On-Demand Webinar

Webinar – The Upside of the Claims Talent Crisis – A Roadmap Forward

Learn more about the silver lining of the emerging talent crisis, and hear from experts on how to align new talent with achieving better results.
By: | October 22, 2015 • 2 min read




Webinar Sponsor

Webinar Sponsor

Workers’ compensation claims organizations are facing a crisis — an aging talent pool and a mass exodus of Baby Boomers that will impact virtually every facet of claims operations. From core competencies, to technology, to development and retention strategies — the industry must undertake a holistic evaluation of the far-reaching risks and repercussions that the coming crisis poses. And while this crossroads represents a challenge, it also provides the opportunity to draw a roadmap forward, from uncertainty to upside.

Results from the Workers’ Compensation Benchmarking Study, a national multi-year study of more than 700 claims leaders, has quantified the state of claims management today as well as captured executives’ visions for the future through this year’s focus group research.

In 2015, we find claims leaders centering on the talent gap, as well as how to empower a new generation so that they are creators of value through better outcomes management. As revealed by study results, far too few organizations are investing in developing talent, a business risk with grave consequences.

This webinar seeks to redefine the talent crisis as an opportunity to ask this question — how do we align the industry’s emerging claims talent with achieving better results: getting injured employees healthier and productive faster, while lowering costs.

Expert panelists involved in the study will discuss:

  • Attracting and retaining the new generation of talent — Millennials. Ambitious, technology-friendly, and keen on achieving a sense of higher purpose in their work, this new generation has enormous potential — if that potential can be tapped, developed and deployed effectively.
  • Restructuring strategies to aim for success in outcomes management, not just process and compliance improvement, with a much greater emphasis on empowering claims professionals with the data, tools and training needed to achieve mastery in claims management.
  • Making the perfect match: Marrying talent strategies with technology strategies and pairing the tech-driven Millennials with advanced analytics that enhance complex decision-making.
  • Defining new career paths that will allow Millennials and other professionals to fly faster and farther and achieve their ambitions while providing a high degree of job satisfaction.
  • Developing solid mentoring opportunities and senior training to ensure a culture of formalized knowledge transfer programs.
  • Elevating the socially-conscious aspects of the claims profession, understanding the importance of purposeful employment for today’s talent.

Webinar attendees will receive a complimentary copy of the Benchmarking Study’s 2015 Insights Report, which will be released in the coming weeks.


Download a copy of the slide presentation here.

Dan Reynolds is editor-in-chief of Risk & Insurance. He can be reached at [email protected]
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On-Demand Webinar

Webinar – Value-Based Purchasing in WC: An Idea Whose Time is Here

Find out why the time is ripe to explore a value-based purchasing model in workers' comp.
By: | September 4, 2015 • 2 min read




Webinar Sponsor

Webinar Sponsor

Getting excellent medical results for injured workers at a price that is both predictable and reasonable doesn’t seem like too much to ask. So why is it that the workers’ comp industry and its vendors can’t get this one right?

This webinar’s expert panel is going to show us the way forward. We’ll hear from a California-based medical provider who is contracting with carriers to produce high quality results with spinal injuries, one of workers’ compensation’s toughest and most expensive challenges.

We’ll also talk to the executive director of one of the largest state funds, which has launched a pilot program to use value-based medical provider compensation in managing hundreds of worker knee injuries.

Lastly, we’ll hear from a workers’ comp company that has successfully launched a value-based program for bundled orthopedic surgical procedures.

Furthermore, the expert panel will discuss:

  • The impact of healthcare reform and the creation of accountable care organizations; and the need for workers’ comp to recognize that it must inevitably follow the trend away from the flawed fee-for-service model.
  • How improved modeling is giving payers and providers much better transparency into their risk portfolios of injured workers, and how those analytics can be acted on.
  • That although frequency is down, workers’ comp costs continue to rise. Merely watching this trend and doing nothing is not an option.
  • The challenges of bundled or value-based purchasing, presenting a holistic view of this topic.
  • The recommended steps workers’ comp can take today to implement value-based models, moving the industry towards walking the walk not just talking the talk.


Download a copy of the slide presentation here.

Dan Reynolds is editor-in-chief of Risk & Insurance. He can be reached at [email protected]
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Sponsored Content by CorVel

Telehealth: The Wait is Over

Telehealth delivers access to the work comp industry.
By: | November 2, 2015 • 5 min read


From Early Intervention To Immediate Intervention

Reducing medical lag times and initiating early intervention are some of the cornerstones to a successful claims management program. A key element in refining those metrics is improving access to appropriate care.

Telehealth is the use of electronic communications to facilitate interaction between a patient and a physician. With today’s technology and mass presence of mobile devices, injured workers can be connected to providers instantaneously via virtual visits. Early intervention offers time and cost saving benefits, and emerging technology presents the capability for immediate intervention.

Telehealth creates an opportunity to reduce overall claim duration by putting an injured worker in touch with a doctor including a prescription or referral to physical therapy when needed. On demand, secure and cost efficient, telehealth offers significant benefits to both payors and patients.

The Doctor Will See You Now

Major healthcare players like Aetna and Blue Cross Blue Shield are adding telehealth as part of their program standards. This comes as no surprise as multiple studies have found a correlation between improved outcomes and patients taking responsibility for their treatment with communications outside of the doctor’s office. CorVel has launched the new technology within the workers’ compensation industry as part of their service offering.

“Telehealth is an exciting enhancement for the Workers’ Compensation industry and our program. By piloting this new technology with CorVel, we hope to impact our program by streamlining communication and facilitating injured worker care more efficiently,” said one of CorVel’s clients.

SponsoredContent_Corvel“We expect to add convenience for the injured worker while significantly reducing lag times from the injury to initiating treatment. The goal is to continue to merge the ecosystems of providers, injured workers and payors.”

— David Lupinsky, Vice President, Medical Review Services, CorVel Corporation

As with all new solutions, there are some questions about telehealth. Regarding privacy concerns, telehealth is held to the same standards of HIPAA and all similar rules and regulations regarding health information technology and patients’ personal information. Telehealth offers secure, one on one interactions between the doctor and the injured worker, maintaining patient confidentiality.

The integrity of the patient-physician relationship often fuels debates against technology in healthcare. Conversely, telehealth may facilitate the undivided attention patients seek. In office physicians’ actual facetime with patients is continually decreasing, citing an average of eight minutes per patient, according to a 2013 New York Times article. Telehealth may offer an alternative.

Virtual visits last about 10 to 15 minutes, offering more one on one time with physicians than a standard visit. Patients also can physically participate in the physician examination. When consulting with a telehealth physician, the patient can enter their vital signs like heart rate, blood pressure, and temperature and follow physical cues from the doctor to help determine the diagnosis. This gives patients an active role in their treatment.

Additionally, a 2010 BioMed Central Health Services Research Report is helping to dispel any questions regarding telehealth quality of care, stating “91% of health outcomes were as good or better via telehealth.”

Care: On Demand

By leveraging technology, claims professionals can enhance an already proactive claims model. Mobile phones and tablets provide access anywhere an injured worker may be and break previous barriers set by after hours injuries, incidents occurring in rural areas, or being out of a familiar place (i.e. employees in the transportation industry).

With telehealth, CorVel eliminates travel and wait times. The injured worker meets virtually with an in-network physician via his or her computer, smart phone or tablet device.

As most injuries reported in workers’ compensation are musculoskeletal injuries – soft tissue injuries that may not need escalation – the industry can benefit from telehealth since many times the initial physician visit ends with either a pharmacy or physical therapy script.

In CorVel’s model, because all communication is conducted electronically, the physician receives the patient’s information transmitted from the triage nurse via email and/or electronic data feeds. This saves time and eliminates the patient having to sit in a crowded waiting room trying to fill out a form with information they may not know.

Through electronic correspondence, the physician will also be alerted that the injured worker is a workers’ compensation patient with the goal of returning to work, helping to dictate treatment just as it would for an in office doctor.

In the scope of workers’ compensation, active participation in telehealth examinations, accompanied by convenience, is beneficial for payors. As the physician understands return to work goals, they can ensure follow up care like physical therapy is channeled within the network and can also help determine modified duty and other means to assist the patient to return to work quickly.


Convenience Costs Less

Today, convenience can often be synonymous with costly. While it may be believed that an on demand, physician’s visit would cost more than seeing your regular physician; perceptions can be deceiving. One of the goals of telehealth is to provide quality care with convenience and a fair cost.

Telehealth virtual visits cost on average 30% less than brick and mortar doctor’s office visits, according to California state fee schedule. In addition, “health plans and employers see telehealth as a significant cost savings since as many as 10% of virtual visits replace emergency room visits which cost hundreds, if not thousands, of dollars for relatively minor complaints” according to a study by American Well.

“Telehealth is an exciting enhancement for the Workers’ Compensation industry and our program. By piloting this new technology with CorVel, we hope to impact our program by streamlining communication and facilitating injured worker care more efficiently,” said one of CorVel’s clients.

Benefits For All

Substantial evidence supports that better outcomes are produced the sooner an injured worker seeks care. Layered into CorVel’s proactive claims and medical management model, telehealth can upgrade early intervention to immediate intervention and is crucial for program success.

“We expect to add convenience for the injured worker while significantly reducing lag times from the injury to initiating treatment,” said David Lupinsky, Vice President, Medical Review Services.

“The goal is to continue to merge the ecosystems of providers, injured workers and payors.”

With a people first philosophy and an emphasis on immediacy, CorVel’s telehealth services reduce lag time and connect patients to convenient, quality care. It’s a win-win.

This article was produced by CorVel Corporation and not the Risk & Insurance® editorial team.

CorVel is a national provider of risk management solutions for employers, third party administrators, insurance companies and government agencies seeking to control costs and promote positive outcomes.
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