June 5, 2024 – Employers, insurers and claimants should start planning for changes to how Medicare’s liabilities are accounted for in workers compensation settlements, experts say.
The changes, which will remove the reporting threshold in settlements that include Medicare set-asides and define penalty amounts, could increase the likelihood of significant fines for noncompliance and prolong settlement negotiations, they say.
May 21, 2024 – Milwaukee, WI – Adding to its 2023 Top Workplaces award for the healthcare industry, Rising Medical Solutions (Rising) today announced it has been named a 2024 Top Workplaces winner by the Milwaukee Journal Sentinel which bestowed this title on 169 firms out of the 2,890 eligible in the region. With offices in multiple markets, this is the second regional Top Workplaces award Rising has won in the past six months, having been recently recognized as a premier workplace by the Chicago Tribune. Earlier this year, USA Today also named Rising a 2024 Top Workplaces USA winner, a national award that spans across all industries.
February 5, 2024 – The acquisition of physician practices by large hospital systems is having an adverse effect on states’ workers compensation systems, experts say.
While proponents of so-called “vertical integration” in health care say the practice benefits consumers by delivering care more efficiently, workers comp researchers say consolidation drives up pricing due to decreased competition and can have a negative effect on return-to-work outcomes. And the efficiency argument, they say, relates to administrative efficiency, not patient care efficiency.
January 17, 2024 – Chicago, IL – Rising Medical Solutions (Rising), a national managed care firm, announced today that its VISIONTM enterprise platform, along with its cloud-based data center solution, have earned HITRUST certification for information security.
Rising’s proprietary VISIONTM healthcare management platform streamlines claims administration and provides a fully integrated, multi-product, multi-line, medical management portal for its payer customers. The HITRUST Risk-based, 2-year (r2) Certified status demonstrates that Rising’s VISIONTM software, and its underlying data center security controls, meet demanding regulatory compliance and industry-defined requirements to manage risk. This achievement places Rising in an elite group of organizations worldwide that have earned this distinction.
November 15, 2023 – Chicago, IL – The Workers’ Compensation Benchmarking Study’s annual survey is now open. For the second time in its 11-year history—and for the first time since COVID—the 2023 study will survey frontline claims professionals (instead of claims executives) to ascertain alignment between industry leadership and staff who directly handle workers’ compensation claims. As the industry’s largest talent constituency, with the greatest influence on financial and injured worker outcomes, visibility into their views will highlight advancement opportunities for the entire industry.
November 7, 2023 – With 30 percent of claims payers achieving top performer status, what steps can the remaining 70 percent take to catch up? This is a pivotal question the Workers’ Compensation Benchmarking Study has continued to ask over its past decade of research.
November 1, 2023 – Implementing advanced technology and frontline patient advocacy are neck and neck among the fastest-growing trends in workers compensation claims management, but the best results for patients often come from balancing the two, experts say.
Improved access to data and more efficient communication should not be allowed to sterilize the claims management process, they say.
