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.
Attacking ALAE – A Lean Strategy Road Map by Anne Kirby, Chief Compliance Officer & VP of Care Management | WorkCompWire | Sep 2016
The “overhead cost” to deliver workers’ comp benefits also clutters adjusting work. In her second installment on curbing ALAE, Rising CCO and VP of Care Management Anne Kirby illustrates – in detail – how claims organizations can use a lean strategy to migrate away from this enormous overhead burden.
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.
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.
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.
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.
New 2016 Rhode Island Workers’ Comp Medical & Hospital Fee Schedules Released
June 21, 2016 — Cranston, RI & Chicago, IL — Updated Rhode Island Workers’ Compensation Fee Schedules have been released. The new Hospital Fee Schedule will go into effect on July 1, 2016, and the new Medical Fee Schedule will go into effect on July 15, 2016, for services on or after those dates.