So how do you determine whether an intervention actually works? You cannot run the same claim twice! No two claims are the same, so you cannot apply rehab to one claim then not to another and measure the difference! However, data analytics can help… we can model how a claim behaves without an intervention and […]
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June 2014 – Too much ‘medical guidelines’
The industry of providing medical guidelines has been around for many years, and it’s an important part of the claims management process to understand the depth of the medical issue that is diagnosed on a claim. However, there are a couple of reasons why this approach is flawed. Recovery rates are influenced by many other […]