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Risk Management: Improving Workers' Comp Through Data

Posted by Genex on March 1, 2017


By Jim Harris

Unmanaged medical costs have always been a potential sinkhole for workers compensation claims. As risk managers in charge of workers comp programs strive to optimize medical costs and improve outcomes for injured workers, they must formulate a medical management approach that will yield the best results for their unique set of injuries and work conditions.

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In today’s age of sophisticated technology, data analytics may hold the key. As information is gathered in the claims process, data analytics can help reveal the trajectory of a case. The more information that is collected and assessed through the life of the claim, the better a data model can predict where a case is headed. For this to happen, however, all the appropriate data elements must come together—claims, bill review, utilization review, case management, and pharmacy benefits—to get a complete picture. 

Topics: Data analytics