January 11, 2023 – Chicago, IL – Rising Medical Solutions (Rising) today announced its product portfolio expansion to help payers comply with Section 111 of the Medicare, Medicaid, and SCHIP Extension Act (MMSEA). The company’s new Section 111 reporting solution decreases payer liability for excess recovery costs and fines, while mitigating potential litigation by beneficiaries for improperly reported claims.
October 17, 2022 – Chicago, IL – The Workers’ Compensation Benchmarking Study, the largest national research program investigating top issues impacting claims organizations today, has released its annual survey, inviting claims leaders to once again participate in important industry research that will be published in its 2022 Report.
“Prior to launching the study over a decade ago, there was no survey-based assessment tool focused on claims organizational performance and strategy,” said Rachel Fikes, said Rachel Fikes, chief experience officer and study program director at Rising Medical Solutions. “Through our participants’ collective intelligence, we have developed research that is both for and with claims professionals to identify the operational and cultural practices that are delivering superior employee care and return to work outcomes.”
October 5, 2022 – Much of what directs the trajectory of a workers compensation claim has little to do with the claim itself — the injury, the prognosis — and much to do with the claimant’s everyday life, such as where they live or how much money they have in the bank.
Experts say focusing on the so-called “social determinants of health” of an injured worker has the potential to drive better outcomes for injuries and is in line with “whole-worker” health and advocacy trends in workers comp in recent years.
September 29, 2022 – Chicago, IL – Rising Medical Solutions (Rising) today announced that experts from its Workers’ Compensation Benchmarking Study will be featured in a panel discussion at the National Workers’ Compensation and Disability Conference in Las Vegas on Wednesday, October 19, 2022 at 3:30 p.m. The session will reveal the top obstacles that both claims leaders and frontline claims personnel have repeatedly cited in the Workers’ Compensation Benchmarking Study’s annual research.
The conference session, titled Do This Now! Strategies High Performers are Using to Surmount Claims Management Obstacles, includes an esteemed panel of industry leaders who will discuss the top three (3) consistently ranked barriers to achieving optimal outcomes and provide expert perspectives on how claims organizations are making headway. Specifically, they’ll discuss strategies for best facilitating return-to-work, ways to improve injured worker engagement to stave off litigation, and methods for better equipping frontline staff to address comorbidities and psychosocial issues. The panel will also explore how worker-centric approaches are a key remedy.
September 23, 2022 – With expert article insights provided by Study leaders from Rising, Travelers, and AmTrust Financial, this Risk & Insurance feature summarizes how high-performing claims organizations are tackling consistently ranked obstacles to strong outcomes, advancing advocacy-based claims models, and operationalizing social determinants of health considerations.
August 29, 2022 – Tackling societal health disparities and training frontline staff on psychological issues are among the areas where the workers’ compensation industry can improve, according to a study released Monday that examined hurdles in getting better care and recovery for injured workers.
August 29, 2022 – Chicago, IL – As modern workplaces continue to evolve in light of the COVID-19 pandemic, so too must workers’ compensation claims organizations in order to achieve optimal outcomes. Yet, standing in the way are deeply entrenched challenges that more than 3,300 claims leaders and frontline professionals have brought to the forefront in previous Workers’ Compensation Benchmarking Study research.
“Eight years of data shows—to succeed in the face of core claims challenges—organizations need to transform legacy processes, mindsets, semantics, and ingrained cultural practices. Specifically, our data shows that those claims organizations with superior outcomes are also those who are further along in this transformation process,” said Rachel Fikes, chief experience officer and study program director at Rising Medical Solutions. “With this in mind, our latest research brought together claims leaders from diverse organizations to dig deeper into exactly how they are evolving to outpace their peers.”