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Published bySuzanna Cannon Modified over 9 years ago
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1 Rehabilitation Case Managers Conference May 2012 Recovery and Support Services General Manager Update
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2 Comcare Update – What is new? Legislative changes December 2011 Comcare organisational re-shaping in December 2011 Mid-year premium valuation e-CPM releases Significant federal court matters Claim trends
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3 Our Work Together Improving return to work outcomes Getting the Basics Right Improved front end processes
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4 High level financial outlook >Early in 2012 Taylor Fry revised their estimate of outstanding claims liabilities to $2.032B >Change in estimated claim costs from Feb 2011 for injury years 2008, 2009 and 2010 by 15% to $513.8M >Forecast premium pool 25% higher in 2012/13 >Average premium rate 1.8
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5 Claims incidence rate by injury / disease (premium payers)
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6 Cost of incapacity for work Number of claims versus cost of incapacity (premium payers)
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7 Claims Lodgement Data Two key timeliness KPI’s: >Days from received by employer to Comcare >Days from received by Comcare to initial decision
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8 Ex-employees: separations by year and injury type
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9 Key Issues for Ex-Employees Following a redundancy employers still have RA responsibilities and powers – s36 and s37 S40 – take all reasonable steps to provide suitable employment Comcare’s role to provide advice about suitable employment Seek advice prior to offering a VR, Invalidity Retirement or cessation of an employee with an active claim - rights and responsibilities of the employee and employer and suitable employment, expectation setting
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10 Contemporary findings potentially impacting on adverse claim trends >Long delays between date of injury and claim lodgment with employer (disease, particularly psychological claims) >Increasing acceptance rates and claim durations for psychological claims at the EL1+ level >An increase in continuance rates for medical payments
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11 Next Steps Next steps - our focussed activity to reduce the number and cost of claims Questions ?
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