Category: Workers’ Compensation & Utilization Management

Workers’ Compensation and Disability Reviews with IROs

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 […]

The Rise of Air Ambulance Use: Part 1 of a 2-part series

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 […]

Value-Based Reimbursement and Improving Quality of Care

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 […]

A Look Back at 100 Years of Behavioral Health

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 […]

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