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Care Managers vs Cost Centers

Unfortunately in comments on and emails regarding an earlier post a few folks jumped to the opposite conclusion. Let me explain. There are two distinctly different types of healthcare providers – let s call them Care Managers and Cost Centers. Care Managers are the treating physicians, the physicians that are managing the patients care and responsible for the patient s outcome. These the primary care docs – and in some cases surgeons – that are demonstrably better, delivering objectively and quantifiably excellent care. Think occ med docs, orthopods, physiatrists, PM&R specialists – the physicians who understand workers comp and return to work. They schedule care promptly, treat conservatively, don t dispense meds, don t upcode and unbundle. They respond to information requests, assist with return to work, and call for assistance when a patient isn t actively participating in their recovery.

Joe padudaCost centersCare managersManaged careசெலவு மையங்கள்பராமரிப்பு மேலாளர்கள்நிர்வகிக்கப்பட்டது பராமரிப்பு

COVID s Impact on Workers Comp Focus on the Facts

COVID s Impact on Workers Comp Focus on the Facts
workerscompensation.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from workerscompensation.com Daily Mail and Mail on Sunday newspapers.

United statesJoe padudaWorker compMark wallsHazard riskManaged careஒன்றுபட்டது மாநிலங்களில்தொழிலாளி கப்குறி சுவர்கள்ஆபத்து ஆபத்துநிர்வகிக்கப்பட்டது பராமரிப்பு

California aims to add COVID-19 protocols to drug formulary

In a first among 15 states with workers compensation formularies, the California Division of Workers’ Compensation this month launched its process for adopting COVID-19 treatment protocols into its drug formulary for treating injured workers.

United statesSalt lakeLaurents taoBrian allenJoe padudaHealth strategy associatesAmerican college of occupationalMitchell international incCalifornia division of worker compensationCalifornia divisionWorker compensationSalt lake city basedMitchell internationalMedical treatment utilization scheduleAmerican collegeEnvironmental medicine

Health Strategy Associates Has Been Purchased

04/01/21 When you get an offer you can t refuse…you don t. A couple months ago I was approached by an investment firm looking to build a niche practice focused on non-group health medical management. Long story short, for some undoubtedly very good reasons they decided HSA was the right fit. I never thought a highly specialized, boutique consultancy with one “employee” would have any value beyond what we bring to clients, but clearly I didn t think hard enough. Sure, the footprint is solid. Yes, we can bring some very skilled, smart, and experienced experts to any engagement. And we certainly have a brand. Most of the time that s a good thing, but sometimes it most definitely isn t.

Joe padudaHealth strategy associates has beenManaged careஆரோக்கியம் மூலோபாயம் கூட்டாளிகள் உள்ளது இருந்ததுநிர்வகிக்கப்பட்டது பராமரிப்பு

The Latest Workers Comp Drug Scheme

First, both drugs are exempt from prospective Utilization Review (also known as Prior authorization) requirements, so prescribers don t have to get approval before prescribing, and dispensers don t have to worry about getting paid. Second, neither drug is on the California workers comp drug fee schedule, so employers and taxpayers have to pay 83% of the “average wholesale price”. AWP is a number made up by the drugs manufacturers, and can be anything they want it to be. Over the last four years, the average cost of fenoprofen calcium (FP) sextupled (is now 6 times higher); ketoprofen s costs jumped more than ten times.

New yorkUnited statesJoe padudaBob youngJackie seciaSteve hayesLatest worker comp drugUtilization reviewManaged careபுதியது யார்க்ஒன்றுபட்டது மாநிலங்களில்பாப் இளம்ஸ்டீவ் வைக்கோல்சமீபத்தியது தொழிலாளி கப் மருந்துபயன்பாடு விமர்சனம்நிர்வகிக்கப்பட்டது பராமரிப்பு