riskandinsurance.com Open in urlscan Pro
2a06:98c1:3121::3  Public Scan

Form analysis
1 forms found in the DOM

GET https://riskandinsurance.com

<form class="search-form" method="get" action="https://riskandinsurance.com" role="search" autocomplete="off">
  <div class="search-wrapper ">
    <div class="input-holder">
      <input type="search" name="s" class="search-input" value="" placeholder="Search">
      <span class="search-help">Type your search term above</span>
      <!---->
    </div>
    <!--<span class="close search-toggle"></span>-->
    <div class="result-container">
    </div>
  </div>
</form>

Text Content

118
 * 
 * 
 * 

 * Sections
   * Critical Risks
   * Risk Management
   * The Insurance Industry
   * Claims & The Law
   * Workers’ Comp Forum
   * Risk Insiders
   * Sector Focus
   * .
   * Risk Central
   * Power Broker
   * Risk Matrix
   * Risk Scenarios
   * Risk All Stars
   * Teddy Award
   * Sponsored Content
   * Branded Webinars
 * Magazine
   * Digital Issue
   * Issue Archive
   * Subscribe
 * Conferences
   * Ergo
   * National Comp
 * Advertise
 * Subscribe
 * More
   * Award Applications
   * Newsletters
   * &BrandStudio
   * Privacy Policy
   * About R&I
   * Contact Us
   * Media Kit


 * Trending Stories
 * National Comp
 * Power Broker
 * Workers’ Comp Forum
 * Risk Matrix
 * Risk Central
 * The Profession

 * Sections
   * Critical Risks
   * Risk Management
   * The Insurance Industry
   * Claims & The Law
   * Workers’ Comp Forum
   * Risk Insiders
   * Sector Focus
   * .
   * Risk Central
   * Power Broker
   * Risk Matrix
   * Risk Scenarios
   * Risk All Stars
   * Teddy Award
   * Sponsored Content
   * Branded Webinars
 * Magazine
   * Digital Issue
   * Issue Archive
   * Subscribe
 * Conferences
   * Ergo
   * National Comp
 * Advertise
 * Subscribe
 * More
   * Award Applications
   * Newsletters
   * &BrandStudio
   * Privacy Policy
   * About R&I
   * Contact Us
   * Media Kit

NEWSLETTERS

The best of R&I and around the web, handpicked by our editors.

SIGN UP.

RISK CENTRAL

White papers, service directory and conferences for the R&I community.

GO TO RISK CENTRAL.

DIGITAL EDITION

Web replica of the print magazine.

VIEW DIGITAL EDITION.

Type your search term above

 * 
 * 
 * 
 * 





IF YOU WANT THE RIGHT RISK STRATEGIES TO KEEP LONG-TERM PATIENTS SAFE, TAKE A
PAGE FROM ANDREA GIBBON’S BOOK

When caring for new residents with behavioral health needs began putting her
staff at greater risk for injury, Andrea Gibbon and her nursing team equipped
themselves with new skills to manage crisis.
By: Raquel Moreno | July 25, 2022
Topics: Health Care | July/Aug. 2022 Issue | Risk All Stars | Risk Management



At the height of the COVID-19 pandemic, Highland Care Center, like many other
skilled nursing facilities, was experiencing a decrease in occupied beds. Many
elderly residents had passed away, and the facility began accepting new
residents with behavioral health needs.

“Post COVID, the population in the hospitals has changed significantly; it’s no
longer the typical 89-year-old [with a] hip fracture … nobody with knee
replacements anymore,” Andrea Gibbon, Highland’s chief nursing officer shared.

“It’s just really those who are in need of mental health support.”

With an influx of transitional residents with unique needs came new challenges.
Although the new residents were on separate floors from the facility’s elderly
population, Gibbon’s team saw an uptick in severe incidents.

“A lot of our incidents were violent incidents where the resident would go after
the staff and hit them or attempt to hit other residents,” Gibbons explained.

In the short term, Gibbon’s team was able to reassure concerned staff members by
offering emotional support and increasing the presence of a registered nurse in
the unit.

“We had to come up with something to better deal with some of these mental
health issues,” she said. Recognizing the need to find a long-term solution to
better support staff as well as residents involved in the incidents, Gibbon
looked to PRISM, Highland’s insurance broker and risk manager. PRISM recommended
an evidence-based, nonviolent crisis intervention course to equip Highland’s
nursing team with strategies to manage challenging behaviors and provide a
better experience for those in their care.

Beginning with the executive nursing team becoming certified non-violent crisis
intervention instructors at the start of 2021, by mid-2022 Highland had
supported 45 staff members in receiving their certification.

With training and certification came a significant drop in reportable events due
to staff being injured by residents. Highland’s claim costs have drastically
reduced as well since staff began receiving crisis intervention training.

At the end of 2019, Highland’s quarterly claim costs associated with resident
behavior incidents reached $170,000. After a year of staff applying the
nonviolent crisis intervention approach, quarterly claim costs declined to $309.

Gibbon credits Highland’s teamwork for the victory.

“I must give accolades to the clinical staff, the RN supervisors and the
clinical care coordinators as well as to executive management,” she said.
“Everybody was continuously working together to reduce any incidents that we
have here.

“We provide so much education here; and once we got staff buy-in, we saw major
changes. And it’s really paid off, look at our results!”

Investing in training has also raised awareness among staff, Gibbon said. Being
able to properly respond to a crisis, she continued, “allows us to actually
admit somebody who may be a little more challenging, that maybe, back in the
day, I would not take in, because we didn’t have that expertise training, which
we have now.” &

--------------------------------------------------------------------------------

Every year, Risk & Insurance selects deserving candidates to become Risk All
Stars. These are risk managers who, through their perseverance, passion and
creativity, make a big difference to the stability of their organizations.

See all the 2022 Risk All Star Winners here.

Raquel Moreno is a staff writer with Risk & Insurance. She can be reached at
moreno@theinstitutes.org.





SHARE THIS ARTICLE!

Click to Copy
Share
Tweet
Share


TRENDING STORIES

MAKING THE IMPOSSIBLE POSSIBLE: INTRODUCING THE 2023 POWER BROKERS

February 27, 2023

WEAKNESSES IN YOUR CYBERATTACK RESILIENCE PLANS? IT MIGHT BE TIME FOR A TABLETOP
EXERCISE

March 1, 2023

WHEN IT COMES TO E&S UNDERWRITING, DATA MAY BE A KING, BUT THE HUMAN TOUCH IS
THE QUEEN

November 18, 2022

THE INS AND OUTS OF FERTILITY BENEFITS: HOW EMPLOYERS CAN ATTRACT TALENT AND
STRENGTHEN EMPLOYEE RELATIONSHIPS

August 19, 2022


MORE FROM RISK & INSURANCE


White Paper


HOW ONE CALL’S CARE NAVIGATORS GO THE EXTRA MILE TO AID INJURED WORKERS

Comprehensive, collaborative, and consistently communicated care are key to a
workers’ compensation risk management approach.


OPINION | A SHOE DROPS … COULD CLIMATE CHANGE LIABILITY USHER IN A NEW ERA OF
COOPERATION?

The liability linkage between climate change and corporate interests appears to
be growing stronger, writes Risk & Insurance editor-in-chief Dan Reynolds. Could
this be the start of a new era of cooperation?

Sponsored Content by BHSI


3 KEY QUALITIES TRUCKING OPERATIONS SHOULD LOOK FOR IN THEIR MOTOR TRUCK CARGO
INSURANCE PARTNER

Inland marine is a fast-paced, always-growing business. Berkshire Hathaway
Specialty Insurance (BHSI) demonstrates the flexibility, simplicity and prime
customer service qualities required for smooth operations.


MASS SHOOTINGS AND YOUR WORKPLACE: KNOW THE SIGNS OF A LOOMING THREAT AND
UNDERSTAND MITIGATION TECHNIQUES TO PROTECT YOUR TEAM

Axiom Medical recently hosted a webinar entitled “What’s Driving Irrational
Thinking and Mass Casualty Events” to discuss what is causing this violent
behavior and how to protect ourselves and our workplaces.



Go to Homepage >

SPONSORED CONTENT BY CORVEL



ANCILLARY CARE SOLUTIONS: UNCOVERING THE KEY FACTORS OF A SUCCESSFUL PROGRAM

Network savings, customer service, and the quality of treatment to employees are
the top three factors survey respondents seek in an ancillary care network
provider.
By: CorVel | April 3, 2023

The scheduling, coordination, and overall management of ancillary services make
up a significant amount of medical spend in workers’ compensation. That is
because an injured worker’s road to recovery is often complex, requiring
clinical oversight and a high level of coordination for timely care delivery.

Ancillary services, which include physical therapy, diagnostic imaging, and
durable medical equipment, are necessary in many cases to supplement primary
care and can result in higher costs when treatment delays occur.

To gain insight into the current use of ancillary services and the most
significant pain points risk managers face, CorVel sponsored a recent survey of
industry professionals. The report identified key industry trends, analyzed
areas of opportunity for improvement, and reported on the value of CorVel’s
ancillary care solution, CareIQ.


HOW ANCILLARY PROGRAMS ARE SELECTED

The survey results showed that 60% of respondents do not currently use an
ancillary network provider for their program. When asked what is a priority when
selecting a partner, respondents ranked provider network savings, customer
service, and the quality of treatment to employees as the top three factors.
Additional considerations included provider network coverage, patient outcomes,
ease of use, provider payment guarantees, and clinical oversight.

An effective program addresses all of these key factors, as the responsiveness
of an ancillary services provider, network coverage, and the quality of care
delivered to employees are crucial to achieving savings.

> 60% of respondents do not use an ancillary network provider.
> 
> Provider network savings is the most important consideration when choosing an
> ancillary services partner.


THE IMPORTANCE OF PROMPT CARE

According to survey results, the most utilized ancillary services are physical
therapy, durable medical equipment, and diagnostic imaging. Respondents provided
insight into the challenges risk managers face today in utilizing these services
in their workers’ compensation programs.

Delays in appointment scheduling and the overutilization of unnecessary
treatment are top concerns. Multiple respondents noted the need for more
streamlined communication between claims examiners, doctors, and employees as
impacting timely scheduling, appropriate billing, and consistency of appropriate
treatment.

Finding the right partner to streamline communication, provide network coverage,
and provide timely care can address these pain points and improve program
outcomes.






EVALUATING PERFORMANCE

In evaluating the performance of their current ancillary program, respondents
ranked turnaround time, the average therapy visits per claim, and promptness of
communication as the most important.




TOP TOOLS AND TRENDS

A referral platform is a tool most used by claims and case management staff to
drive ancillary network utilization and referrals. Notes integrated within a
claims platform and auto-approval of bills are also often used. This highlights
the need for integrated, intuitive systems to increase utilization and referrals
instead of relying on phone calls and email communications.

Survey results identified the trends the respondents observed in ancillary
services that impact their business. One trend identified is the rising overall
cost of services and costs per claim. Nearly half of all respondents estimated
the percentage they spend on ancillary services is at least 20% of their
program’s total medical costs. Respondents noted inflation, cost of increased
utilization, and the quality of care management as key contributors to the
rising costs their businesses experience.

Multiple respondents mentioned delays related to scheduling, immediate access to
care, and claims processing. Other trends shared in the survey include
inadequate network coverage and poor customer service.




CONCLUSION

The effective management of ancillary services is crucial to containing costs
and achieving faster return to work. CorVel’s study found that diagnostic
imaging, physical therapy, and other ancillary services can make up an average
of 30% of a program’s medical spend. Having an experienced ancillary services
provider, with the strategies in place to efficiently coordinate and deliver
care, leads to better outcomes for both employers and their employees.

Key Findings Overview

 * 60% of respondents do not use an ancillary network provider for their
   program.
 * Appointment scheduling delays are the most significant pain point.
 * 46% of respondents estimate that over 20% of their medical spend is related
   to ancillary services.
 * Rising costs are the top trend observed by respondents that impact their
   business.



Please visit
https://www.corvel.com/services/workers-compensation/ancillary-care-solutions/
to learn more about its ancillary care solutions.




This article was produced by the R&I Brand Studio, a unit of the advertising
department of Risk & Insurance, in collaboration with CorVel. The editorial
staff of Risk & Insurance had no role in its preparation.

CorVel is a national provider of risk management solutions for employers, third
party administrators, insurance companies and government agencies seeking to
control costs and promote positive outcomes.







SHARE THIS ARTICLE!

Click to Copy
Share
Tweet
Share


MORE FROM RISK & INSURANCE


Sponsored: Swiss Re Corporate Solutions


COMPANIES ARE GOING GLOBAL. HERE’S WHY THEY NEED A STRONG INTERNATIONAL
INSURANCE PROGRAMS PARTNER TO SUPPORT THAT GROWTH

A carrier with strong network partners and technology solutions will be well
suited for companies with international insurance programs.


HOW INFLATION, SUPPLY CHAIN, ENERGY COSTS AND PROPERTY VALUATIONS AMPLIFY
HURRICANE RISK

Hurricane predictions expect at least19 named storms in 2022, four of which
could be CAT 3 or larger.


RISING STAR TODD BURACK SHARES WHY HE’S EXCITED ABOUT THE PROGRESS WITHIN THE
RENEWABLE ENERGY SECTOR

The renewable energy marketplace is on an exciting trajectory, and McGriff's
Todd Burack embraces his role in helping companies work through the challenges
of the evolving sector.

White Paper


HOW HAVING CLARITY OVER ANCILLARY BENEFITS DATA IMPROVES CLAIMS AND OUTCOMES FOR
INJURED WORKERS

Using data to ensure that ancillary benefit programs result in optimal recovery
for injured workers comes down to having a clear dashboard of meaningful
metrics.



Go to Homepage >

RISK MATRIX: PRESENTED BY LIBERTY MUTUAL INSURANCE



10 FACTORS TO HEED IN YOUR ENVIRONMENTAL, SOCIAL AND GOVERNANCE PLANS

When it comes to environmental, social and governance plans, understanding
impact on talent, M&A, EPLI and more will go a long way in compliance.
By: R&I Editorial Team | April 3, 2023


The R&I Editorial Team can be reached at riskletters@theinstitutes.org.





SHARE THIS ARTICLE!

Click to Copy
Share
Tweet
Share


TRENDING STORIES

MAKING THE IMPOSSIBLE POSSIBLE: INTRODUCING THE 2023 POWER BROKERS

February 27, 2023

WEAKNESSES IN YOUR CYBERATTACK RESILIENCE PLANS? IT MIGHT BE TIME FOR A TABLETOP
EXERCISE

March 1, 2023

WHEN IT COMES TO E&S UNDERWRITING, DATA MAY BE A KING, BUT THE HUMAN TOUCH IS
THE QUEEN

November 18, 2022
Sponsored: Liberty Mutual Insurance

A MARKET IN TRANSITION: HOW TO MANAGE COVERAGE DISPARITIES AS CARRIER APPETITES
CURB

April 3, 2023