Archive | Workers’ Compensation & Utilization Management
Posted on November 30, 2017 | By Advanced Medical Reviews
Privatization has emerged as one solution to curb the costs of workers’ compensation on state funds.
Posted on November 17, 2017 | By Advanced Medical Reviews
The high variance of WC rules and regulations by state makes it difficult to generalize about future trends.
Posted on October 27, 2017 | By Advanced Medical Reviews
The gold standard for evidence for EBM – randomized controlled trials (RCTs) – only emerged in the 20th century.
Posted on August 2, 2017 | By Advanced Medical Reviews
Air ambulances provide quick transportation for patients in remote locations, as well as for paramedics and other medical professionals whose services can be the difference between life and death in an emergency. In the first part of this series, we looked at why hospitals offer air medical services (AMS) and how insurers and patients navigate […]
Posted on July 21, 2017 | By Advanced Medical Reviews
Air ambulances have rapidly become vital and unique fixtures of the U.S. healthcare system. As specialized aircrafts – i.e., medically equipped helicopters and fixed-wing airplanes – they provide emergency transportation over distances and/or terrains that would be impractical for ground ambulances. Their use has surged since 1980, when medical helicopters began to be manufactured […]
Posted on July 5, 2017 | By Advanced Medical Reviews
“Patient-centered” is a widely used term in health care discussions, but what does it really mean? The patient-centered medical home (PCMH) provides an instructive example. A PCMH embodies an approach to the primary care practice (PCP), one in which care is coordinated, accountable and comprehensive, as well as inclusive of wellness, preventive, acute and chronic […]
Posted on June 16, 2017 | By Advanced Medical Reviews
Making an effective transition to value-based care, and to a corresponding reimbursement model that works for medical providers, insurers and patients alike, is a longstanding goal for much of the U.S. healthcare system. There are many compelling reasons for adopting value-based reimbursement (VBR) as a replacement for traditional fee-for-service (FFS), with two of the most notable […]
Posted on May 24, 2017 | By Advanced Medical Reviews
For centuries, healthcare providers have offered behavioral health treatments for a variety of mental and physical conditions. Today, we often equate behavioral health only with mental health, but the term is broader than that, both historically and at the moment. It may also encompass any treatment for behavior-affected conditions such as hypertension, prediabetes and substance […]
Posted on May 12, 2017 | By Advanced Medical Reviews
A healthy workforce is vital to a thriving business. Beyond keeping premiums affordable and basic healthcare accessible, today’s employers are facing several challenges to controlling the cost of health insurance: The U.S. Bureau of Labor Statistics estimated that inflation for medical care in American cities fluctuated between approximately 2 percent and 5 percent (in terms […]
Posted on May 3, 2017 | By Advanced Medical Reviews
Wondering where an IRO fits into the external review process? How about whether an RN versus an MD can approve or deny a case? Check out our infographic on The Life of a Group Health Case to learn about physician-level reviews and the role of an IRO in Group Health plans!