Back to the Basics: Cost Control and the Role of Precertification and Utilization Review in Workers’ Compensation
3 MIN READ
Medical expenses, now averaging well over 60 percent of average claims costs,1 represent a significant impact on an employer’s workers’ compensation total cost of risk. This trend isn’t going away soon, as this average is expected to climb even higher in the coming years. Contributing to the climb are expenses incurred for treatment that are unrelated to an injured workers’ injury.
Guidewire Connections 2018
Guidewire Connections is the conference for
California Senate Bill 1160: New Utilization Review Regulations Take Effect January 1, 2018
11 MIN READ
With an effective date of January 1, 2018 for California Senate Bill (SB) 1160 rapidly closing in, many stakeholders in our industry are continuing to analyze the kind of impact the bill may have for injured workers receiving quicker access to medical treatment, utilization review (UR) volumes, and controlled costs for those in our industry.
Five P&C Hot Topics and the Trends Fueling Them
Does virtual reality have practical applications for the P&C and collision repair industries? While it may be too soon to say what the overall impact will be, we are seeing interesting applications that go beyond entertainment. Virtual reality is being used to train doctors, create architectural models, and test the safety of new car models in a virtual setting before manufacturing them. It’s easier to see the potential benefits of augmented reality.
From Airbnb to Uber: How Peer to Peer Insurance is Transforming the Insurance Industry
3 MIN READ
If you’ve ever taken Uber or stayed in an Airbnb, then you’ve participated in the peer-to-peer economy. Interestingly, Uber, which was founded in 2009, currently has a valuation of $62 billion. The company is on track to deliver 3 billion rides by the end of 2016—and the word “Uber”—as in “No need to pick me up. I’ll Uber,”—has gone from company name to generic verb for using any ridesharing service.
Corporate Responsibility: How Employee Engagement and Community Engagement Go Hand-in-Hand
Employee engagement is a top priority for every human resources executive, and for good reason. According to a PWC study, employees who are committed to the companies they work for put in 57 percent more effort and are 87 percent less likely to resign. Despite these powerful statistics, Gallup reports that only about one third of U.S. workers are engaged at work.
Understanding SB1160: The New California Utilization Review Process
5 MIN READ
In the scant months leading up to its signature by California Governor, Jerry Brown, SB1160 gained a tremendous amount of attention from those in the California workers’ compensation industry. This bill, which was signed into law on Sept. 30, 2016, speaks to persistent delays and denials of medical care for injured workers, contains reforms that could considerably impact workers’ compensation programs and influence utilization review requirements nationwide.
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