))
Cost Containment and Mitigation
Manage episode 415215132 series 3363966
内容由Midwest Employers Casualty提供。所有播客内容（包括剧集、图形和播客描述）均由 Midwest Employers Casualty 或其播客平台合作伙伴直接上传和提供。如果您认为有人在未经您许可的情况下使用您的受版权保护的作品，您可以按照此处概述的流程进行操作https://zh.player.fm/legal。
Hosts Matt Yehling and Patty Reinecke are joined by Marianne Reed, Senior Claims Analyst at MEC, to discuss strategies for containing and mitigating costs in complex workers compensation claims. Marianne shares her expertise on identifying cost drivers, collaborating with stakeholders, and implementing targeted interventions to improve outcomes and reduce expenses.
Discussion Points:
- Cost Drivers in Complex Claims: Marianne outlines the medical treatments that tend to be the biggest cost drivers in complex claims, such as injections, brand name medications, spinal cord stimulators, and failed surgeries. She also describes the typical features of these claims, including multiple surgeries, psychological issues, and long-term opioid use.
- Strategies for Cost Containment: Marianne shares her approach to mitigating costs, which involves reviewing medical records, engaging MEC's resources, collaborating with stakeholders, and implementing targeted interventions like medication reviews and negotiated rates.
- Successful Claim Intervention Case Study: Marianne provides an example of a catastrophic claim where early intervention by MEC led to a successful outcome.
21集单集
分享
