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Modeling Managed Care for Program Impact MM4
Barry Bloom, Principal, The bdb Group
John Riggs, Manager, Workers’ Compensation, Disneyland Resort
John Smolk, Principal Manager, Workers’ Compensation, Southern California Edison
Thursday, Nov. 20 | 10: 45 a.m. - 12 p.m.
Managed care has evolved to the point where a wide range of services are offered, but they are
expensive, complex and difficult to measure. You need to understand what to look for to determine
which ones will deliver the best outcomes for the injured worker and greatest cost savings for your
company. Two large self-insured employers and a national workers’ comp consultant will break
down the types of services offered, provide insight to delineate their key aspects, and give you tools
to evaluate the best ones for your company.
• Define the available managed care services
• Distinguish the most appropriate services, depending on program needs
• Illustrate how to get better clinical results for injured workers
• Assess ways to construct managed care services that are most appropriate
Healthcare Reform: Strategies You Can Apply Now MM5
Denise Zoe Gillen-Algire, Director, Managed Care & Disability Corporate Risk, Safeway Inc.
William Wilt, President, Assured Research
Thursday, Nov. 20 | 1: 30 - 2: 45 p.m.
While nearly everyone in the workers’ comp space has a theory about the potential impact of the
Affordable Care Act, you need to stop theorizing and start acting so you aren’t left unprepared. Mr.
Wilt, an industry leading actuary, and Ms. Gillen-Algire, an occupational health executive, will share
data reflecting ACA’s current impact on the industry as well as strategies to ensure you are well positioned for whatever the future brings.
• Define the ACA and how it is impacting the workers’ comp system
• Interpret data showing the direct effects of healthcare reform
• Appraise a variety of future changes to the system resulting from the ACA
• Design strategies to prepare for healthcare changes
How to Reduce Costs With a Wellness Program MM6
Karen Curran, Director, Health Risk Management, Pinnacol Assurance
Friday, Nov. 21 | 10 - 11: 15 a.m.
Wellness programs can do much more than many employers and payers think. There is now overwhelming evidence that a well-orchestrated program targeting employee health risks can have a
significant impact on workers’ comp claims and costs. Ms. Curran, an expert on the subject, will
outline the heretofore undocumented findings from an ongoing study, and show you what you can
do to improve employees’ health and reduce claims frequency, leading to better health and financial
• Discuss the preliminary results of a groundbreaking program
• Recognize how workers’ comp fits into the overall spectrum of health
promotion relative to the more traditional players, such as health plans and
• Analyze documented data showing how health behavior and risk factors
• Compare engagement strategies for small versus larger companies