Articles

While auto and workers’ comp insurers see many of the same kinds of claims, handling auto claims takes a specialized knowledge base to reach the best outcomes for payers and patients Read more...

Injured-person, centered care can lead to better recovery outcomes while saving claims costs. Read more...

The sparkle of a lower-cost transparent pricing model is often quickly dulled by the addition of administration fees and click fees to cover the workers’ compensation cost of services. Read more...

Caring for injured workers should involve more than just processing transactions. Applying a clinical approach from the onset of an injury ensures more appropriate care and better outcomes. Risk & Insurance interviewed OWCA experts to learn how clinical expertise can improve outcomes. Read more...

Predictive analytics models have a number of cost-saving applications in the world of workers’ compensation prescription management.

These models are used operationally in helping to identify patients for home-delivery fulfillment programs which are less expensive than retail, saving money on the cost of prescriptions. Algorithms assist in routing claims to the most appropriate case handler based on claim complexity or personnel experience, which increases operational efficiency. Read more...

Frequent mergers create a confusing experience for workers’ comp carriers and claimants. By rolling all of its services into a single platform, Optum is proving the IT investment can pay off. Read more...