September 2010 Archives

A Fresh View on Healthcare Reform - Simplified!

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How can health care reform be simple you say? Well, as Joe Paduda pointed out earlier this week on his blog post Health reform explained - simply!, Kaiser Family Foundation has tackled the task and offers some great tools to help navigate the confusing sea of information. Start with the detailed view Health Reform Implementation Timeline, check out their interactive timeline tool and watch their very cool video titled "Health Reform Hits Main Street."

Hope you enjoy the video. Thanks to the wonderful folks at Kaiser Family Foundation for taking the time to break it down for us. Check out their website - Health Reform Source - for more information and tools you can use to analyze healthcare reform. 

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America - A Nation in Pain

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Did you know September is Pain Awareness Month? Statistics show that over 76 million people in the U.S. are affected by chronic pain. The National Institute of Health estimates that the cost of managing America's pain exceeds $100 billion per year. This includes healthcare expenses, loss of income and lost productivity in the workplace. Several reports show that pain, often associated with chronic conditions, affects more Americans than diabetes, heart disease and cancer combined. 

Want to get involved with making improvements to how America manages pain? There's still time to get involved with the Virtual March on Washington and other efforts to improve pain management, organized by The American Pain Foundation. Watch a video overview of this year's activities:


For a very in-depth primer on all things related to pain, bookmark Pain: Hope Through Research by National Institute of Neurological Disorders and Stroke. There you will find a brief history of pain, definitions, treatment options and a wealth of resources. 

Here's another handy fact sheet - Pain Facts and Stats - by American Pain Foundation.

Other News Bytes...

Finding The Right Doctor

What's one of the most essential, basic elements to managing workers' comp claims effectively? Finding the right doctor, of course! Our friends at Workers' Comp Insider recently shared an invaluable tool worth repeating in their post - Required reading: finding the best docs. So here it is, A Guide To High-Value Physician Services in Workers' Compensation developed by American College of Occupational and Environmental Medicine (ACOEM).  

All That Twitters: Paris Hilton and Claims Investigators

Read how the International Association of Special Investigation Units (IASIU) used Paris Hilton's legal troubles as reference in a workshop about leveraging social media when investigating fraud cases in an article by Claims Magazine, Paris Hilton Arrest Offers Lessons for Investigators. 

Watch for more info on selecting the right physician for your workers' compensation claims, coming soon. 

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Miami's Jackson Memorial Hospital incorporates swimming with dolphins as part of a unique aquatic rehabilitation program for paraplegics and quadriplegics. Stephanie Godsea, a physical therapist at Jackson says "We have a whole swim program for outpatients," as reported by the Miami Herald last week. "Patients come once a week and at the end of the summer they can swim with the dolphins. This is like their graduation." Read the entire article A kiss from a dolphin brings therapy, smiles. Be sure to watch the video clip. The Miami hospital has been organizing the rehab therapy swim with the dolphin trips for seven years and even coordinates fundraising to pay for the trips.

Musculoskeletal and Connective Tissue Disorders Leading Driver of Disabilty Claims

A recent study by the Council for Disability Awareness found that companies paid more than $8 billion in ongoing disability insurance payments to individuals in 2009, including a record 627,000 individuals on long-term disability.

The study, titled 2010 CDA Long-Term Disability Claims Review, highlights some very interesting statistics. Here are a few tidbits:

  • musculoskeletal/connective tissue disorders continue to rank as the leading cause of disability
  • cancer is the second leading cause of new claims, but fourth leading cause in existing claims
  • little to no evidence that the current economic situation has impacted claims in any significant way
  • disabled worker population shows dramatic growth; e.g. the number of disabled workers receiving SSDI payments continues to dramatically outpace growth in overall covered worker population
  • women and disability: 78% increase in the number of female workers getting SSDI payments over past decade vs. 46% increase in disabled male workers

Risk and Insurance online offers this related article about the study Increase in Disability Claims Driven by Musculoskeletal Disorders.

Social Networking and Workers' Comp?

Our friends at Workers' Comp Insider share some insight on how social networking intersects the world of workers' compensation and the law in their blog post titled Social networking, workers' comp & the law. A very interesting read with references and links to other resources and a video clip offering an overview of how social media is changing the way we connect.

 

 

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Finishing up our 3-part series on the Workers' Compensation Big 3 Trends as reviewed by Kevin Glennon, vice president of clinical services...

Infectious diseases continue to be the leading cause of death worldwide. It is the 3rd leading cause of death in the U.S. Here are some facts Kevin wants you to know in regards to antibiotic-resistant disease:

  • The Institute of Medicine estimates the annual cost of treating antibiotic-resistant infections in the U.S. is upwards of $90 billion
  • Doctors currently prescribe antibiotics for outpatients about 150 million times per year
  • The Centers for Disease Control (CDC) estimates that 50% of all antibiotic prescriptions are unnecessary
What can we do about drug resistance?

  • Change prescribing patterns of physicians
  • Evaluate prophylactic use
  • Regulation of antibiotic use in livestock
  • Centralize tracking of outbreaks
  • New drug therapies
  • Patient education
  • Public health measures
Want more information? Visit the National Institute of Allergy and Infectious Diseases and the Centers for Disease Control - they have a wonderful set of tips for the proper use of antibiotics -- see Snort. Sniffle. Sneeze. No Antibiotics Please!

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Continuing our 3-part discussion of Workers' Compensation Big 3 Trends, as reviewed by Kevin Glennon, vice president of clinical services, the second trend to watch is the aging workforce

According to the Bureau of Labor Statistics, during the period 2006 - 2016:

  • the percentage of workers in the workforce age 55 - 64 is expected to climb by 36.4%
  • workers between ages 65 and 74 and those age 75 and older are expected to soar by more than 80%
  • these numbers do not yet reflect the aging of the baby-boom population, since none had yet reached age 65 at the time the research was completed
Occupations with highest median ages:

  • Farmers have the highest median age (52) of all occupations in the country
Occupations with the next highest median age (41.2) were:

  • Real estate agents / property administrators
  • Ministers of religion
  • Bus drivers and other transit operators
  • Senior managers in health, education, social and community services
  • Senior government managers
Why is an aging workforce an important trend to watch?

  • Increased risk for fatal work injuries
  • More time required to return to work following an injury or illness
  • Less likely to receive training as jobs change
  • Growing concern over aging worker safety as workforce stays active past retirement age
  • Increased potential challenges that could lead to serious, long-term injury with little hope of recovery to a normal life
Top 10 Injuries for workers aged 50 - 70 by volume 1998 - 2002:

  1. Wound, finger
  2. Lumbar sprain
  3. L-S sprain
  4. Knee sprain
  5. Shoulder sprain
  6. Knee contusion
  7. Wound, hand
  8. Contusion, face
  9. Carpal tunnel syndrome
  10. Sprain, neck
Top 10 injures for workers aged 50 - 70 by medical costs (cost in millions of $) 1998 - 2002:

  1. Rotator cuff sprain: $29
  2. Lumbar sprain: $24
  3. Lumbar disc displacement: $23
  4. L-S sprain: $12
  5. Tear medial meniscus: $11
  6. Carpal tunnel syndrome: $7
  7. Sprain - knee: $7
  8. Sprain - shoulder: $6
  9. Sprain - neck: $6
  10. Cervical disc displacement: $5
Tips to prevent injuries with the aging workforce include:

  • Focus on workplace safety with an attempt to eliminate slips and falls
  • Implement ergonomic principles to reduce the risk of exertion type injuries
  • Reduce the physical demands on aging workers, i.e. in regards to lifting, pulling or twisting
  • Avoid above-the-shoulder work
  • Eliminate squatting, stooping and kneeling
References include:


Would you like to have Kevin Glennon make a presentation to your team of claims professionals about how the Workers' Compensation Big 3 Trends are impacting your workers' comp claims? TMS CEUs are certified for Adjuster, CCM, RN, CDMS and CRC credits. Call 1-800-700-9393 to schedule a CEU presentation at your office. Or, check our complete listing of CEU topics. Certain restrictions apply, please call for details.

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Workers' Compensation Big 3 Trends - Part 1 of 3 (Obesity)

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According to Kevin Glennon, vice president of clinical services for Total Medical Solutions, there are three growing trends that demand your attention if you have anything to do with managing workers' comp claims. When giving one of his more popular CEU presentations, he refers to these trends as "The Workers' Compensation Big 3." These are: 1) Obesity, 2) Aging Workforce and 3) Antibiotic Resistant Infections. 

Why should these trends matter to you? Because, as Kevin points out, the National Council on Compensation Insurance Inc.'s latest review of workers' comp claims shows:

  • Overall claim frequency is DOWN (4%)
  • Indemnity and medical severities continue to RISE
  • High cost permanent total claims continue to RISE
So, with claims frequency down and complex claims and related claims costs on the rise, it stands to reason that we should get to know these "red flag" trends and do our best to manage the claims that fall in these categories. 

Obesity: Understanding Big 3 Trend #1

Some facts you should know about obesity and how they impact workers' comp claims:

  • Obese claims are 2.8 times more expensive than non-obese claims at 12-month maturity
  • Cost difference climbs to a factor of 4.5 at 3 year maturity; and to 5.3 at 5 year maturity
  • Cost difference at 5 year maturity is less for females than for males
Obesity is SUPERSIZING Workers' Compensation Costs:

  • $147 billion in 2008 vs. $78.5 billion in 1998
  • 46.6% increase
  • 27% of increased medical costs are directly related to obesity
  • Approximately 1/3 of all Americans are considered obese (>72 million)
  • $62.7 billion in direct costs (medical)
  • $56.3 billion indirect costs (includes lost work days)
Kevin says "Watch out!" for these co-morbidities:

  • Hypertension
  • Dyslipidemia
  • Diabetes
  • Coronary heart disease
  • Stroke
  • Gallbladder disease
  • Certain types of cancer
  • Osteoarthritis
  • Orthopedic problems
  • Impaired mobility
  • Peripheral vascular disease
  • Kidney failure
  • Sleep apnea
Would you like to have Kevin Glennon make a presentation to your team of claims professionals about how obesity impacts your workers' comp claims? TMS CEUs are certified for Adjuster, CCM, RN, CDMS and CRC credits. Call 1-800-700-9393 to schedule a CEU presentation at your office. Or, check our complete listing of CEU topics. Certain restrictions apply, please call for details. 

And in related news, Cara Barde, president of Total Medical Solutions, authored an article on the topic of obesity in Florida Underwriter. It's called Obesity: The Big Fat Cost Driver. Read how TMS employees took matters into their own hands and inspired themselves to lose over 400 pounds!


Coming Soon: 

Aging Workforce: Understanding Big 3 Trend #2; and 
Antibiotic Resistant Infections: Understanding Big 3 Trend #3

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Fred Hosier of SafetyNewsAlert.com reports that a jury in Chicago has awarded the largest individual verdict in a popcorn lung disease case. A jury awarded $30.4 million to Gerardo Solis who has worked for about 20 years in plants that processed diacetyl, a butter flavoring commonly used as a popcorn flavoring. Read the entire story Jury awards $30.4 million in worker's popcorn lung lawsuit.  

Physician Dispensing in Florida

For an interesting take on physician dispensing in Florida, read Joe Paduda's recent blog post on the topic -- MCM's Investigative Reporting -- physician dispensing in Florida. Not only does Joe give you his honest opinion on why this topic should be causing you heartburn, he provides an excellent "peek behind the curtain" in terms of some of the players in the current political race for the governor's office in Florida. Very interesting reading.

Remembering Katrina

And if you haven't yet had enough of the news networks' review of what happened five years ago when Katrina redesigned New Orleans, here is a great piece by Julie Ferguson of Workers' Comp Insider, see Remembering Katrina. She does a fantastic job of correlating the devastation Katrina caused to the health issues that still prevail in the area. Sadly, while there has been a great deal of rebuilding of the physical structures there, and much has been accomplished, the toll has been very high on the health and emotional well-being of the residents there.

And one final thought on Katrina, watch the trailer for The Big Uneasy, a film by Harry Shearer, actor/comedian and New Orleans resident. The film played on the big screen for one day, August 30, to mark the five year anniversary of Katrina. It is a documentary film that explores whether or not the devastation Katrina caused was a natural or a man-made disaster. Hoping it will be available on DVD soon...

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Total Medical Solutions

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This page is an archive of entries from September 2010 listed from newest to oldest.

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