The 2018 Workers’ Compensation Benchmarking Study .

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The 2018 Workers’ CompensationBenchmarking Study:AdvancingTitle GoesHereMedical Performance ManagementSponsor:Sponsor Logo hereWebinar Start Time: 1:00pmEST1:00pm ESTThere currently is no audio but please be sure to have thevolume turned up on your computer to hear the audioonce the presentation begins.

A FEW THINGS TO KNOW Volume: Be sure to have the volume turned up on your computer to hearthe audio for this webinar. Questions: To ask a question about the content of the presentation duringthe event, you may use the Q&A panel located in the bottom right cornerof your screen. We’ll be leaving time at the end of the presentation toanswer them. Problems: If you encounter a problem during today’s webinar, please sendus a message in the Chat panel located in the right column of your screen. Presentation and Recording: A copy of the slides and a recording oftoday’s webinar will be posted at www.riskandinsurance.com. We willemail links to all attendees. A copy of the slides will be posted on the Risk & Insurance website.Sponsor:SponsorLogo here

THANK YOU TO OUR SPONSORSponsor:SponsorLogo here

SPONSOR: RISING MEDICAL SOLUTIONS Rising Medical Solutions (Rising) is a national medical costcontainment and care management firm. Rising serves payers of medical claims in the workers’compensation, auto, liability and group health markets. Rising directs and publishes the annual Workers’Compensation Benchmarking Study that focuses on thecomplex factors impacting claims management today. Visit www.risingms.com to learn more about Rising’s portfolioof products and services.Sponsor:SponsorLogo here

PRESENTERSDenise AlgireDirector of Risk Initiatives & NationalMedical Director Albertsons CompaniesModerator:Brian TrickSenior Claims Manager Wegmans FoodMarkets, Inc.Anne KirbyChief Compliance Officer and VicePresident of Care Management Rising Medical SolutionsDan ReynoldsEditor-in-ChiefRisk & Insurance Marcos IglesiasChief Medical Officer, Senior VicePresident BroadspireSponsor:SponsorLogo here

OVERVIEW – 2018 WORKERS’ COMP BENCHMARK STUDYPublished in Dec 2018Focused solely onMedical PerformanceManagementUtilized qualitative,focus group researchwith 40 claims &medical executivesSponsor:SponsorLogo here

SOLUTIONS TO THE MEDICAL SEVERITY DILEMMAInstitute for HealthImprovement (IHI)Triple AimSponsor:SponsorLogo here

INCORPORATING PATIENT-CENTERED OUTCOMESTotal Worker Health Quality of Life Functional OutcomesSponsor:SponsorLogo here

REDUCING FRICTIONAL DELAYS IN CLAIMS PRACTICESSponsor:SponsorLogo here

UTILIZING UNIVERSAL PROVIDER SCORECARDSSponsor:SponsorLogo here

EMPLOYEE SELF-REPORTING OF CLAIMSSponsor:SponsorLogo here

LEVERAGING DATA & ADVANCED TECHNOLOGYSponsor:SponsorLogo here

KEY TAKEAWAYS – Anne Kirby Not you mother’s medical management 2018 Study confirms industry’s expansion into total worker health via Triple Aim Align & improve claim outcomes w/ Triple Aim principles, which:ooooooIncorporate employee wellnessEnhance employer education around employee advocacy & communicationIntegrate benefits delivery programsFocus on outcomes management & best practicesUtilize behavioral health strategies when appropriateEmphasize patient functional outcomes Ranked as # 1 criterion for a good claims outcome in 2017 studySponsor:SponsorLogo here

KEY TAKEAWAYS – Marcos Iglesias Develop a multidisciplinary strategy Identify data that’s available today and in the future Determine how will you measure, share, and reward Focus on employee total health and functionSponsor:SponsorLogo here

KEY TAKEAWAYS – Brian Trick Don’t let baseline be your measure for employee health Don’t let time (delays) be the reason for higher workers’ comp costsSponsor:SponsorLogo here

KEY TAKEAWAYS – Denise Algire Measure what you say is important. To truly drive program results focused on qualityand outcomes, we must stop measuring success based on volume - fee schedulediscounts. Leverage existing tools and available data to measure provider performance &outcomes. Utilize provider quality and outcome measures based on treatment withinevidenced-based medicine guidelines, benchmarking RTW outcomes, functionalimprovement, coordination of care, and worker satisfaction. Integrate biopsychosocial & mental health resources into medical managementprograms. Leverage EAP programs, cognitive behavioral health, and mindfulnesssolutions as part of an integrated medical management strategy. Educate claims andmedical management professionals about mental health conditions and solutions, aswell as known and unconscious bias toward mental health issues. Enhance worker education & engagement. Arm workers to be educated healthconsumers, the role of evidenced-based medicine, and the critical function of stay-atwork / return-to-work in their recovery. This can be achieved by leveraging telehealth,telephonic case management and/or technology solutions focused on consumer healtheducation.Sponsor:SponsorLogo here

QUESTIONSSponsor:SponsorLogo here

SPONSOR: RISING MEDICAL SOLUTIONS Rising Medical Solutions (Rising) is a national medical costcontainment and care management firm. Rising serves payers of medical claims in the workers’compensation, auto, liability and group health markets. Rising directs and publishes the annual Workers’Compensation Benchmarking Study that focuses on thecomplex factors impacting claims management today. Visit www.risingms.com to learn more about Rising’s portfolioof products and services.Sponsor:SponsorLogo here

Rising Medical Solutions (Rising) is a national medical cost containment and care management firm. Rising serves payers of medical claims in the workers’ compensation, auto, liability and group health markets. Rising directs and publishes the annual Workers’ Compensation Benchmarking Study

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