November 2017

Our e-newsletter for Enterprise Risk Management, Claim Settlement and Healthcare Solutions.

Enterprise Risk Management (ERM): 

Can Predictive Analytics Forestall Opioid Addiction?

With the recent announcement by the Trump Administration that opioid addiction is a public health emergency, is there a way to identify possible opioid abuse before abuse or addiction?  Claim professionals could learn about possible opioid abuse and addiction before it occurs with Artificial Intelligence (AI).   Read more >>

Claim Settlement, Medicare, and Medicare Set Asides:

New WCRC Contract Negotiations Continue

Recently, the Centers for Medicare & Medicaid Services (CMS) awarded a new contract for Workers' Compensation Review Contractor (WCRC) administration to Capital Bridge, LLC, a small government contactor with 2 employees, for review of Medicare Set Asides (MSAs).  Two other companies submitting bids for the work have protested the award, and CMS has issued a stop work order.  Read more >>

Healthcare:

Will The Opioid Epidemic Be Preventable and Reversible?

On October 26, 2017, the Trump Administration declared the opioid epidemic a public health emergency.  While the announcement is a step in the right direction, the lack of federal funding and administrative support may create an environment of public frustration.  Congress should immediate allocate money by using the Public Health Emergency Fund, and other means.   Read more >>

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