You don’t see these types of cases every day. But we do.

When a person suffers a complex injury or devastating diagnosis, it turns their world upside down and threatens your bottom line.

Paradigm is the industry leader in delivering results for these types of cases. When you work with us, your members will get the expert clinical care, education, and support they deserve, while taming your costs and eliminating the burden of managing these long-term cases.

Alexander Borges Injured Worker and Licia Borges Wife

What we can help with

Brain Injury
Multiple Trauma
Post-ICU Rehabilitation
Spinal Cord Injury
Amputation
Post Acute Respiratory
Burns
Stroke
Post-surgical Complications

Complex Recovery Management

When Paradigm takes on your most complex cases, your members will get the highly specialized, long-term support they need for a successful recovery, and you’ll get the financial certainty that’s so elusive in these types of cases.

Give your members access to deeply
experienced specialty providers 

Provide a significantly better care experience
and peace of mind in a challenging time

Achieve a more successful medical and
psychosocial outcome 

Save time and money on managing these
cases.

The hidden costs of complex injuries and diagnoses

When someone suffers a severe injury or serious diagnosis, the road to recovery is unpredictable, the costs are high, and the management of the claim is complex.

Financially complex

A complex recovery means 56% of these cases remain on their employer’s plan 24 months post-injury or illness.

Technologically complex

These cases often need advanced medical technologies and experimental treatments to achieve an optimal outcome.

Medically complex

They often require 80+ medical and surgical encounters in the first year alone

Psychosocially complex

Beyond the physical challenges, 74% of these cases have two or more identified psychosocial behavioral issues.

Outcomes you can count on

When you let us handle your most challenging cases, you’ll be giving your patient and their family a significantly better experience and a more successful outcome, while saving both money and time.

86%

of patients would recommend their Paradigm Case Manager (2021 full year measure)

82%

of Paradigm cases close with zero ongoing opioid utilization

65%

release to return to work rate

6x

better return to gainful employment outcomes


How our program works

Engage early and triage your risk.

Immediate onsite intake and review by catastrophic nurse specialist
Triage cases to get patients going in the right direction
Single point of contact to guide the patient and their family

We focus on outcomes that matter.

Create an outcomes-focused care plan that’s based on our experience and clinical evidence about what’s possible for the patient
Active clinical management by the same team from ICU to home

We coordinate and manage all recovery care.

Data-driven matching to highest performing in-network providers
Access to Paradigm’s high-value rehabilitation network (optional)
Collaboration between all providers
Continued management of problems and risks

We help patients live independently–and well.

Expert home care to ease transition from a medical or rehab facility
Home set up for accessibility and mobility to help them live independently
Ongoing access to Paradigm experts to ensure the patient gets whole-person care for recurring or new health issues

Care management that’s better for you and your patients.

Talk to a Paradigm expert about how our program can help you manage your most challenging claims.