is an area of workers' compensation that is filled with
"smoke & mirrors" when it comes to pricing and measuring
effectiveness. We work with clients to review their program
both from an operational efficiency and cost-effectiveness
basis.... (contact me)
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