I was stunned to read in a recent WorkCompCentral article (subscription required) that only 38 of the 63 firms currently providing workers’ compensation utilization review (UR) services in California are URAC accredited. Per California Senate Bill 1160, the deadline for mandatory accreditation was July 1, 2018. WorkCompCentral’s reported figures on July 9 mean that 40
I often find myself coming back to this issue because it is so troubling – the third leading cause of death in America is, in fact, our nation’s healthcare. Patients are dying from the medical treatment itself versus the actual health issue they sought care for in the first place. Whether it be inappropriate medications,
I have long encouraged people to avoid going to hospitals if they can help it. Just last year, I wrote a column for Risk & Insurance on this very topic. But the message bears repeating, because the numbers are staggering. An estimated 440,000 people die each year in the hospital – and not from the
The following article has some great data on how case management has had an impact on long-term costs and increased health. It is different than our programs because we are very injury specific, and their’s is more preventative of chronic issues, but the goal of targeting high-risk people and intervening proactively for better results is
