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.
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.
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.
This article highlights key findings from Rising’s 2015 Workers’ Compensation Benchmarking Study. Rising’s VP & Study Program Director Rachel Fikes co-authors the piece with industry journalist and consultant, Peter Rousmaniere. Together they summarize the insights from hundreds of claims leaders on the state of claims management today and their strategic vision for the future.
Only in U.S. health care can you be charged for a service foisted upon you while unconscious. A different model could fix that. Rising CEO Jason Beans shares some thoughts on dishonest practices in healthcare, and how value-based purchasing can eliminate them in his Risk & Insurance Risk Insider column.
In his second installment of the Leaders Speak series, Rising VP of Repricing Solutions Robert Evans writes about the practical steps the workers’ comp industry can take towards value-based purchasing. His best advice is not to wait for that “silver bullet,” there are models the industry can use today and build upon for tomorrow.
In his first installment of the Leaders Speak series, Rising VP of Repricing Solutions Robert Evans writes about value-based payments emerging as the future of healthcare reimbursement and how the workers’ comp industry is ripe for transition away from fee-for-service arrangements.