While the targets of such programs are typically injured workers whose claims have been on the books for a while, the system can be more effective at the start of a claim.
"So much work has gone into predictive modeling, using data analytics," said Michael Coupland of Integrated Medical Case Solutions and developer of the Control Over Pain's Effect pain management system. "We can as early as two weeks postinjury have a 90 percent accuracy rate in predicting [those patients most susceptible to disability mindset]."
Coupland says employers are usually more interested in working on claims on which they are already losing money, i.e., those with multiple medical procedures and/or narcotics. Those interested in more preventive efforts and identifying at-risk claims early on are a different breed.
"Those tend to be employers that are progressive, have a risk manager who is very actively looking for solutions," he said. "They tend to be the ones that are self-insured; they will say to their TPA 'we want to tackle this.'"
April 18, 2013
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