• Claims sector to face up to technological changes


    Posted on 03.22.18

    HOUSTON — Insurance claims professionals likely won’t be replaced by computers as new technology is introduced, but companies in the sector will need to embrace the changes to better perform their functions, a panel of experts said. Automation of claims at some level will free up time and resources for more complex cases that will more »

  • Innovations in Managed Care – Options for the Future


    Posted on 03.01.18

    On February 15, 2018, Linda Lane, president of Harbor Health Systems, moderated a panel on “Innovations in Managed Care – Options for the Future” for the Case Management Society of America (CMSA) – Southern California Chapter. The panel included the following participants (from left to right): Kevin Glennon, RN, Vice President of Clinical Programs, One more »

  • Health System Cuts Workers’ Comp With Best Docs


    Posted on 02.09.18

    Health systems can significantly reduce their workers’ compensation expenses by identifying and using high-performing physicians in medical networks, according to the experience of operators of one system in California, which saw overall claims costs reduced by almost 20%. The premise of the program is that if one begins with treatment rendered by top-performing physicians who more »

  • Adoption of Value-Based Care Continues


    Posted on

    Adoption of Value-Based Care Continues Tying payment to outcomes will require a paradigm mindset shift in workers’ comp. By: Angela Childers | January 30, 2018 • 4 min read   Over the past decade, value-based care has been on the rise, and the trend toward tying patient results to compensation doesn’t appear to be fading. While in more »

  • New Research Shows Impact of Underlying Conditions on Workers’ Compensation Claims


    Posted on 12.21.16

    In this Property Casualty 360 article written by Linda Lane, president at Harbor Health Systems, she examines research findings that confirm the significant impact that comorbidities have on claims outcomes in workers’ compensation. Claims involving comorbidities are often associated with higher costs and increased duration, but the latest research from Harbor Health Systems undeniably demonstrates more »

  • Focus on Change: Advancing Workers’ Compensation Medical Management and Access to Care


    Posted on 10.26.15

    The 2015 Medical Directors Meeting combined frank and insightful discussions, new data on results in medical management and indemnity costs, and ideas for continuing to improve the system’s efficiency and patient outcomes. “I always look forward to our annual meeting because I get the opportunity to connect with some of the most forward-thinking individuals in more »

  • Social Media Insights for Workers’ Compensation Professionals


    Posted on 06.12.15

    While we’ve only been using social media actively for about a year now, we’ve found it has helped connect us with other industry professionals in order to discuss the trends and challenges being experienced currently within the marketplace. As a result, we’ve been able to engage in more meaningful dialogues and we’ve begun building a more »

  • MPNs Celebrate 10 Years: Tips on Improving MPNs in 2015


    Posted on 04.23.15

    With MPNs turning ten years old this year, it’s only fitting to take a step back and examine their effectiveness and what could be done to improve them moving forward. Recent regulatory enhancements have lowered costs for MPN implementation by more than $100,000 for large employers and the regulatory changes are working. Costs are lower more »

  • Utilization Review: Making It Work for the Workers’ Compensation Industry


    Posted on 01.30.15

    Utilization Review may not be physicians’ favorite aspect of patient care for good reason: it takes up staff time and office resources, and it could delay care and impact payment. Five important UR-related questions raised by physicians at last summer’s Harbor Medical Director Meeting are: Are the savings to the insurance company significant enough to more »

  • You might be a high-performing physician if…You are reviewing regulatory requirements and disability management techniques


    Posted on 12.18.14

    Our third and final post in our three-part blog series, examining what characteristics distinguish high-performing physicians. The third and final blog in this series looks at whether physicians are fulfilling regulatory requirements and how they deal with disability management. The DWC has become big on timeframes and penalties – if you’re not fulfilling regulatory requirements more »