The Foundations of an Effective Predictive Analytics Program
Suzy Braden, Workers’ Compensation Claims Manager, HealthSouth Corp.
J.J. Schmidt, Senior VP, Care Works Managed Care Services
Wednesday, Dec. 6 | 11 a.m. - 12: 15 p.m.
HealthSouth, one of the nation’s largest providers of post-acute healthcare services, reduced
costs and disability durations by applying predictive analytics to identify claims with the potential
of becoming complex cases. Emphasizing the practical use of data, J.J. Schmidt and Suzy
Braden will show you how to extract information from various data sources that can help injured
worker recovery by identifying patterns that influence future outcomes.
• Examine the key concepts of predictive analytics
• Identify key metrics applied to measure and improve claims outcomes
• Detect obstacles hindering claims management improvement
• Create a plan for predictive analytics implementation
An Integrated Approach to Workers’ Comp Vendor Management
Jodie Massingill, Senior Manager Casualty Claims, Sysco Corporation
Carrie M. Struzynski, Senior Manager, Claims, Safety & Risk Management,
Randstad North America
Mollie Kallen, CEO/President, MKCM Inc.
Wednesday, Dec. 6 | 2: 30 - 3: 45 p.m.
A high-performance workers’ compensation program requires managing outside vendors and
effectively coordinating their service offerings with the employer’s internal resources to improve
the injured worker’s experience and case outcomes. You’ll learn lessons for accomplishing that
mission with a targeted approach to partnering with insurers, TPAs, managed care organizations,
nurse case managers and other service providers. This panel of claims experts will discuss
the communication, technology, data analysis and metric development practices that can help
manage and align parties to achieve an employer’s goals.
• Identify and motivate your team, including internal staff and service providers
• Integrate your team with practical collaboration strategies
• Recognize vendor-integration problems proactively, not reactively
• Recommend strategies for measuring program and service provider efficacy
Where’s the “Care” in Managed Care? Fixing Misaligned Incentives
Denise Algire, Director, Risk Initiatives and National Medical Director Risk Management,
Frank Pennachio, Partner, Oceanus Partners
Thursday, Dec. 7 | 10: 45 - 11: 45 a.m.
Workers’ compensation managed care is well-intentioned. But entrenched system incentives
regularly misalign employer and service provider interests. Unnecessary, costly and potentially
harmful medical treatment may be rewarded rather than eliminated. Learn how workers’ comp
managed care evolved from a great idea to a system that may ignore what’s best for injured
workers and claims payers. Denise Algire and Frank Pennachio will discuss flaws in percentage-of-savings models, fee-splitting and other common payment arrangements while also reviewing
methods for measuring quality and outcomes beneficial for injured workers and employers.
• Differentiate service level agreements and their transparency
• Report why fee-schedule adjustment may inflate perception of
• Critique a design flaw in percentage-of-savings models
• Inspect evidence-based medicine and other quality and
outcomes measurement benchmarks
8 Register by Oct. 4 to SAVE $350.00; by Nov. 1 to SAVE $250.00!