National Workers’ Compensation and Disability 2017

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Where's the "Care" in Managed Care? Fixing Misaligned Incentives (Room Islander D-E)

07 Dec 17
10:45 AM - 11:45 AM

Tracks: Program Management, Program Management

Workers' compensation managed care is well-intentioned. But entrenched system incentives regularly misalign employer and service provider interests. Unnecessary, costly and potentially harmful medical treatment may be rewarded rather than eliminated. Learn how workers' comp managed care evolved from a great idea to a system that may ignore what’s best for injured workers and claims payers. Denise Algire and Frank Pennachio will discuss flaws in percentage-of-savings models, fee-splitting and other common payment arrangements while also reviewing methods for measuring quality and outcomes beneficial for injured workers and employers.