Musculoskeletal injuries are among the most challenging cases to manage in workers’ compensation. And what’s worse: These injuries represent a significant percentage of the overall volume of claims, with huge variations in both cost and outcomes.
When Paradigm manages these cases for you, you’ll get financial certainty, a guaranteed maximum functional outcome, and the most employee-centric care partner in the industry.
Because of unnecessary surgeries, fee-for-service payment models, and other challenges, these cases create significant medical, indemnity, and admin costs.
Late identification of problem cases and a lack of outcomes accountability lead to an unpredictable recovery and uncontrolled care costs.
In these cases, care is often uncoordinated, whole-person data visibility is limited, and patient engagement is lacking. That means these cases lack the continuity and visibility to achieve optimal outcomes.
HERO MSKSM is the industry’s first true value-based solution for all musculoskeletal injuries. With Paradigm, you’ll be paying for value, not volume. Our program leverages Paradigm’s proven patient-centric, outcomes-focused model for catastrophic and severe injuries. And our solution addresses conservative care and surgical interventions.
Our programmatic and holistic solution:
Instead of relying on lagging standard claims data, we identify predictive domains on your cases early on. Through real-time patient engagement technology, we’re more accurately able to calculate risk and prescribe mitigation strategies.
Your workers get access to our industry-leading clinical and vocational experts, who ensure increased health literacy and shared decision making for an improved patient experience.
Our provider network has been handpicked using data-driven cost and outcomes scoring with best-in-class credentialing, and we actively monitor the network integrity and performance for optimal care.
You’ll get competitive, fixed pricing on these cases, and Paradigm will be accountable for medical costs until Outcome Achievement of final RRTW or MMI.
Take the first step to a better, risk-free outcome. Speak to one of our experts today.
