A June 2026 WCRI report on California workers' compensation reached a conclusion some of the industry was not ready for. Medical costs, in the aggregate, are not the primary driver of California's cost outlier status. The daisyBill analysis covered the study in detail.
That reframes how bill review earns its keep. Fee schedule compliance and network discounts still matter, but the highest-leverage bill review flags treatment appropriateness, upcoding, unbundling, and pattern-level abuse across a claim's history. The 80 million medical bills processed nationally each year contain enormous amounts of underused data.
Atlas builds bill review as an intelligence layer, connected upstream to UR and downstream to case management, not as a back-office scrub.
Is your bill review generating reports for clinical program design, or just remittances?
Source: daisyBill, CA: WCRI Report Shows Medical Costs Are Not the Problem
#WorkersComp #ManagedCare #ReturnToWork #InjuredWorkers #RiskManagement #BillReview #CostContainment
If you build or buy managed care, we should talk.
Every conversation starts the same way. Tell us what the file looks like today, and we will tell you what it can look like next.
Get in touch