Efforts to improve the quality of medical care provided to injured workers are increasingly linked to provider performance. Robert Evans, Rising’s VP of Repricing Solutions, joins other industry experts to discuss where the industry is at with measuring provider performance.
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.”
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.
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.
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.
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.
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.