Physical Therapy Axioms: Physical Therapy Maximizing Recovery and Reducing Claims Costs

This article was cowritten by Bill Zachry and Timothy Hui, PT, DPT. I.  Restoring Function Quality physical therapy restores function and mobility, enabling a faster return to work and daily activities. Early intervention using physical therapy prevents long-term disability and chronic pain. Quality-focused physical therapy with patient engagement results in shorter disability durations, better mobility, and lower claims costs. Patients who do not adhere to their physical therapy regimen are more…

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Balancing Children at School and Parents at Work: A school calendar

There are many different life situations facing parents. One of the most rewarding and challenging is the balancing act of raising children while meeting work responsibilities. The fundamental obligation of a parent is to make sure that their children obtain the necessary education to be successful in life. Children who are engaged and supported at school usually become successful adults. Many times employers ignorantly create work situations that do not…

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Supporting Employees Who Are Balancing Care for Aging Parents With Work Obligations

Introduction Employers have a moral and legal obligation to support their employees who have parental and family obligations. One of the most emotionally challenging aspects of life is balancing caring for aging parents while meeting work responsibilities. Adult children feel the obligation to ensure their aging parents receive the necessary care to live comfortably and with dignity. Employers should recognize that caregiving obligations extend beyond those who are parents; sometimes,…

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Accurate Job Descriptions in the Workers’ Compensation System

Introduction Font-line treating physicians need a good physical job description to target the patient’s recovery and return to work.  Having a good physical job description also helps the doctor better understand the mechanics of injury to help improve the accuracy of diagnosis.  A good physical job description helps the patient and the doctor agree on the recovery return to work goals.  When the front-line clinics that treat injured workers do…

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The skills we all need to help the workers’ compensation system succeed in transitioning to the AI world

The workers’ compensation system is often seen as a fossilized benefit delivery system, with medical care provided by the lowest bidder, administered by Luddites, and adjusted by overwhelmed claims adjusters, all driven by ’attorneys' misplaced incentives. On the other hand, I see extraordinary people doing what they can to make the system work, focusing on what they can do to ensure injured workers are properly taken care of. An excellent…

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Distractions and Injury Prevention: A Risk Management Challenge

Introduction Distractions in the workplace pose a significant challenge to risk managers focused on preventing accidents and ensuring safety. Distractions can be visual, manual, or cognitive, each type posing unique risks to individuals and organizations. This paper explores the nature of these distractions, provides real-world examples, and offers practical solutions to mitigate their impact. Types of Distractions Visual Distraction: Involves taking one's eyes off the task at hand.  Manual Distraction:…

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Leveraging Defense Attorneys to Achieve Improved Claims Outcomes

Defense attorneys have traditionally focused on individual claims management in workers' compensation, primarily centered around injury, compensability, permanent disability, and future medical care. However, with artificial intelligence and data analytics, there is an opportunity to refocus defense attorneys' role to address broader systemic issues and achieve improved claims outcomes, including injury prevention. Artificial Intelligence and Data Analytics Artificial intelligence and data analytics offer new opportunities to gather insights from deposition…

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Determining the Optimum Settlement Philosophy For Employers and Injured Workers

The workers’ compensation claims settlement philosophy has a significant financial impact on injured workers and their employers. In addition to the economic issues, the nature of the workers' compensation settlement with an injured worker can also significantly impact the worker's success in moving beyond the injury and productively returning to work. For the past four decades, employers have been subject to a de facto settlement philosophy without fully understanding all…

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Reserving Workers’ Compensation Claims

Uses of Claims Reserving The rating bureaus use case reserves to help determine the pricing of workers' compensation insurance. This calculation uses the case reserves on the claim files 18 months after the insurance policy's inception. Actuaries rely on claims reserves to help determine the projected ultimate cost of the claims. They calculate a reserve loss development factor applied to the cash reserves. Their calculations use industry trends, paid losses,…

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Best Practices for Transitional Return-to-Work Programs: Light-Modified Duties & Permanent Return

Lost time is one of the top cost drivers in workers' compensation. Effective transitional return to work (TRTW) programs are the best tool for reducing lost time.  A TRTW program significantly reduces workers’ compensation costs, strengthens employee engagement, and helps employees quickly recover from injuries. Return to work is one of the best tools for the injured worker to help facilitate the recovery from an injury. Early return to work…

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