Author Archives: Helen Knight

NAMSAP announces agenda for 2017 Annual Conference

National speakers include Rear Admiral Pamela Schweitzer, CMS’s John Albert and U.S. Senator Bill Cassidy, MD

BALTIMORE, MD (September 7, 2017) — The National Alliance of Medicare Set-Aside Professionals (NAMSAP) has announced the speakers and agenda for its 2017 Annual Conference, taking place September 27 through September 29 at the Renaissance Baltimore Harborplace Hotel.

The conference features an impressive line-up of nationally recognized speakers, including Rear Admiral Pamela Schweitzer, PharmD, Assistant Surgeon General and Chief Pharmacy Officer, U.S. Public Health Service. U.S. Senator Bill Cassidy, MD of Louisiana and Bradley Martin, PharmD, PhD, with the University of Arkansas and a regular contributor to Centers for Disease Control (CDC) research publications, will join her on the “War on Opioids – Where Are We Now?” panel. Additionally, John P. Albert, senior technical advisor for the Centers for Medicare and Medicaid Services (CMS) Division of Medicare Secondary Payer Operations, discusses Section 111 Reporting and MSP Compliance.  

“We have excellent content and prominent speakers to cover the ever-changing landscape of MSP compliance and MSAs, making this the preeminent educational event for our industry,” said NAMSAP President Shawn Deane, JD, MEd, MSCC, CMSP, with ISO Claims Partners. Topics range from the latest on conditional payments, re-reviews, and non-submit programs to pending legislation and the impacts of the Trump administration and the new Workers' Compensation Review Contractor. Topic descriptions can be found at www.namsap.org/?page=2017AnnualAgenda.

A pre-conference session, slated for 9 a.m. to noon on September 27, updates attendees on legislation, regulations and significant case laws, the new Workers’ Compensation Medicare Set-Aside Reference Guide, and use of the RED BOOK pricing methodology. 

For registration and other information, please see www.namsap.org/events/EventDetails.aspx?id=946953 or contact Angie Coleman at angie@NAMSAP.org or 630-617-5047.

About NAMSAP

The National Alliance of Medicare Set-Aside Professionals (NAMSAP) is the only non-profit association exclusively addressing the issues and challenges of the Medicare Secondary Payer Statute and its impact on workers’ compensation and liability settlements. Through the voluntary efforts of our members, NAMSAP is a forum for the exchange of ideas and is a leading resource for information and news in this constantly evolving area of practice. The collective knowledge of our members and NAMSAP’s resources will provide attorneys, nurses, settlement planners, claims professionals, and others with the ingredients essential to their success.

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Media Contact:  Angie Coleman, NAMSAP, 630-617-5047, angie@NAMSAP.org

MedRisk promotes Mike Ryan to CEO / Founder Shelley Boyce continues to set the company’s vision as Executive Chairman

King of Prussia, Pa. (September 12, 2017) — Mike Ryan has been promoted to Chief Executive Officer and President of MedRisk, the leading managed care company specializing in physical rehabilitation within workers’ compensation. Founder Shelley Boyce is maintaining an active role as Executive Chairman.

“Mike’s strategic thinking and outstanding leadership have been pivotal to our record-breaking growth,” said Boyce, noting that MedRisk has experienced a 21 percent organic compound annual growth rate during Ryan’s six-year tenure.

As CEO and President, Ryan is responsible for MedRisk’s performance, overseeing strategic business initiatives and providing organization-wide leadership. Boyce is focusing on the ongoing evolution of the company’s product offerings and broader business partnerships.

Ryan has over 19 years’ experience in the insurance industry, having worked with major workers’ compensation carriers and third party administrators. He joined MedRisk in 2011 to develop and implement company-wide growth initiatives and became President in 2013.

"Advances in telehealth and value based care provide MedRisk with incredible opportunities,” Ryan said.  "We need to build for the future and Shelley has the entrepreneurial spirit and vision to drive those innovations.”

Founded in 1994 and listed as one of the Inc. 5,000 fastest growing privately held companies for 11 consecutive years, MedRisk counts over 115,000 providers in its network and serves almost 500,000 injured workers every year. MedRisk is the largest managed care organization dedicated to the physical rehabilitation of injured workers and holds direct contracts with more than 80 percent of the nation’s top workers’ compensation insurers and TPAs.

About MedRisk

Based in King of Prussia, Pa., MedRisk is the leader in physical rehabilitation solutions for the workers’ compensation industry. The company’s programs deliver savings and operational efficiencies that are significantly greater than traditional programs. MedRisk, which has successfully completed a SSAE 16 Type II examination, ensures high quality care and delivers outstanding customer service. To that end, all customer service professionals, healthcare advocates and physical therapists are based in the U.S. Customers include insurance carriers, self-insured employers, third-party administrators, state funds, and case management companies. For more information, visit www.medrisknet.com or call 
800-225-9675.

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Media Contacts: 
Helen King Patterson, APR, King Knight Communications, 813-690-4787; helen@kingknight.com
Rommy Blum, MedRisk, 800-225-9675 ext. 1150; rblum@medrisknet.com

 

Would you stop with the would?

The unnecessary use of the word would is one of my pet peeves.  I would disagree. I would argue… I would say…

This irritating verbal tic is incredibly common, especially among TV pundits. It sounds like they’re setting conditions.  Under some undefined set of circumstances they would agree, but we’re not quite there yet.  It seems people use it to soften statements, as if tossing would into the sentence makes the opinion less objectionable.  Most likely, people hear others saying it and mimic the habit. 

Let’s de-clutter our language, cut out the dead would.  

Bad words for claims letters

Gary Blake's article is a quick read, giving guidance on words and phrases not to use from claims letters.  Most are very common – and totally unecessary – in all kinds of business correspondence. I've always hated the "please find enclosed" line. He calls out "business-like" words that make the letter more formal and harder to understand. 

 

United We Drag?

Twenty-four hours after a video of United Airlines staff dragging a passenger off a plane (because it wanted the seat for a United employee) went viral, the CEO offered a poor apology. Everyone makes mistakes–all companies make mistakes.  How you apologize and fix the problem can mitigate the harm and sometimes strengthen relationships with customers.  This is a great article analyzing the CEO's response. 

HomeCare Connect – trendsetter in telehealth

HomeCare Connect Incorporates Telehealth into its Workers’ Compensation Home Healthcare Services

Live video interactions among injured employees, their home health caregivers and their clinicians are expected to speed the delivery of care, improve communication and increase patient satisfaction.

 

WINTER PARK, FLA. (February 28, 2017) – HomeCare Connect, which manages the quality and cost of workers’ compensation home healthcare, is integrating telehealth capabilities into its services.

Accessible via mobile telephones, computers and tablets, HomeCare Connect’s Tele-Connect is a cloud-based application that enables injured employees and their home health caregivers to meet virtually with HomeCare Connect’s clinical care coordinators to discuss treatment.

“Live video interactions are more personal than telephone conversations and help clinicians see what’s going on,” said Chief Marketing Officer Vonesa Wenzel. “If a wound is not healing properly, a treating physician can watch wound care being administered and recommend changes in real time. This accelerates the delivery of appropriate care, speeds recovery and may eliminate the need for a doctor’s office visit.”

Providing telehealth services at no additional charge to customers, HomeCare Connect will use the application to clarify treatment, educate injured employees, monitor the use of durable medical equipment, and help amputees adjust to prosthetics. Tele-Connect will also be used to take adjusters on virtual walk-throughs before, during and after home modifications.

“We’re the first home healthcare network in workers’ compensation to adopt telehealth technology,” Wenzel said, noting that some companies use it for case management and triage.  “I’m sure we’ll discover other benefits as we integrate the technology.”

About HomeCare Connect

Specializing in catastrophic cases, HomeCare Connect focuses exclusively on managing the quality and cost of home health, durable medical equipment and supplies for workers’ compensation payers. With more than 17,000 contracted network providers, its services include nursing, home infusion, respiratory therapy, speech and occupational therapy, prosthetics and orthotics, and the coordination of DME and supplies along with home modifications. HomeCare Connect’s partners consolidated their 20-plus years of workers’ compensation experience into offerings and service standards that ensure that injured workers receive excellent care in the fastest time frames at the most affordable prices. HomeCare Connect guarantees response to referrals within two hours and the delivery of an initial medical summary within two days. Based near Orlando, the privately held company serves clients nationally and can be reached at www.homecareconnect.com or 855-223-2228. 

 

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Media Contact:  Helen Patterson, King Knight Communications, 813-690-4787 helen@kingknight.com

 

Becoming a Subject Matter Expert

If you’re interested in becoming known as a subject matter expert, take some lessons from Mark Pew, Senior Vice President of PRIUM, who is profiled in this Thursday ThoughtLeader piece. Mark is a prolific speaker (392 presentations between March 2012 and January 2017) and regular media source on issues involving workers’ compensation, pharmacy management and chronic pain. He was interviewed for more than 35 articles in 2016 alone, he also writes articles for industry publications and he regularly posts original content on LinkedIn and Twitter @RxProfessor. 

I’ve worked with PRIUM since early 2012 and been in a great position to watch Mark grow in his role as “Chief Educator.” The profile lays out his journey; I’ll just note a few of Mark’s characteristics that contribute to his success as a subject matter expert for conferences and journalists. (Obviously, the first and most important step is the expert part. Mark studied the workers’ compensation industry’s pharmacy issues and developed PRIUM’s services long before hitting the speaking circuit.)

  • Makes media relations a priority.  Mark will jump through hoops to research material to prepare for an interview and meet reporters’ (often short) deadlines. After interviews, he often sends the reporters links to relevant studies, reports and other articles.
  • Dedication. I can’t count the number of times he’s spoken in California one day and on the East Coast the next.
  • Accurate and Thorough. Mark explains complicated concepts clearly and thoroughly, gaining him appreciation from journalists and high ratings from conference attendees.
  • Constantly Learning. He is always reading, talking with clinicians, state regulators and legislators and other experts.
  • Open to feedback. Mark soaks up every drop of advice on working with the media and article writing – and follows it.
  • Disciplined message. Mark came up with the concept of the RxProfessor and his original posts and presentations focus on the intersection of chronic pain and appropriate treatment. He does not deviate from the core message so when people see his name they know what to expect.
  • Driven to do the right thing.  Mark definitely wants to do the right thing for PRIUM’s clients and while pursuing that goal, he has developed empathy for injured employees who struggle with the workers’ comp system, people who suffer from chronic pain, and people who have become dependent on or addicted to opioids and other drugs. While working to correct inappropriate drug regimens, he became passionate about facilitating lifelong recovery.

Another thing that made Mark’s a subject matter expertise possible is the support of his company.  PRIUM’s president Michael Gavin is a big believer in the power of education and public relations. When Mark started speaking and writing, he was still in charge of the company’s sales and marketing. Michael absorbed these responsibilities so that Mark could focus totally on education and advocacy. 

Take a few minutes and read this article and check out Mark’s posts on LinkedIn and Twitter.  Do you have what it takes to be a subject matter expert? Let me know if I can help.  

MedRisk Launches NexGen Advantage at NWCDC

New work comp medical cost containment program delivers savings, clinical intervention and transparency.

New Orleans, La. (November 30, 2016) – MedRisk announced a new workers’ compensation cost containment service model, NexGen Advantage, at the National Workers’ Compensation & Disability Conference & Expo.

“Traditional medical cost containment program results are plateauing, yet payers are still losing between three to five million dollars in savings for every $100 million spent on medical services,” said Mary O’Donoghue, MedRisk’s Chief Product Development Officer. She noted that approximately seven percent of medical payments are improperly paid. 

NexGen Advantage is the industry’s first single solution that uses analytics and technology to identify and deliver the best combination of strategies to ensure accurate and fair medical payment of individual bills. “NexGen leverages the buying power of a mega network with more than 900,000 providers, an incredibly powerful data analytics system, and expert clinical intervention to capture additional savings after bill review, make payers’ lives easier, and improve provider partnerships,” O’Donoghue added.

NexGen Advantage runs a payer’s bill data through a sophisticated analytic that examines a number of factors, including jurisdiction, bill type, facility, and provider type. There is a single, flat access fee. Taking each payer’s business objectives into account, the program determines where a preferred provider organization is most effective and where other cost containment strategies are best for all parties.

Online access to data and peer-to-peer conversations with providers about benchmarking, coding and payments help to reduce provider confusion.

“NexGen Advantage supports a partnership between payers and providers by delivering full transparency for fair and appropriate payment, “O’Donoghue said. “This is particularly important as the industry looks toward building stronger, outcomes-oriented networks.”

About MedRisk
MedRisk is the leader in physical rehabilitation and diagnostic imaging solutions for the workers’ compensation industry. Founded in 1994 and based in King of Prussia, Pa., MedRisk is accredited under URAC for utilization management and has successfully completed a SSAE 16 Type II examination. MedRisk’s programs deliver savings and operational efficiencies that are significantly greater than traditional programs. Customers include insurance carriers, self-insured employers, third-party administrators, state funds, and case management companies.

To make a referral or obtain more information, visit www.medrisknet.com or call 800-225-9675.

 

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Media Contacts: 
Helen Patterson, King Knight Communications, helen@kingknight.com, 813-690-4787

Rommy Blum, MedRisk, Inc., 800-225-9675 ext. 1150; rblum@medrisknet.com