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Physical Medicine: From Transactional to Strategic

Physical Medicine: From Transactional to Strategic. July 22, 2016. My Background. Career Insurance Professional Twenty-five years in the Home Offices of multi-line Fortune 200 carriers Claims, finance, IT, product development Built and ran early managed care offerings

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Physical Medicine: From Transactional to Strategic

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  1. Physical Medicine:From Transactional to Strategic July 22, 2016

  2. My Background • Career Insurance Professional • Twenty-five years in the Home Offices of multi-line Fortune 200 carriers • Claims, finance, IT, product development • Built and ran early managed care offerings • Group Health and Disability • Workers Compensation • Executive at MedRisk since 2002 • Chief Strategy Officer • Responsible for product development and clinical operations Physical Medicine: From Transactional to Strategic

  3. Corporate Background • Founded in 1994 • First National WC Managed Physical Medicine Solution • Founding Objectives: • Educate the industry that physical medicine is different and requires different solutions • Craft all products and services based on clinical evidence and best practice • Improve the delivery of physical medicine through research and education Physical Medicine: From Transactional to Strategic

  4. Physical Medicine is Different The successful management of physical medicine is not just a unit cost issue Physical Medicine: From Transactional to Strategic

  5. Physical Medicine is Different The successful management of physical medicine is not just a visit issue Physical Medicine: From Transactional to Strategic

  6. Physical Medicine is Different MedRisk Day Rates MedRisk Proprietary Guidelines The successful management of physical medicine addresses: • Cost per visit • Number of visits • Services provided at each visit Physical Medicine: From Transactional to Strategic

  7. Workers’ Compensation • Property Casualty Coverage • Mandatory • Statutory – each state is different $60 Billion Physical Medicine: From Transactional to Strategic

  8. Managed Care Physical Medicine: From Transactional to Strategic

  9. Increased Importance of Functionality Restoring Functionality ACA ACOs SSDI Rx Physical Medicine: From Transactional to Strategic

  10. Biopsychosocial Model Physical Medicine: From Transactional to Strategic

  11. Transformation Physical Medicine: From Transactional to Strategic

  12. Physical Medicine: From Transactional to Strategic

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