Workers’ comp is on auto pilot?  Many employers believe workers’ compensation is not a big cost savings opportunity because state systems are slow to innovate and costs are increasing faster on other lines of insurance, like property, employer’s liability and cyber.

But economic pressures and competition for talent are driving renewed interest in better medical outcomes and cost savings.

Physician-led nurse case management is delivering results.

Melissa Tonn, M.D., president and chief medical officer of OccMD, provides a true evidenced-based approach to medically managing work injury cases. She is the most highly credentialed occupational health physician and works with a long-tenured team of nurse case managers who are directly employed by OccMD.

How does OccMD achieve better medical outcomes on tens of thousands of complex injury cases for America’s leading employers? Our Medical Director:

1. Engages in collaborative discussions with clinic senior leadership and treating specialists;
2. Refers care at the right time to the most appropriate medical provider – many of whom do not otherwise accept workers’ comp cases;
3. Has the unique ability to authorize diagnostics or procedures, including surgeries, without delay, or to propose alternative pathways to achieve the best outcome;
4. Secures timely causation and extent of injury determinations to ensure that care and treatment are focused on the occupational injury, taking into consideration the impact of comorbidities and biopsychosocial factors;
5. Understands key medical terminology, like pre-existing condition, aggravation, exacerbation and major contributing cause;
6. Knows the importance of appropriate use of MRIs and the impact of timing, interpretation and communication of results;
7. Reduces or eliminates variability, adversity, and the lack of accountability common in workers’ comp pre-authorization processes;
8. Ensures treating and IME/peer review physicians have all the pertinent information, then scrutinizes their reports for inaccuracies and misinformation;
9. Considers medically relevant social media and surveillance; and
10. Writes any case report with the understanding you may see it again, and mitigates the risk of surprises. 

To learn more, go to www.occmd.com, email engage@occmd.com or call 800-248-7599.

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