JULY 2021HR TECH OUTLOOK9How data optimizes workers' compensation programsOne of the most important things to look for in a workers' compensation insurer is their use of data. Data and analytics are transforming all aspects of business, and while workers' compensation is no exception, not all insurers can maximize the value of this information. Ideally, workers' compensation insurers use claims and billing data from physicians to quickly connect patients with physicians that will help them fully recover and return to work as soon as possible at the most efficient cost. Some workers' compensation insurers have access to data from their in-network providers that allows them to identify trends and determine expected outcomes. The more a provider deals with a particular population, the more effective they are at adapting their patient care. For example, one orthopedic surgeon may have better outcomes and patient satisfaction scores for knee replacements, while another is better at treating carpal tunnel. In addition to performance data, insurers also have access to claims data. With this insight, they can identify financial trends and determine the average total cost of specific injuries, from treatment and duration to litigation and settlement. From this, insurers can direct patients to the providers that will give them the most efficient treatment possible, both in terms of quality of care and cost. A growing trend among insurers that have integrated benefits data is automating their workers' compensation processes to reduce the processing of claims and connect patients with the right providers much more quickly than previously possible. The sooner treatment starts, the sooner patients can recover, and the sooner these individuals return to work. Not only does this make the process faster, but by reducing administration, insurers can cut costs and pass those savings onto employers. Using this wealth of data and automation, insurers can factor inpatient experience and billing trends to recommend the best possible provider: the one that helps the patient heal and return to work as quickly as possible for the most efficient cost. Rather than just picking a physician because they practice in a specific geographic or medical area, these insurers tailor recommendations to each patient and each injury. The bottom lineAs America's workforce gets older, the recovery time associated with workplace injuries is likely to increase, as well. On top of the billions of dollars these instances cost U.S. businesses collectively, they require time--company time, employee time--and, more importantly, employee well-being. When it comes to patient recovery and employee productivity, every day counts, so employers are well served to ensure they have the tools in place to give themselves and their employees the best chances for positive outcomes. That starts with implementing workers' compensation programs that provide employees with the most efficient care if they need it. Your employees (and your bottom line) will thank you. A growing trend among insurers that have integrated benefits data is automating their workers' compensation processes to reduce the processing of claims and connect patients with the right providers much more quickly than previously possibleRobert Mortensen
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