Improving Claims Management, Utilization Review, and Care Coordination Across Payer-Provider Ecosystems Using Data Analytics
Healthcare IT Today Full article on: Healthcare IT Today By: Grayson Miller It is a well-known and well-discussed fact that all of the best decisions are backed by data. In…
The upstream health literacy opportunity for health plans
Improving health literacy is crucial for health plans to empower members in making informed care decisions, writes Cathy Hartman, Chief Healthcare Solutions Officer at Paradigm.
Severe injuries reshape workers comp claims
Full article on: businessinsurance.com By: Louise Esola When a workplace injury results in paralysis or other life-altering conditions, the related workers compensation claim often extends far beyond medical care and…
Advancements in Prosthetic Care: 3 Big Innovations, and What They Mean for Workers’ Compensation
In recognition of Limb Loss and Limb Difference Awareness Month in April, Dr. Choo shares three important trends shaping the present and future of prosthetics, and why they matter to…
What MSK Bundles Reveal About the Workers’ Comp System
Full article on: Reduceyourworkerscomp.com By: Michael B. Stack, CEO, AMAXX Musculoskeletal injuries sit at the center of workers’ compensation, not just because of their volume, but because of what they…
When traditional care management fails: The catastrophic care gap that health plans miss
Catastrophic injuries create high cost, high complexity claims. Cathy Hartman shares three critical shifts health plans must make to effectively manage risk and recovery.
Payment Integrity and Network Strength: A New Standard for Surgical Savings
WorkCompWire Full article on: workcompwire.com Frank Raneri, Senior Vice President, Paradigm Specialty Networks To deliver value, effective specialty networks must focus squarely on novel solutions for emerging cost drivers. Managed care…