There is a looming crisis in access to care as noted in this article. All of the numbers point the same way. More people are getting coverage. More doctors are retiring. Medicaid patients are already having trouble finding care. Medicare and work comp are next. Accessing care is huge concern for many of the payers I speak to. They know what is coming.
Addressing this issue is an ancillary benefit of Rising’s surgical care management approach. By getting patients into good providers quickly, there’s a ton of value for all involved – patients, providers, and payers. This free market model has the potential to help providers get out of the insurance mess, make more money, and stabalize business, while customers continue to get access to quality care when they need it. It can start in workers’ compensation and auto, but I fully expect the model to move to even group health carriers or private patients that need access to care.