Auto Casualty’s Next Move: Optimizing Billing Review for Auto Injury Claims
June 24, 2022 | Categories: ODG by MCG
The auto insurance industry’s fierce price competition is forcing rapid change. Auto insurance carriers who aren’t leveraging new technology and ideas to gain efficiency are losing the price war, and in turn, market share. For decades, these carriers have faced – and attempted to combat – rising medical costs. The traditional method of negotiating and […] Read More
Observations in Workers’ Comp
February 04, 2022 | Categories: ODG by MCG
As the workers’ compensation industry emerges from (learns to live with?) COVID-19, stakeholders are finding many of the same pharmaceutical issues we thought we left behind in 2019. In many states, opioids, compounds, topicals, and poorly controlled drug costs are back on the radar. Among the questions accompanying them is “to formulary or not to […] Read More
The Utilization Review Process and the Origins of Medical Necessity in Workers’ Compensation
November 17, 2021 | Categories: ODG by MCG
The Scenario: George, a 47-year-old male, injured his back at work two days ago putting a box on a shelf. He is seeing his primary care physician for the first time. George’s physical assessment revealed low back pain with tenderness upon palpation. No leg pain or numbness. He has no confounding factors. The primary physician […] Read More
Exploring the Impact of COVID-19 on Tort Liability in Workers’ Compensation
September 29, 2021 | Categories: ODG by MCG
How long can the grand bargain of workers’ compensation survive if my quid starts to outweigh your quo? That’s the question some California stakeholders are posing in the face of a wrongful death lawsuit currently winding through the state’s courts. The case presents a novel question of tort immunity for a workers’ comp community still […] Read More
ODG Helpdesk Tip: Three Steps to Help Optimize Return to Work (RTW)
August 18, 2021 | Categories: ODG by MCG
Quite often, stakeholders managing various aspects of workers’ compensation claims spend countless hours each day trying to do what is best for injured workers. However, knowing what is best can be elusive. Typically, claim managers focus on: Ensuring state government forms are filed in a timely manner Making three-point contacts and related calls as scheduled […] Read More