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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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Contract case managers prove cost effective in federal workers' compensation programs.

Timothy Michael Mallon1, Marianne Cloeren, Lisa Michelle Firestone

  • 1Department of Preventive Medicine and Biometrics, Uniformed Services University, Bethesda, MD 20814, USA.

Military Medicine
|April 19, 2008
PubMed
Summary

Contract case managers significantly reduced workers' compensation (WC) costs and prevented injuries. This pilot study showed a 3.52 return on investment, demonstrating their cost-effectiveness in managing WC programs.

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Area of Science:

  • Occupational Health
  • Healthcare Management
  • Workers' Compensation

Background:

  • Workers' compensation (WC) programs face challenges in managing costs and preventing injuries.
  • The effectiveness of external contract case managers in optimizing WC outcomes is not fully established.

Purpose of the Study:

  • To evaluate the cost-effectiveness of contract case managers in reducing WC costs.
  • To assess the impact of contract case managers on injury prevention within organizations.

Main Methods:

  • Contract medical case managers were deployed to four installations utilizing private industry best practices.
  • Needs assessments and targeted interventions were implemented, focusing on command support and case management processes.
  • Efforts were made to minimize lost work time and expedite the review of long-term WC cases.

Main Results:

  • The implementation of contract case managers resulted in $4.4 million in savings against a cost of $1.25 million, yielding a 3.52 return on investment.
  • Seventy-three workers were successfully transitioned from long-term disability through vocational rehabilitation, modified duty placements, medical retirement, or benefit termination for non-compliance.
  • Case managers improved WC program effectiveness and reduced lost work time.

Conclusions:

  • Contract medical case managers are a cost-effective strategy for reducing workers' compensation costs.
  • The findings support the integration of contract case management services to enhance WC program efficiency and outcomes.