Federal health care regulators are paving the way for a value-based purchasing approach in workers’ compensation. Rising CEO Jason Beans outlines Medicare’s assertive advances to replace the fee-for-service model, their impressive outcomes, and takeaways for workers’ comp in his Risk & Insurance Risk Insider column.
Fraud analytics can help detect suspicious injury claims, fraudulent providers, and premium avoidance scams. In this article, Rising’s Work Comp Benchmark Study results shed light on the adoption of analytics by payers.
March 1, 2016 – Uncasville, CT – In early March, Rising CEO Jason Beans conducted a session on results from the 2015 Workers’ Compensation Benchmarking Study at the 13th Annual National Workers’ Compensation Insurance ExecuSummit.
January 13, 2016 — Chicago, IL — Rising Medical Solutions announces the arrival of value-based surgical care in New Jersey, with the introduction of its Surgical Care Program in key markets.
States that allow employers to choose a health care provider for an injured worker have a lower average medical cost per claim than states where employees can choose their provider, according to a study by Liberty Mutual Insurance. Anne Kirby, Rising’s Chief Compliance Officer & VP of Care Management, comments on the study findings.
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700 Work Comp Leaders Draw Roadmap for Claims/
November 4, 2015 — Chicago, IL — Some 5,000 insurer, TPA, and employer-based professionals fill claims leadership positions in workers’ compensation operations nationwide. They think as much about the future as they do day-to-day operations. To date, approximately 700 of these leaders have shared their insights through quantitative surveys and qualitative interviews conducted by the Workers’ Compensation Benchmarking Study in 2013, 2014, and now 2015.
This article highlights key findings from Rising’s 2015 Workers’ Compensation Benchmarking Study. Rising’s VP & Study Program Director Rachel Fikes co-authors the piece with industry journalist and consultant, Peter Rousmaniere. Together they summarize the insights from hundreds of claims leaders on the state of claims management today and their strategic vision for the future.
