Risk & Insurance reported in June that workers' comp Medicare Set-Aside costs come in 23% below the national average when clinical intervention is part of the file. The number is large enough to change procurement conversations.
The mechanism is straightforward. MSP costs reflect the future medical care a worker is projected to need. When clinical case management is involved early, the projected future need is smaller because the recovery trajectory is better. The MSA writer is not being generous. The underlying file is just clinically tighter.
Atlas case management is built around exactly this lever. Early intervention by a nurse who knows the file changes the medical course of the claim, which changes the MSP analysis, which changes the settlement math. Employers who treat the MSP as a settlement-time problem are paying for what they did not invest in during the active claim.
Risk & Insurance's piece is one of the cleaner cost-containment reads of the quarter.
If your MSP costs are tracking at or above the national average, where in the claim life is your clinical oversight thinnest?
Source: Risk & Insurance
Case management that changes the MSA math.
Atlas case management is built for early nurse involvement on the files where the settlement math actually moves. Better recovery equals smaller projected future need equals cleaner MSA.
See our services