Mar 4, 2024 | Company News
King of Prussia, Pa. (March 4, 2024) – MedRisk, the nation’s largest managed care organization dedicated to the physical rehabilitation of workers’ compensation patients, unveiled its 2024 Industry Trend Report today. The report offers an analysis of physical therapy utilization and outcomes within the broader U.S. healthcare system, shedding light on opportunities for improvement and innovation within workers’ compensation.
“By extending our gaze beyond the confines of workers’ compensation and tapping into the wealth of research and experience within the broader U.S. healthcare system, our 2024 report aims to share valuable insights that can drive positive change for injured employees and claims payers,” said Brian Peers, Vice President of Clinical Services and Provider Management.
In the 2024 Industry Trends Report, MedRisk examines data from the broader healthcare market to see where the use of physical therapy over treatment alternatives is delivering positive clinical and economic benefits and what the industry can learn by looking at decades of MedRisk’s own data.
Current: MedRisk’s also looks at psychosocial factors to recovery and have provided the workers’ compensation industry with a helpful framework when evaluating digital MSK tools.
MedRisk’s report also looks at psychosocial factors influencing recovery and provides the workers’ compensation industry with a helpful framework when evaluating digital MSK tools.
In the report, readers will learn:
- How systems outside of workers’ compensation are viewing physical therapy
- Where speed to PT plays into overall financial and medical outcomes
- How a patient’s initial psychological state impacts recovery time
- The best way to view emerging digital MSK innovations in physical therapy
View MedRisk’s 2024 Industry Trends Report at https://www.medrisknet.com/industry-trends-report-2024.
About MedRisk
Based in King of Prussia, Pennsylvania, MedRisk is the nation’s largest managed care organization dedicated to the physical rehabilitation of workers’ compensation patients. For more information, please visit www.medrisknet.com or call 800-225-9675.
Media Contact: Katie Peveraro, MedRisk, 610-768-5812, ext. 1151, kpeveraro@medrisknet.com
Jan 9, 2024 | Company News
KING OF PRUSSIA, Pa — MedRisk, the leader in managed physical rehabilitation in workers’ compensation, has announced its acquisition of Medata, one of the leading providers of cost management and clinical solutions in the United States.
With this acquisition, customers of both companies will have access to expanded care management and cost containment offerings in workers’ compensation.
“We are excited to add Medata to our team,” said Sri Sridharan, MedRisk CEO. “This will further enable us to deliver superior claims outcomes and experience for our customers, for the patients we serve every day, and for our provider partners. In addition, we will now be able to leverage our inventory of data from both organizations so we can deliver unique insights and additional innovative solutions.”
Based in Irvine, California, Medata provides the most comprehensive cost containment and document management solutions in the workers’ compensation and auto liability industries.
“We are thrilled to become part of MedRisk,” said Medata President Tom Herndon. “Our companies recognize customers want greater alignment among their service partners, and this change strengthens our foundation and will drive investment into product innovation. Together, we will leverage our collective resources to continue delivering exceptional products and services to our customers.”
“For 30 years MedRisk has focused on creating a better experience for patients, our customers, and the entire industry,” said Mike Ryan, MedRisk Executive Chairman. “The addition of Medata is a natural and exciting step forward for us to further accomplish that mission.”
About MedRisk
Based in King of Prussia, Pennsylvania, MedRisk is the nation’s largest managed care organization dedicated to the physical rehabilitation of workers’ compensation patients. For more information, please visit www.medrisknet.com or call 800-225-9675.
About Medata
Based in Irvine, California, Medata provides the most comprehensive cost containment and document management software and solutions for the insurance industry. The company serves insurance carriers, self-insured companies, third-party administrators, state funds, and public entities in the workers’ compensation and auto liability industries. For more information, please visit www.medata.com or call 800-854-7591.
Media Contact
Helen King Patterson, King Knight Communications, 813-690-4787, helen@kingknight.com
Nov 7, 2023 | Uncategorized
MedRisk is sponsoring the 2023 Kids’ Chance of America Awareness Week, November 13-17, 2023.
Kids’ Chance Awareness Week is back in 2023, and it promises to be a meaningful and impactful event. This week-long campaign, running from November 13th to 19th, sheds light on the importance of providing educational opportunities for the children of workers who have been injured or fatally wounded on the job. Kids’ Chance is a nonprofit organization that strives to make a difference in the lives of these deserving young individuals, and this year, MedRisk proudly stands as one of the event’s key sponsors.
Every year, workplace accidents and injuries can have devastating consequences for families. Beyond the immediate physical and emotional toll, these incidents can disrupt a family’s financial stability, leaving children with limited access to educational opportunities. This is where Kids’ Chance steps in, ensuring that these students receive the support they need to pursue their dreams and ambitions through higher education. More information is available here.
MedRisk, a leading provider of managed care services for the workers’ compensation industry, has recognized the importance of Kids’ Chance’s mission and has joined hands as a sponsor for Kids’ Chance Awareness Week 2023. Their commitment to improving the lives of injured workers and their families aligns perfectly with the values of Kids’ Chance. By sponsoring this event, MedRisk is making a positive and lasting impact on the lives of these children, helping them access the education they deserve.
How Can You Help?
You can also be part of this noble cause during Kids’ Chance Awareness Week. By making a donation, you can contribute to providing scholarships, mentorships, and opportunities for these young individuals to secure a brighter future. Your support can help break the cycle of adversity that many of these children face and empower them to achieve their educational goals.
To make a donation and learn more about Kids’ Chance and its mission, click here.
Join us during Kids’ Chance Awareness Week 2023 as we celebrate the power of education and the unwavering commitment to improving the lives of injured workers’ children. Your involvement can make a meaningful difference in the lives of these young individuals, helping them build a better future for themselves and their families.
Together, we can create a more promising tomorrow for these deserving students. Make a difference today and support Kids’ Chance in their mission to provide opportunities for the next generation.
About Kids’ Chance of America
Kids’ Chance of America is a 501(c)(3) organization that provides a forum for state Kids’ Chance organizations to discuss best practices, share resources, and collaborate on projects at a national level. There are 43 state organizations, and collectively, Kids’ Chance organizations have awarded more than 6,500 scholarships across the country, totaling over $20 million. For more information, please see www.kidschance.org.
About MedRisk
Based in King of Prussia, Pennsylvania, MedRisk is the largest managed care organization dedicated to the physical rehabilitation of injured workers. One of the Inc. 5,000 fastest growing companies, MedRisk counts over 162,000 providers in its network and serves over one-half million injured workers every year. The company holds direct contracts with more than 90 percent of the nation’s top workers’ compensation insurers and third-party administrators. MedRisk, which has successfully completed a SSAE 16 Type II examination, ensures high quality care and delivers outstanding customer service. To that end, all customer service professionals, healthcare advocates and physical therapists are based in the U.S. For more information, visit www.medrisknet.com or call 800-225-9675.
Sep 7, 2023 | Miscellaneous
See MedRisk’s Physical Medicine Experts at two NWC speaking sessions
The Winning Formula: How PT Data Enhances Claim Scoring and Care Pathways for Better Patient Outcome
The rise of Big Data has allowed for the early identification of at-risk claims, but siloed data has long been an obstacle. Effective data sharing is now allowing claims professionals and providers to leverage data as a fundamental driving force to transform the patient experience – claims scoring is part of that transformation. Don’t miss this opportunity to optimize your claims management, improve efficiency and achieve better outcomes. Join us to unlock transformational change within your claims operations.
Speakers
- Brian Peers – VP Clinical Services, MedRisk
- Greg Nichols – President of SPNet, MedRisk
- Scott Parulski – AVP WC Claim Product Development, Travelers
- Skip Brechtel, Jr. – EVP Strategic Partnerships, CCMSI
60 Tips in 60 Minutes: Secrets to Understanding and Treating the Invisible
Some of the toughest challenges in workers’ comp involve treating what you can’t see. That doesn’t just mean muscle strains and low back pain, it can also mean depression, financial worries, family struggles and a list of other concerns that can negatively impact an injured worker’s ability to recover and get back on the job. Six experts, representing professionals across the workers’ comp and care spectrum, will offer their best wisdom on 60 common (and uncommon) RTW challenges you have the power to master.
Featured MedRisk Speaker
- Brian Peers – VP Clinical Services, MedRisk
Apr 6, 2023 | Legislative Update
Here is a summary of legislative and regulatory developments and challenges for the first quarter of 2023 and their practical implications:
Pennsylvania Court Decision on BWC Fee Review Authority:
The Commonwealth Court of Pennsylvania ruled that the Bureau of Workers’ Compensation Fee Review Hearing Office does not have the statutory authority to order reimbursement for overpayment of medical services. In its opinion in Philadelphia Surgery Center v. Excalibur Insurance Management Services LLC, the Court reversed the BWC’s Fee Review Section’s order compelling the provider to reimburse the payer over $54,000 in overpayments. The Court found that, although the subject matter was within the hearing officer’s purview, the fee review statute doesn’t authorize the Hearing Office to require reimbursement of an overpayment.
In support of its determination, the Court explained that the fee review process permits providers to challenge underpayments or denials of payment, but does not give insurers the reciprocal right to use the fee review process to obtain reimbursement of an overpayment. As a result, “an insurer is simply stuck with its own improvidence when it pays too much in the first instance during the billing process.”
Implications: The Court noted that any balancing of payers’ remedies is in the hands of the Pennsylvania General Assembly, and legislators have been reluctant to act on these matters in the past. In the absence of legislative relief, payers and their agents need to be very careful adjudicating Pennsylvania provider bills.
Impact of the End of the Covid Emergency on WC Telehealth:
The Biden administration has announced its intent to end the COVID-19 National Emergency (NE) and the COVID-19 Public Health Emergency (PHE) on May 11, 2023. During the pandemic, many state governments relaxed existing impediments to the delivery of telehealth within their borders to patients within the general health care sector. Sometimes the loosening of telehealth regulation was the result of statutory enactment, but often it was the result of executive orders from the governor’s office, with expiration dates dependent upon current NE or PHE designation.
According to the federal CARES Act passed in 2020, many forms of telehealth, including physical therapy, were granted waivers to bill for services delivered via telehealth under Medicare for as long as the PHE was in place. In 2022, Congress extended telehealth flexibilities through 151 days after the PHE ends, and the U.S. Centers for Medicare & Medicaid Services (CMS) followed through with the change in the 2023 Medicare Physician Fee Schedule. Then late last year, Congress extended that ability again to Dec. 31, 2024.
Implications: The reason that CMS telehealth regulations are important to the continuing delivery of telehealth to injured workers is that many WC regulatory agencies follow CMS reimbursement rules in approving services eligible for payment by WC payers. In fact, two important jurisdictions, California and Texas, have adopted CMS telehealth guidelines and can be expected to follow them at least for the near future.
Nevertheless, other key jurisdictions such as New York appear to be following a more restrictive approach to telehealth delivery to their residents in general, including injured workers. This means that the prospects of WC telehealth into the intermediate future are unsettled.
