Medical bill review services that identify errors and overcharges can help self-funded employers reduce their health benefit costs. John Brogan, Rising’s Director of Technical Assurance, discusses the billing practices of “upcoding” and “unbundling.”
A Place for Concierge Medicine in Workers’ Comp? by Rising Medical Solutions | Risk & Insurance | Feb 2014
Anne Kirby, Chief Compliance Officer & VP of Care Management, and Robert Evans, VP of Repricing Solutions, share their thoughts on using analytics and a patient advocacy approach to drive better medical outcomes in workers’ compensation.
In Workers’ Comp Benchmarking Study – Fail to Train, Feel the Pain featuring Rising's 2013 Workers' Comp Benchmarking Study | WorkersCompensation.com | Dec 2013
This article highlights key findings from Rising’s 2013 Workers’ Compensation Benchmarking Study, which surveyed claims leaders nationwide. Author and President/CEO of WorkersCompensation.com, Bob Wilson, particularly hones in on the work comp industry’s opportunities in the area of claims talent development.
Work to Be Done – Training Programs for Claims Practitioners Are in Need of Improvement. featuring Rising's 2013 Workers' Comp Benchmarking Study | Risk & Insurance | Nov 2013
Authored by Risk & Insurance Editor-in-Chief, Dan Reynolds, this article summarizes key findings from Rising’s 2013 Workers’ Compensation Benchmarking Study which surveyed claims leaders nationwide. Among other results, he writes about the industry’s current level of investment in claims talent development.
Surgical Shopping: A New Approach Adds Predictability, Creates Better Outcomes by Rising Medical Solutions | Risk & Insurance | Oct 2013
Robert Evans, Rising’s VP of Repricing Solutions, talks about the need for a better surgical model in workers’ compensation and the advantages of value-based purchasing for surgical episodes of care.
When Your M.D. Is an Algorithm featuring Jason Beans, CEO | Wall Street Journal | Apr 2013
Despite all that drug-enforcement agents and regulators are doing to fight prescription painkiller abuse, the most effective combatant might turn out to be a computer algorithm. This article features CEO Jason Beans as he discusses Rising’s early intervention, risk scoring analytics to identify the high-risk cases early in the claim.