Physical Medicine: From Transactional to Strategic

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Presentation transcript:

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 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

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

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

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

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

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

Managed Care Physical Medicine: From Transactional to Strategic

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

Biopsychosocial Model Physical Medicine: From Transactional to Strategic

Transformation Physical Medicine: From Transactional to Strategic

Physical Medicine: From Transactional to Strategic