Now that this year’s RIMS conference is over, and while we are all waiting for NCCI’S Annual Issues Symposium where they will present this year’s “State of the Line Report”, I thought I’d discuss two conversations I had today and yesterday with two individuals in CA, both of whom work for an insurance services company.
This company was mentioned in a video that was included in an article I wrote in December 2013. This video discussed how the company partnered with an insurance carrier to offer injured Mexican workers to get treatment in Mexico for injuries sustained on the job in CA.
From my conversations with these two individuals, I learned that not only are the employers covered by this insurance carrier saving money on medical care by having workers get treated in Mexico, but that it is also having the effect of lowering the litigation costs, as well as lowering the ex mod rates, because of the lower severity of claims due to the lower cost of total medical care spend.
With regard to lower litigation costs, one individual told me that 85% of all litigated cases in CA are from Latino workers. This is not due to their propensity to sue, but rather from the linguistic and cultural barriers they face working in Southern California.
I’ve mentioned the absence of linguistic and cultural barriers before with regard to the advantages of medical travel in work comp, but now I have outside proof that these barriers are responsible for higher litigation rates and costs.
On the other hand, having injured workers treated in Mexico at lower cost, and with better outcomes in facilities that are equal to or better than those across the border, especially the public facilities that may be impacted by budget cuts at the state level, and it is clear to see that employer severity (i.e., the overall cost of the claim) will have a tremendous effect on that employer’s ex mod.
In a past life, I worked on WC Statistical Reporting, so I know how important severity and frequency is to an employer. Frequency is the purview of safety people; severity can be dealt with, in part, by seeking lower cost, higher quality care outside the US.
The choice is yours.
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: firstname.lastname@example.org. 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.