Category Archives: Injury Management

The Road to Recovery: Post-Acute Care in Workers Compensation

The following is directed towards all those engaged in medical travel and have been following my blog for some time. Sorry I haven’t been writing in a while. I either did not see anything to write about, or just wasn’t in the mood.

But the article below should be of extreme interest to all of you who deal with post-acute care and after care, even though you are not involved as of yet in workers’ comp.

As the original focus of the blog was transforming workers’ comp, this should be read by those of you who have followed my ideas on the subject. Let me know what you think.

NCCI, for those of you not familiar with them, is the organization responsible for collecting and distributing data about the American workers’ comp industry, what is driving the costs of comp, and of claims, and other financial data relevant to the industry’s function.

Here is the link to their article:

Source: The Road to Recovery: Post-Acute Care in Workers Compensation

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Ten Most Reported Worker’s Compensation Injuries – Machine Safety Blog

Back in March of 2015, I wrote about the top 10 causes of workplace injuries. I posited the idea that medical tourism (medical travel) could save employers money so that the workers’ comp industry would take medical travel seriously as an option for injured workers. The same holds true for the medical travel industry, as they seem to be AWOL when it comes to workers’ health.

Here is an updated report on the Machine Safety Blog from Rockford Systems, LLC:

Last year in America 2.9 million employees (U.S Bureau of Labor Statistics) suffered a workplace injury from which they never recover, at a cost to business of nearly $60 billion (Liberty Mutual Insurance). These statistics are staggering. To help gain a better perspective on the realities of workplace danger, we have compiled a list of […]

Source: Ten Most Reported Worker’s Compensation Injuries – Machine Safety Blog

Workers’ Comp and Back Surgery: Listen Up, Medical Travel

My fellow blogger, Joe Paduda has published a post today about the latest information on back injury and treatment, so I thought I’d let you read it straight from Joe, and leave the commentary out of it for the time being.

Here is the link to Joe’s article. I think you should pay heed to what he says and reports on. It might bring you more business.

 

Medical malpractice at Pilgrim’s Pride…the poultry company?

It sounds like malpractice to me. That’s what I’ve been thinking ever since learning how the injuries sustained by poultry workers are treated (and not treated) at the company nursing stations.

Source: Medical malpractice at Pilgrim’s Pride…the poultry company?

Infographic on Most Dangerous Industries in US

Back in March, I wrote an article called, “Top 10 Causes of Workplace Injuries: How Medical Tourism Can Save Employers Money“.

Today, Michael Stack, Principal of Amaxx Risk Solutions, posted the following infographic on the most dangerous injuries in the US, that illustrates more graphically the issue I wrote about in March.

Here is the link to the infographic:

http://blog.reduceyourworkerscomp.com/2015/08/workers-comp-and-the-most-dangerous-industries-in-the-u-s/

For those of you in workers’ comp, this data is a reminder of what you deal with on a daily basis. For those in the medical travel industry, it represents areas you need to consider going after if you want to implement medical travel into workers’ comp.

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I am willing to work with any broker, carrier, or employer interested in saving money on expensive surgeries, and to provide the best care for their injured workers or their client’s employees.

Call me for more information, next steps, or connection strategies at (561) 738-0458 or (561) 603-1685, cell. Email me at: richard_krasner@hotmail.com.

Ask me any questions you may have on how to save money on expensive surgeries under workers’ comp.

Connect with me on LinkedIn, check out my website, FutureComp Consulting, and follow my blog at: richardkrasner.wordpress.com. Share this article, or leave a comment below.

What Are the Transportation Guidelines for Medical Travel?

WorkCompWire reported last week that GENEX Services, a provider of integrated managed care services, has recently launched the most comprehensive guidelines for the use of transportation services, by ground or air, for workers’ compensation injuries.

Here is the link to the article on WorkCompWire:

http://www.workcompwire.com/2015/04/genex-first-in-work-comp-industry-to-develop-comprehensive-transportation-guidelines/?utm_source=WCR+Weekly+4%2F20%2F15+-+New+WCRI+Report%21&utm_campaign=WCR&utm_medium=email

The guidelines were introduced to the company’s 1,500 internal case managers in January, and the roll out to customers is underway.

The GENEX Transportation Guideline is intended to provide research-based assistance about when and where, as well as what mode and vendor is best for injured workers, including ambulance, helicopter and air transport.

The Transportation Guideline also provides direction on expenses for transportation that have already been incurred as well as for prospective or future transportation expenses.

Much of the guidelines GENEX introduced concerned workers’ compensation injuries of an emergent nature, and discusses which mode of transportation, whether ambulance or helicopter, is the best mode of transportation for a particular type of injury.

For the purpose of medical travel, especially with regard to its implementation into workers’ comp for non-emergent care, as previously quoted in my white paper, the medical tourism industry needs to devise similar guidelines for transportation, especially since much of that transport will be by air, and not by ground transportation, except to and from an airport.

But the fact remains that in order to be able to successfully implement medical travel into workers’ comp, there needs to be guidelines for transporting patients going abroad for knee surgery, hip surgery, shoulder surgery, as well as how you transport patients requiring back surgery, especially on flights lasting more than four hours, or on shorter flights that might be delayed for whatever reason, and the patient is confined to the assigned seat for a long period of time.

These guidelines should already be in place for general health care medical travel, and can be applied to workers’ comp without difficulty. Medical tourism facilitators those whose business is solely focused on orthopedic procedures are best suited to advise on transporting knee repair/replacement patients, hip replacement patients, shoulder surgery patients, etc.

These guidelines would make it more likely that risk managers, claims managers, brokers, attorneys, case managers, and other professionals involved with handling workers’ comp claims will accept the option of medical travel for injured workers requiring surgery.

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I am willing to work with any broker, carrier, or employer interested in saving money on expensive surgeries, and to provide the best care for their injured workers or their client’s employees.

Call me for more information, next steps, or connection strategies at (561) 738-0458 or (561) 603-1685, cell. Email me at: richard_krasner@hotmail.com. Ask me any questions you may have on how to save money on expensive surgeries under workers’ comp. Connect with me on LinkedIn and follow my blog at: richardkrasner.wordpress.com. Share this article, or leave a comment below.

My Response to Rebecca Shafer and Michael Stack

Rebecca Shafer, J.D. and Michael Stack, CPA are the president and principal ofAmaxx Risk Solutions, Inc., respectively.

This morning, on their blog, Rebecca wrote an article about the six things employers should do to avoid being a part of a ProPublica report.

You may be aware that ProPublica and NPR have recently reported on the harm many injured workers have received not only at the hands of medical personnel and the workers compensation industry, but even from their own employers.

I decided to write a response to Rebecca and Michael. Here is the text of my email to them:

Rebecca and Michael,

There should be a seventh item to your list. Employers should respect the health, welfare, dignity and honest hard work of their employees so that the treatment these workers have been subjected to, as stated in the reports, do not occur.

But the problem is, the American employer historically believes he is lord and master of his domain, which includes the workers and the materials he uses to make the employer wealthy.

If you don’t believe me, here is a quote from someone who knew what real industrial hell does to workers and workers’ lives:

“Capital is reckless of the health or length of life of the laborer, unless under compulsion from society.”

Karl Marx

We are seeing a recrudescence of 19th century, laissez-faire industrial capitalism, with its grinding poverty, income inequality, and now thanks to ProPublica and OSHA, a return to the days when workers lost limbs all in the name of ever greater profit for the owner, but misery and despair for the worker who is injured.

There was a case a few years ago about a company in Alabama that had serious injuries to their employees and not even OSHA could shut them down, This company was featured in a series of articles in the New York Times and on PBS, and because the business owner believed that no one had the right to tell him how to run his business, he could do whatever he pleased.

This is libertarianism, or also known as classical liberalism, and was the modus operandi of American business throughout the 19th and early 20th centuries, until reforms such as workers’ comp, unemployment insurance, the eight-hour day and other legislation consigned these problems to the dustheap of history. But one political party, with the backing of big business and billionaires, are taking us back to the bad old days.

Until the American worker is treated with dignity and respect by their employers, there will continue to be more reports from not only ProPublica, but from Mother Jones, PBS, the New York Times, and many other journalistic outlets.

The culture of greed at any cost, the culture of adversarial labor/management relations, and the push for ever greater return on investment for those who sit on their behinds and reap the benefits of the sacrifices made by workers, whether it is an arm, leg, foot, hand, or fingers must end. That will only happen when workers are treated like human beings and not like the machinery that takes their limbs or their lives.

Addressing the problems reported by ProPublica will not be solved merely by telling the employer to do a better job of managing their claims, their TPA’s and carriers, and getting better communication with their employees, but rather the discarding of the mean-spirited, and vindictive attitudes many employers manifest against any employee who gets hurt or files a claim, files a grievance, or any other proactive stance that is seen as a threat to an employer and his precious bottom line.

Without workers, nothing gets done. Without workers, there is no business, no profit, no return on investment. We are still far from a completely automated industrial production system whereby no human will ever be hurt or maimed again, so rather than go back to the bad old days of the Industrial Revolution, as many Libertarians and Republicans, and the Koch Brothers would wish, why not be more respectful and open and honest with your employees and treat them as you would want to be treated if you were them…with dignity.

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I am willing to work with any broker, carrier, or employer who is sick and tired of being bled by the Wall Street vulture capitalists and the entire medico-legal system known as workers’ comp, to save money, and to provide the best care for their injured workers or their client’s employees, while at the same time, helping to break the monopoly of the American health care cartel.

Call me for more information, next steps, or connection strategies. Email me at: richard_krasner@hotmail.com. Ask me any questions you may have on how to save money on expensive surgeries under workers’ comp. Connect with me on LinkedIn and follow my blog at: richardkrasner.wordpress.com. Share this article, or leave a comment below.