Compound prescription growth in workers’ compensation is a striking example of how the lack of consumer involvement can cause treatment to expand from reasonable to rampant care. In his Risk & Insurance Risk Insider column, Rising CEO Jason Beans outlines how state oversight and inroads from within claims payer and managed care organizations can help rein in compounding.
Insurance Exec Touts Benefits of New Study featuring Rising’s Work Comp Benchmark Study | Insurance Business America | Jun 2016
This article features thoughts from Mark Walls, Vice President of Communications and Strategic Analysis for Safety National and an Advisory Council member for the Workers’ Compensation Benchmarking Study, on why the study matters and its value to the workers’ compensation community.
Detailed Bill Review May Help Block Fraud featuring Jason Beans, Chief Executive Officer | Work Comp Central | Jun 2016
As California officials are calling for a review of workers’ comp fraud fighting practices in the state, some cost containment providers are saying that bill review can be an effective tool for detecting fraud. Jason Beans, Rising’s Chief Executive Officer, shares some of the company’s bill review practices for detecting fraud.
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The Power of Claims Advocacy: Thriving in an On-Demand Economy by Rachel Fikes, VP & Workers’ Comp Benchmarking Study Program Director | May 2016
“Claims Advocacy” is fast getting the attention of workers’ comp claims leaders as a powerful approach to better claims outcomes. The on-demand economy has created cultural and multi-generational expectations around service, speed and simplicity – expectations that raise the bar for engaging injured workers. We found some claims leaders – from Starbucks, Albertsons Safeway, Nationwide Insurance, and Sedgwick – who have already figured out what to do. This article, co-authored by Rising’s Work Comp Benchmarking Study Program Director Rachel Fikes and industry journalist/consultant Peter Rousmaniere, uses interviews and study insights to describe the advocacy concept and how to walk the walk. Four minutes to read.
Medicare Paves the Way by Rising CEO Jason Beans | Risk & Insurance | Apr 2016
Federal health care regulators are paving the way for a value-based purchasing approach in workers’ compensation. Rising CEO Jason Beans outlines Medicare’s assertive advances to replace the fee-for-service model, their impressive outcomes, and takeaways for workers’ comp in his Risk & Insurance Risk Insider column.
Overcoming Workers’ Comp Fraud with Detection Technology featuring Rising’s Work Comp Benchmark Study | Property Casualty 360 | Apr 2016
Fraud analytics can help detect suspicious injury claims, fraudulent providers, and premium avoidance scams. In this article, Rising’s Work Comp Benchmark Study results shed light on the adoption of analytics by payers.
Study: Claim Costs Impacted by Who Chooses the Provider featuring Anne Kirby, Chief Compliance Officer & VP of Care Management | Work Comp Central | Dec 2015
States that allow employers to choose a health care provider for an injured worker have a lower average medical cost per claim than states where employees can choose their provider, according to a study by Liberty Mutual Insurance. Anne Kirby, Rising’s Chief Compliance Officer & VP of Care Management, comments on the study findings.
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