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
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

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