Beginning in 1908, federal and state governments established workers’ compensation (WC) programs for employees in hazardous work environments. Programs were enacted in all 50 states by 1949, and the social insurance program is still regulated state-by-state today. That is not to say, however, that nothing has changed. Workers’ compensation programs have expanded and improved significantly […]
Category: Workers’ Compensation & Utilization Management
Did you know that more than 10,000 baby boomers reach retirement age every single day? It’s a staggering figure, but it makes sense considering the overall size of their generation. Born between 1946 and 1964, they are one of the largest population cohorts in U.S. history, with approximately 74 million members alive through 2016. Their […]
Privatization has emerged as one solution to curb the costs of workers’ compensation on state funds.
The high variance of WC rules and regulations by state makes it difficult to generalize about future trends.
The gold standard for evidence for EBM – randomized controlled trials (RCTs) – only emerged in the 20th century.
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 […]
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 […]
“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 […]
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 […]
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 […]