Aug 15, 2025 | Insights
With industry challenges like healthcare consolidation, rising costs, and an explosion of available data, casualty claims must rapidly evolve. MedRisk leverages a combination of human touch and AI-powered data analytics to deliver three core solutions that transform outcomes in today’s challenging environment.
Faster Recovery
Get injured workers back to productivity sooner through early intervention and streamlined care access. Solutions such as our nurse triage and Provider SmartMatch help reduce treatment delays, delivering measurable improvements in recovery timelines.
Smarter Spending
Control escalating medical costs and maintain payment integrity through rigorous bill review services and treatment reviews. Every dollar is validated and audited to eliminate waste and overutilization.
Frictionless Payments
Modernize payments and transactions with automated, digital-first platforms. Everyone involved gets paid quickly and accurately while reducing administrative overhead and manual errors.
Ready for what’s next. These three solutions work together to tackle today’s pressures while positioning your organization for future challenges in casualty claims.
Aug 13, 2025 | Insights
Chocolate and peanut butter. Oil and vinegar. Salt on caramel. Pineapple on pizza. At first, they seemed like strange combinations. But over time, they proved to be unexpected success.
But managed physical therapy and bill review?
In today’s workers’ compensation landscape, inflation, consolidation, and evolving billing practices are driving up duration of recovery and medical costs. The industry faces unprecedented challenges, but at MedRisk, we’re meeting them head-on with one clear goal: helping people recover and reach maximum medical improvement (MMI) faster, all while controlling costs.
How are we doing it?
- Decades of industry expertise to navigate the growing complexity.
- $50 million invested annually in cutting-edge technology.
- And yes, AI, because smarter tools lead to better results.
Through our integration of Medata and StrataCare, we’ve built a deeply connected organization that delivers real, tangible solutions:
- Care Direction: Guiding patients on the most effective recovery paths.
- Care Engagement: Keeping patients on track and progressing toward recovery.
- Payment Integrity: Reducing waste and improving accuracy.
- Network & Negotiations: Maximizing savings through an optimized network solution.
- Payment Solutions: Simplifying workflows at scale for greater efficiency.
By combining expertise and innovation, we’re solving the industry’s toughest challenges and setting a new standard for both recovery and cost management.
Nov 6, 2024 | Insights
Workers’ comp is changing, and with it comes a fresh perspective on injured workers. We have the opportunity to dive deeper into more of the real challenges and needs of employees on the road to recovery. This isn’t just a shift in perspective—it’s a chance to transform how we approach injury, treatment and long-term support.
We can obtain a broader, more insightful view of an injured worker’s recovery journey that goes beyond the injury itself. Social factors, mental health and economic pressures are increasingly shaping outcomes, impacting every step of recovery. With today’s data, we can even trace patterns in past treatments to anticipate future care needs or potential complications.
This holistic approach is opening new doors in our industry, and every new factor that data can reveal counts in helping employees heal and thrive.
Social Barriers to Effective Treatment.
Understanding factors like race and economic stability is becoming crucial to treating injured workers.
The Study: Recent research on new patients at a Level 1 trauma center orthopedic clinic highlights this reality: housing insecurity, limited access to transportation and financial strain all correlate with poorer physical and mental health outcomes. Social conditions are not just side factors, but rather central elements shaping recovery and injured workers’ overall well-being.
Key Takeaway: Financial hardship emerged as a powerful predictor of mental health struggles in these evaluations. Patients facing difficulties affording medications or lacking reliable transportation reported significantly higher distress levels. This link underscores how financial strain is not just a logistical barrier—it is a major contributor to mental health challenges that complicate the healing process.
What you can do: Practical solutions to overcome these social barriers could including ensuring that entitlement to supportive services and funds are communicated clearly. For example, stress can be reduced when services like transportation or translation are delivered or offered timely and effectively.
Click Here for Full Study
Diving Deeper – Rotator Cuff Repair Risk Stratification
Social determinants of health have a profound impact on recovery outcomes, even for highly specific procedures like rotator cuff repair (RCR).
The Study: A comprehensive review of 32 studies spanning seven countries and over 100,000 patients who went through RCR operations revealed how factors such as income, education and support systems can shape access to care and influence recovery.
Key Takeaway: In the review, patients facing these factors experienced higher rates of failed repairs, more frequent revision surgeries and a reduced ability to return to work.
What you can do: Recovery is not solely about medical treatment; it’s deeply intertwined with larger social conditions that exist outside the injury itself. Moving forward, these determinants should be identified and tracked to ensure we can fully understand their impact in worker’s comp.
Click Here for Full Study
Predictive Insights for Future Treatments
Analyz
ing past treatment outcomes can allow for new valuable insights into an injured worker’s risk for future complications.
The Study: A groundbreaking study analyzed more than 17,000 workers’ comp claims for knee surgeries conducted between 2007 and 2017, focusing on the experiences of injured workers who underwent arthroscopic meniscectomy (AM).
Key Takeaway: Results revealed that injured workers who underwent AM were more than twice as likely to need total knee arthroplasty (TKA) later on.
What you can do: Being proactive by identifying these critical predictors can allow all parties involved to craft more precise treatment plans, better optimize resource allocation and ultimate facilitate faster recoveries for injured workers.
Click Here for Full Study
Recognizing and addressing the social and economic challenges that injured workers face will be pivotal in the future of workers’ comp. It’s time for payers and providers to rethink their strategies and recognize that healing extends beyond the physical injury and instead encompasses the broader context of each worker’s life.
