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The latest news and industry information from CompManagement Health Systems.
  • Client bulletin: Five important elements of a strong return-to-work program /  July 11, 2019  
    When an employee gets injured on the job, helping them return to work as quickly and safely as possible is the top priority. The longer they stay off work, claim costs rise and productivity is impacted. Studies show that the longer an injured employee is off work, the greater the likelihood that they will become permanently disabled. In fact, 50% of people who remain off work for 12 weeks will never return. A solid return-to-work policy is one of the best tools an employer can have to facilitate the process of getting employees back to work and controlling claim costs. CompManagement Health Systems, a Sedgwick company, works with clients to develop return-to-work plans to fit their specific business needs while helping their employees stay productive. The key elements of a successful program are highlighted in a recent blog by Beth Burry, AVP, clinical ops, Sedgwick field case management and return to work. read full story >
  • Client bulletin: Sedgwick to acquire York Risk Services Group, CareWorks Comp and CareWorks of Ohio /  July 08, 2019  
    Sedgwick has signed an agreement to acquire York Risk Services Group, a leading risk solutions provider and parent company of CareWorks Comp and CareWorks of Ohio, complementary businesses to Sedgwick’s CompManagement and CompManagement Health Systems organizations. read full story >
  • Client bulletin: Comorbidities and workplace injuries: Three ways to improve outcomes /  June 24, 2019  
    The path to recovery after a workplace injury is not always a straight line. A workers’ compensation claim can become increasingly complex due to common health conditions and comorbidities. While comorbidities are often pre-existing and not directly included in a claim, they can have a significant impact on claim costs and the injured employee’s recovery. At CompManagement Health Systems, a Sedgwick company, we focus on helping your injured employees recover and return to work – and looking at their overall health is an important part of this process. In a recent blog article, Andrea Buhl, SVP, Clinically Integrated Medical Programs at Sedgwick, shares key steps employers can take to help improve outcomes and how these actions can make a difference. read full story >
  • Client bulletin: Accommodating an aging workforce /  June 03, 2019  
    Advances in public health and medicine are enabling Americans to live and work longer, resulting in an unprecedented transformation of the workplace. What does this mean for businesses, and how is this trend impacting the workforce and management strategies for employers? At CompManagement Health Systems (CHS), a Sedgwick company, we are focused on helping your employees recover and return to work after an injury – age and overall health can have a direct impact on their success. In a recent blog article, Bryon Bass, SVP, Workforce Absence at Sedgwick, provides insightful strategies for managing and accommodating an aging workforce. read full story >
  • Client bulletin: Dr. David Kessler of CHS discusses how advocacy may improve outcomes in workers’ compensation claims /  April 04, 2019  
    Dr. David Kessler, SVP and Medical Director at CompManagement Health Systems, is featured in the March 2019 issue of SBO quarterly, published by the Ohio Association of School Business Officials. In his article, The Value of Advocacy in Workers’ Compensation, Dr. Kessler discusses what advocacy means in the claims process and the benefits it offers for employers and injured employees. read full story >
  • Client bulletin: Client bulletin: Exposure to harmful substances and BWC policy /  March 06, 2019  
    Exposure issues present an awkward challenge in the Ohio workers’ compensation system. The Ohio Bureau of Workers’ Compensation will cover the medical expenses for allowed claims that include a diagnosed injury or illness. However, if an employee’s exposure to a potentially harmful substance does not result in a medical condition, there would not be an allowed workers’ compensation claim through which any medical evaluation or preventative treatment would be covered. Ohio Senate Bill 223/Ohio Revised Code 4123.026 is a law that provides for payment for post-exposure medical services and testing of covered Ohio employees who come into contact with blood or other bodily fluids should the incident not result in an allowed workers’ compensation claim. CompManagement Health Systems has a process in place to assist clients when a first responder employee is involved in an exposure incident that fits the criteria set forth in SB 223. read full story >
  • Client bulletin: What does caring counts® mean? /  February 08, 2018  
    You may notice the caring counts® theme incorporated into many of our communications this year, as we feel this helps convey an important component that sets us apart in the industry. As your managed care organization (MCO), we care enough to help you control premiums and claim costs by facilitating the care that helps injured employees recover and return to work as quickly and safely as possible. This includes coordinating with you and your employees, as well as medical providers and the Ohio Bureau of Workers’ Compensation (BWC). read full story >
  • Client bulletin: A message to our valued clients /  January 18, 2018  
    As we begin 2018, we are very excited about the positive things taking place within the Ohio workers’ compensation industry and, more specifically, at CompManagement Health Systems (CHS). The state of Ohio has experienced record low premiums, decreased injuries, and has provided $3 billion back to employers over the past several years. The story not always told is how managed care organizations (MCOs), like CHS, play a critical role in managing claim costs. For more than 20 years, we have drastically improved First Report of Injury (FROI) processing, bill payment turnaround time, return-to-work performance, and case management and utilization review services, all of which have a direct impact on premiums. More importantly, the work we do has a direct impact on bringing injured employees back to work and to their everyday lives. read full story >
  • Client bulletin: The basics of complex claims /  June 20, 2017  
    Most workers’ compensation claims do not start out as complex. They become complex over time due to specific drivers that increase costs and duration. Being able to recognize and resolve these drivers at the right time will help reduce a claim’s likelihood of becoming complex. Root causes include litigation, opioids, comorbidities and psychosocial issues. Understanding the basics of complex claims can help you access the right resources to avoid or mitigate these root causes, recognize risk factors and impact the trajectory of potentially complex claims. The nurses, case managers and other clinical teams at CompManagement Health Systems, a Sedgwick company, work closely with examiners to help employers achieve the best outcomes in complex claims. Eddy Canavan, vice president, workers’ compensation practice and compliance at Sedgwick, discussed the key drivers in complex claims in a recent blog article. read full story >
  • Client bulletin: Preventing opioid dependence /  February 28, 2017  
    In October 2016, the Ohio Bureau of Workers’ Compensation (BWC) enacted a new rule that addresses and clarifies the prescribing guidelines for opioids, and creates financial consequences for prescribers who do not comply. The prescribing and use of these powerful pain medications have been high-profile topics for several years, and the state has taken action to try to control opioid prescriptions within the workers’ compensation system. read full story >
  • Client bulletin: New secure portal developed for CHS customers /  January 10, 2017  
    As you know, CompManagement Health Systems (CHS) routinely deals with highly sensitive information regarding medical conditions and treatment for thousands of injured employees in Ohio. It is a high priority for us at CHS, as well as a requirement of the Ohio Bureau of Workers’ Compensation (BWC), that we use great care in protecting sensitive material, including injured employees’ names and claim numbers. Over the past several years, we have utilized password-protected attachments to communicate sensitive information via email. While this method has served its purpose and met BWC requirements, we have developed an alternative for secure email transmission that we believe you’ll find more convenient to use. read full story >
  • Client bulletin: Two essential elements for a successful return to work program /  November 16, 2016  
    At CompManagement Health Systems (CHS), we are focused on helping your injured employees recover and return to work. Our expert clinical team helps ensure each employee receives the care they need. CHS, a Sedgwick company, has experienced colleagues who work closely with you and your employees after an injury. By working as a team and communicating throughout the entire process, we can improve the claims experience for everyone – especially the injured employee. Sedgwick recently shared an article in their quarterly magazine, the edge, highlighting the value of teamwork and consistent communication between all parties and how these key elements contribute to a successful return to work program. read full story >
  • Client bulletin: Prevent lost workdays – Prepare to execute transitional work /  September 06, 2016  
    Accidents and injuries can occur in any work environment and to any employee. The impact that a single workers’ compensation claim can have on premium rates is well documented, and the anxiety that employers and employees experience when the injury leads to lost workdays can make the experience even more troublesome. Planning for post-injury management can help employers minimize unnecessary lost workdays and assure employees that there is a clear path to returning to work and preserving their job. read full story >
  • Client bulletin: New tool introduced to help treat back disorders /  September 01, 2016  
    Physicians now have a new technology to help treat patients with back disorders. The clinical Lumbar Motion Monitor (cLMM) assesses the lower back in motion to accurately determine the extent and nature of impairment, and the current re-injury risk. The tool was developed by The Ohio State University’s Spine Research Institute and is part of a pilot program with the Ohio Bureau of Workers’ Compensation. CompManagement Health Systems (CHS) is coordinating the recruitment of physicians of record (PORs) from central Ohio and the surrounding area to participate in the pilot. read full story >
  • Client bulletin: See what you can save through the TWB program /  April 21, 2016  
    The Transitional Work Bonus (TWB) program offers an incentive for employers to use a transitional work plan to help injured employees get back on the job safely and quickly. With the TWB, employers can receive a rebate of up to 10% of their annual premium by successfully utilizing a transitional work program. read full story >
  • Smart Business : CHS: Focusing on key cost drivers to help clients improve outcomes /  April 01, 2016  
    When employers realize that the handling of workplace injuries today will impact their premium costs for years to come, they look for a managed care organization (MCO) that makes a difference. CompManagement Health Systems (CHS) is an MCO that positions our clients for success by focusing on the real cost drivers in workers’ compensation claims. Medical management with a return-to-work focus, insightful examination of treatment trends, and thoughtful scrutiny of every medical expense ensures timely and cost-effective claim resolution. read full story >
  • Smart Business : Five things not to overlook with workers' compensation /  March 01, 2016  
    A great deal of attention in workers’ compensation is focused on premium rates and savings programs. Employers must be vigilant and resourceful to protect opportunities for competitive savings; strict qualification criteria can be threatened by even a single difficult claim. Lance Watkins, AVP, Client Services, discusses five areas that can help position employers to achieve and maintain lower workers’ compensation premium costs. read full story >
  • Client bulletin: Benefits of a more formal approach to employee policies /  January 22, 2016  
    For organizations of all sizes, processes that are essential for driving business goals should be measured and managed following established guidelines. Developing an employee policy manual to cover issues as basic as punctuality and attendance can help ensure clarity, maintain order and shape outcomes. read full story >
  • Client bulletin: CHS helps clients and providers transition to new ICD-10 codes /  October 12, 2015  
    Along with the usual changes in the weather, this October also brings changes in the medical billing world related to the International Classification of Diseases (ICD). Effective October 1, 2015, all medical providers covered by the Health Insurance Portability and Accountability Act (HIPAA) were required to start billing with ICD-10 codes. The new coding replaces the long-standing ICD-9 codes that were more generalized. The new ICD-10 system offers a wider variety of more concise descriptions of the injury or disease diagnosis. They assist providers in conveying information important for treatment and case management considerations. Although, the Ohio Bureau of Workers’ Compensation (BWC) is not held to the specific HIPAA laws, it is understood that requiring providers to maintain two separate billing processes would not be effective. Therefore, BWC also started their transition to the ICD-10 codes to coordinate with the HIPAA requirements. read full story >
  • Client bulletin: Creating a culture of health /  September 15, 2015  
    Americans spend a lot of time at work, even more than they devote to sleep and leisure activities. Health and wellness seem to take a back seat to earning a living! It’s no wonder we struggle with an alarming rate of chronic diseases that while costly are also preventable. Increasing physical activity and sleep, eating better, lowering tobacco and alcohol use, and having annual preventive exams can dramatically improve health and well-being. read full story >
  • Client bulletin: BWC launches new pilot program to improve outcomes /  July 10, 2015  
    The Ohio Bureau of Workers’ Compensation (BWC) has launched a new pilot program that is designed to address complicating factors that drive claim costs and lost time. The Enhanced Care Pilot (ECP) began on July 1, and it involves working with physicians to accelerate treatment for knee injuries and to capture information on a wider range of health issues that often contribute to extended periods of lost work days for injured employees. read full story >
  • Client bulletin: BWC exploring provider care initiatives to achieve better outcomes /  June 16, 2015  
    Healthcare is changing rapidly throughout the United States. Among the changes, Accountable Care Organizations have evolved from doctors coordinating care for an assigned group of patients to large health plans collaborating with hospitals, health systems and physicians. These providers take a higher level of responsibility for patient recovery as opposed to the treatment of medical conditions. read full story >
  • Client bulletin: What can you save through the TWB program? /  April 30, 2015  
    The Transitional Work Bonus program from the Ohio Bureau of Workers’ Compensation (BWC) can return up to 10% of your annual premium if your organization successfully uses transitional work to help injured employees return to work faster. read full story >
  • Client bulletin: OSHA/PERRP recordkeeping reports /  December 14, 2014  
    We are getting close to that time of year when employers must organize and finalize their records of work-related injuries and illnesses. The Occupational Safety & Health Administration (OSHA) and the Public Employers Risk Reduction Program (PERRP) mandate that employers must post a summary of work-related injuries from February 1 through April 30 for injuries that occurred in the previous year. read full story >
  • Client bulletin: First Fill rule will add convenience for post-injury medical care /  November 14, 2014  
    The Ohio Bureau of Workers’ Compensation (BWC) has announced a new rule that will improve the initial prescription process for injured employees. The First Fill rule, expected to take effect on February 1, 2015, will allow employees to obtain prescribed medications at no cost before their claim is formally allowed by BWC, and even before a claim number is issued. read full story >
  • Client bulletin: A task-oriented approach to transitional work adds flexibility /  September 11, 2014  
    Many employers have adopted transitional work programs that include administrative guidelines for offering modified duty to injured employees. A slightly different approach that can add flexibility for employers is to develop a list of specific tasks that can be offered to accommodate a wide range of physical restrictions. read full story >
  • Client bulletin: Prescription medications and workplace safety – key strategies for employers /  July 28, 2014  
    Over the past few years, the state of Ohio has placed an increased emphasis on controlling prescription medication misuse and abuse. You may have heard reports about physicians being investigated and clinics being closed as a result. Ohio employers have a tremendous stake in this issue as it relates to the general health and well-being of their employees, and the possible multi-faceted impact on workers’ compensation claims. read full story >
  • Smart Business: Claim adjudication change: How having better data will lead to better decisions /  April 01, 2014  
    Subtle adjustments to the claim adjudication process have led to managed care organizations (MCOs) being asked to start collecting expanded data on new injuries. read full story >
  • Smart Business: Coordinating care: How the ACA could change Ohio workers' compensation /  March 06, 2014  
    Smart Business spoke with David D. Kessler, medical director at CompManagement Health Systems, about how the ACA might affect workers’ compensation. read full story >
  • Client bulletin: New program with Walgreens simplifies prescription process for workplace injuries /  February 26, 2014  
    CompManagement Health Systems has worked with Walgreens to bring clients a new program that streamlines the prescription process and helps injured employees quickly obtain their initial medications before a claim number is issued by the Ohio Bureau of Workers’ Compensation. read full story >
  • OHPELRA Update: Review of Upcoming Health Care Changes and Correlation with Ohio Workers’ Compensation /  January 21, 2014  
    Dr. David Kessler, Medical Director at CompManagement Health Systems, shares his perspective on the Affordable Care Act and what it means for the workers’ compensation system in Ohio. read full story >
  • Client bulletin: New BWC rule seeks more detail in claim reporting /  January 16, 2014  
    In 2014, BWC is requiring MCOs to pursue additional information before a claim is filed, including the injured employee’s marital status, normal workdays and hours, and the employer’s certification or rejection of the claim. read full story >
  • WorkCompWire: Dave North: Trends to Watch in 2014 /  January 06, 2014  
    Dave North advises that the employers who manage these types of changes will likely enjoy greater success during the coming year. read full story >
  • Client bulletin: Evaluating workplace injury risk with the FMS /  October 25, 2013  
    The Functional Movement Screen (FMS) is an inexpensive alternative to a comprehensive functional capacity evaluation, which measures movement patterns, and assesses strength and flexibility to predict potential injury risk. read full story >
  • Sedgwick Connection: Preparing for health reform /  August 27, 2013  
    Sedgwick Senior Vice President, Senior Healthcare Advisor, Kimberly George talks about how the workers’ compensation system will not be immune to the impact of the Affordable Care Act. read full story >
  • Client bulletin: Custom-built return-to-work programs /  February 08, 2013  
    When it comes to workers’ compensation management tools, we encourage employers to consider four strategic, custom-built programs: Transitional Work Services, Job Retention Services, Remain at Work, and Vocational Rehabilitation. read full story >