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WorkersComp Forum™:
Principals Maddy Bowling & David Huth write a monthly columnn for Risk & Insurance's WorkersComp Forum™ focused on the latest industry trends, issues and cost-containment strategies. David's latest columns can always be found here, and Maddy's are available here.
Apr 2009:
Principals Maddy Bowling & David Huth write about new, outcome-oriented, doctor-centric models that are challenging the traditional industry PPO giants in the April edition of Risk & Insurance magazine.
Dec 2008: In their second industry-wide survey of offshoring trends, David Huth & Maddy Bowling find that the workers' compensation and disability markets may be warming to the idea of offshoring certain aspects of the claims process. The survey summary results can be found here.
Nov 2008: Maddy Bowling presented with Joel Raedeke, AVP ESIS Strategic Outcomes on the topic of using data analytics to intelligently control claim costs at the 17th Annual National Workers' Compensation & Disability conference in Las Vegas. Their complete presentation entitled, Analytics: How Your TPA's Data Can Help You Reduce Claims Costs is available here.
Apr 2008:
Risk & Insurance Magazine:
"Running Workers' Compensation Utilization Reviews" by Maddy Bowling
As industry consensus builds that spiraling WC medical costs are being
driven primarily by increasing utilization
rather than unit cost growth, Maddy provides key insights on how
companies can maximize the impact of their Utilization Review programs
in the April edition of Risk & Insurance magazine.
Mar 2008: Workers' Compensation Report:
Maddy gave a detailed interview to the Workers
Compensation Report on the increasingly important role technology can
play in creating a system that focuses on outcomes rather
than process. The full interview can be found here.
Nov 2007
- Risk & Insurance Magazine:
"The Utilization Side of the Story"
by David Huth and Maddy Bowling
Utilization management is an increasingly important component of
controlling prescription drug costs in workers' compensation. No wonder
Workers' Compensation PBMs have multiplied like rabbits! This article
helps claims payers and employers evaluate the UR capabilities of their
potential PBM partners and helps build strategies that go beyond mere
network discounts to help control prescription drug costs.
Oct 2007 - Risk & Insurance Magazine:
"Are We On Drugs?" by Maddy
Bowling and David Huth
How much are we *really* paying for pharmaceuticals in workers'
compensation? This article helps you unravel the mystery of prescription
drug pricing in workers' compensation and decide whether the prices set
by the various state fee schedules or offered by PBM network contracts
*actually* deliver true value. Nov 2006
- Risk & Insurance Magazine:
"Core Values Revealed" by David
Huth and Maddy Bowling
This article shares the results of Maddy Bowling & David Huth's
industry-specific survey on risk manager and claims payer attitudes and
experiences with both outsourcing and offshoring. Sept 2006
- Risk & Insurance Magazine:
"To Offshore or Not to Offshore?"
by David Huth and Maddy Bowling
The first of a two-part study of Outsourcing and Offshoring Trends in
Workers' Compensation. This article provides background on Business
Process Outsourcing in the insurance industry and how some major claims
organizations are exploring outsourcing options. Nov 2005
- Risk & Insurance Magazine:
The second installment of Maddy Bowling & David Huth's article on "Pushing
a Revolutionary WC Agenda" is featured in this month's Risk &
Insurance magazine. Part II of the "Revolution" focuses on
Return to Work issues.
July 2005
- Risk & Insurance Magazine:
"Pushing a Revolutionary Agenda"
by Maddy Bowling
"The comprehensive changes in the California Workers' Comp laws now
give us the chance to reshape the delivery of health care in the
workers' comp marketplace..."
Spring
2004
- Insurance International
"Managing Outcomes in
Workers' Compensation" by Maddy Bowling
"From Hands Off to Managed Care to Injury Management" answers the
following questions: Can managed care really operate as an integral
component of a workers’ compensation program? Is managed care the answer
to skyrocketing costs in the workers’ compensation line? Is there an
approach beyond managed care that might provide more comprehensive and
valuable business solutions?
Fall 2003
- The Journal of Workers Compensation:
"The Fifth Annual Survey of
Managed Care Performance"
by Maddy Bowling, David Huth & Peter Rousmaniere
"The Annual Survey on Workers Compensation Managed Care
Performance continues to ask pertinent questions about best practices in
our community of employers, medical providers, managed care
organizations, claims payers, regulators, consultants, and others. This
year we confronted the issue of the growing duration of disability as a
factor in increasing claims severity..."
Sept
2003
- Risk & Insurance Magazine:
"Part I - Rethinking 'Sacred
Cows' in Measuring Comp Claims" by Maddy Bowling & David Huth
"Our recent survey of claims payers' quality assurance programs
suggests that many companies still define quality in terms of process
measures...but recent research suggests that traditional process
measures do not have as much of an impact on claims costs as previsously
thought."
" Part II - How Emerging
Technologies Improve Claims Quality"
by Maddy Bowling & David Huth
"While many workers' compensation payers have begun to change how
they define claims quality, new technology is beginning
to facilitate a more revolutionary change in how they measure
quality..."
July
2003 - California Workers Compensation Executive Magazine:
"Ambulatory Surgery Centers: Tool or
Target in WC Cost Containment Efforts?" by Maddy Bowling & David
Huth
"Much of the blame for California’s rapidly increasing WC medical
costs has been directed at the growing use of Ambulatory Surgery Centers
(ASCs). Originally conceived of as a lower cost alternative to
increasingly expensive inpatient hospital care, ASC use has exploded
over the past decade....."
March
2003 - Risk & Insurance Magazine:
"Workers' Compensation Rate
Adequacy: Is It Enough?"
by Maddy Bowling
"Yet, as we dig deeper into the industry problems and explore the
cost trends in the charts below, we are forced to ask ourselves some
questions...
• Will premium rate increases be able keep up with increasing loss
severity?
• Even if rate increases help, how long can we count on this ‘hard
market’?
• Wouldn’t the...industry profitability improve dramatically if we
became...more successful at returning injured workers to the
workplace..."
Fall 2002
- The Journal of Workers Compensation:
'Measuring Managed Care
Performance: Fourth Annual Survey Results'
by Peter Rousmaniere & Maddy Bowling
"We are pleased to present these results from the 4th Annual
Survey of Measuring Workers Compensation Managed Care/Injury Management
Performance. Again, as in years past, the goal of this annual survey is
to provide a forum on managed care/injury management performance for
insurers, employers, managed-care organizations, physicians, clinicians,
and other professionals involved in workers compensation. We are
committed to the promotion of consensus on ways to improve the workers
compensation system...."
March/April 2002
- California Workers Compensation Executive Magazine:
'A Lost Art, RTW for Injured
Workers in California'
by Maddy Bowling
"Have we lost the "Art of RTW" in workers' compensation in
California? There was a clear intent and direction when workers'
compensation insurance was first established nationally. The original
intent was to ensure that an injured worker did not have to litigate in
order to obtain medical coverage and every opportunity to return to
work. Have we veered off course and lost our way? Let's examine the
evidence..."
August
2001 - Risk & Insurance Magazine:
'From Managed Care to Injury
Management'
by Maddy
Bowling
"Over the years in response to this cyclical life we, in Workers'
Compensation, have employed managed care concepts and tools that had
originally been introduced in the Healthcare Industry. Although it took
us several years of trial and error, we modified the Group Health
Managed Care tools to make them relevant to the needs and problems in
the Workers' Compensation industry..." |