medAppraise’s proprietary tracking intelligence provides a market-disruptive means to support utilization management by:
Providing . . .
- A cost-effective method to baseline an employee population pre-injury;
- A measurable and consistent testing protocol; and
- Early identification and intervention (pre-rehabilitation) to reduce risk of injury.
Identifying . . .
- Inconsistent pain reporting (potential malingering);
- Presence/absence of pre-existing musculoskeletal injuries; and
- Effectiveness of rehabilitation or medical intervention treatment plans.
Eliminating . . .
- Inconsistent medical evaluations between examiners;
- Costs associated with unnecessary services; and
- Prolonged treatment periods and fraudulent claims.
With medAppraise’s MSDR® system, worker’s compensation insurers can:
- Reduce the incidence of claims resulting from musculoskeletal disorders.
Through a baseline and annual re-baseline of an employer’s workforce, data are generated to quantify the impact of daily “wear and tear” on the population’s musculoskeletal health. These data identify areas of disproportionate risk where preventive interventions can be deployed to mitigate future risk of injury and improve employee safety.
- Enhance return to duty determinations for injured employees.
At present, an employee’s pre-injury functional capacity is unknown. An MSDR® assessment obtained prior to the occurrence of a workplace injury sets the “goal” of therapy. Upon conclusion of post-injury rehabilitation, an MSDR® assessment can be performed to confirm the employee’s pre-injury functionality has been restored. This information reduces the risk of re-injury following return to duty.
- Lower claim-related expenses by leveraging the use of MSDR® assessments sequentially to measure the effectiveness of rehabilitation.
When the MSDR® score plateaus, it infers continuing rehabilitative care is not likely to be clinically effective and renders a cost avoidance opportunity to curtail unnecessary care. This process also identifies inconsistent pain reporting (possible malingering).
- Reduce losses from inaccurate underwriting.
Baseline and re-baseline data add an additional layer of information to enhance premium underwriting beyond the impact of injury data, which are lagging indicators. Further, client company MSDR® data can be used to compare and level set underwriting across industries.