Rising Presenting on Paradigm Shift to Value-Based Care at National Workers’ Compensation & Disability Conference | Early Adopters to Share Practical Implementation Strategies | Oct 2016

October 12, 2016 – Chicago, IL – Industry leaders agree that transitioning to value-based care from fee-for-service reimbursement will benefit workers’ compensation by tying medical provider payments to patient outcomes. But widespread implementation of value-based models requires overcoming challenges unique to the industry.

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Lean Strategy to Cut ALAE and Losses by Anne Kirby, Chief Compliance Officer & VP of Care Management | WorkCompWire | Aug 2016

America has become more productive by applying Lean Six Sigma principles to running businesses. Now we have evidence that a lean approach works in managing medical treatment for work injuries. Anne Kirby, Chief Compliance Officer & VP of Care Management, discusses this approach that stands conventional medical management on its head.

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Bundled Care’s Place in Workers’ Comp featuring Robert Evans, VP of Repricing Solutions | Risk & Insurance | Aug 2016

Bundled care programs – an alternative care model emphasizing quality over quantity – has gained significant adoption amongst Medicare and group health providers. Robert Evans, VP of Repricing Solutions, shares Rising’s experience as one of the first organizations to bring bundled arrangements to the workers’ comp market.

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Rising Expands Workers’ Comp Bundled Payment, Surgical Program into North Carolina and Georgia

July 21, 2016 – Chicago, IL – Rising Medical Solutions is broadening its bundled payment, surgical program in the southeast with the addition of North Carolina and Georgia. The states join Florida, as well as New Jersey and Illinois in Rising’s Surgical Care Program (SCP) – one of the first value-based, bundled reimbursement programs in workers’ compensation that has provided all-inclusive case rates for orthopedic surgical procedures since 2013.

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Compounding and Rampant Care in Workers’ Comp by Rising CEO Jason Beans | Risk & Insurance | Jul 2016

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.

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