Reforms and Innovation are Saving Companies in California Billions in Workers’ Comp Costs


Worker’s Compensation has been slower than the rest of the general healthcare industry to adopt modern innovations and reforms to help streamline the process the injured worker goes through to address related injuries. In recent years, however, the Workers’ Compensation sector in California has managed to save billions by adopting new policies and strategies, while also making the process easier for both parties.

Telemedicine is Replacing Traditional Clinic Visits

when it comes to getting initial treatment for a Workers’ Compensation claim, using the telemedicine system can help quickly and effectively sort through the severity of the injury and help determine if the patient requires more intensive physical treatment at an emergency room or a doctor’s office.

The patient initially consults with a trained nurse who can then determine what the potential cause of the injury, and then how to proceed with treatment. If they feel the injury requires hands-on treatment, they can refer them to a nearby medical facility. If the injury can be treated via teleconference, they will prescribe medications and a treatment plan to help get the worker back on the road to recover, while also documenting all necessary information to help process the claim without having to cover doctor visit costs and emergency room fees.

Using AI to Diagnose Injuries

An exciting twist to telemedicine is the use of Artificial Intelligence or AI, to help quickly and accurately diagnose Workers’ Compensation related injuries. This new use of technology is helping the industry save money on manpower and further streamlines the process of documentation and treatment. Currently, this technology is being used in conjunction with human interaction to help give more rounded assessment and treatment. This type of hybrid technology is rapidly spreading through the California Workers’ Compensation sector and helping to save on expenditures on a large scale.

EMOD Report Program

The EMOD Report Program is allowing companies to lower their experience modification rate in addition to recovering overcharges to Workers’ Compensation. In addition this system can provide verification of loss claim data and even reduce company premiums. In order to accomplish this, the service reviews claims and helps identify issues that can increase the EMOD rate and offer a solution to keep it to a minimum. It can also help fix payroll and claim related miscalculations. It is an efficient method to save money and improve accuracy while giving plenty of extra benefits and time saving options.

These new advances in Workers’ Compensation has managed to save the industry billions in a short period of time. The push to embrace change within the sector and harness the most recent methods of diagnosis and handling claims has proven to streamline the process for all parties and has spurred the push to keep the system more modernized and user-friendly.


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