Expert Analysis

We have always done it this way.   This is the epitome of workers’ compensation and the claims handling process. It is the death of creativity, innovation, and organizational development. It crushes souls, smothers hope, and […]

Evidence-based medicine (EBM) is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.”[1] The aim of EBM is to integrate the experience of the clinician, the values […]

The workers compensation system is rife with negative experiences and outcomes.   When workers get hurt on the job, the accident is usually not their fault.  They are thrust into a confusing system where the incentives […]

The IME process is not an area where claims managers want to skimp on quality. Claims that require IMEs have complexity and uncertainty surrounding them — for example, perhaps an adjuster wants to discover the […]

The workers’ compensation claims handling has been a repetitive nature of process and move on, follow the checklist for an audit, and close the claim. Process, and repeat. Go down the checklist and follow the […]

The late Secretary of Defense, Donald Rumsfeld famously said, “There are known knowns — there are things we know we know,” when asked for evidence that Saddam Hussein tried to supply weapons of mass destruction […]

A primary trait which ensures success for claims examiners is their ability to closely manage all aspects of their claims.   Unfortunately, that trait can become a barrier to claims success when that examiner transitions to […]

Empathy, noun, the ability to understand and share the feelings of another.    The workers’ compensation system was designed to restore the lives of humans who were injured during an unforeseen circumstance while at work. Helping […]