Magnifying Glass

The Algorithm Doesn’t Know the Injured Worker 
The Algorithm Doesn’t Know the Injured Worker 

Dollars & Sense Predictive technology can recognize patterns across thousands of claims. Some of the most important influences on recovery emerge only when someone asks the injured worker what is happening.  Imagine two injured workers […]
The Metrics We Reward Become the Behaviors We Get 
The Metrics We Reward Become the Behaviors We Get 

Dollars & Sense Performance measures shape decisions long before anyone questions the results. In workers’ compensation, what organizations choose to reward can influence the experience and recovery of injured workers.  A claims department finishes the […]
When the Algorithm Serves the Wrong Customer 
When the Algorithm Serves the Wrong Customer 

Dollars & Sense In workers’ compensation, the organization purchasing the technology, the employer funding the losses and the injured worker experiencing the outcome may have very different definitions of success.  Consider what happens when an […]
The Whistleblower in the Claims Department 
The Whistleblower in the Claims Department 

Dollars & Sense When claims professionals recognize troubling patterns, speaking up can carry professional consequences. The ethical responsibility belongs to individuals and the organizations that determine whether their concerns will be heard.  Imagine a claims […]
What Did Leadership Know, and When? 
What Did Leadership Know, and When? 

Dollars & Sense When evidence reveals a potentially harmful practice, leadership accountability depends on what happens next. The decisions organizations make after receiving a warning can matter as much as the warning itself.  A quarterly […]
The Hidden Cost of Engagement 
The Hidden Cost of Engagement 

Dollars & Sense More communication, more services and more medical intervention can make a workers’ compensation claim look exceptionally well managed. The important question is whether all that activity is helping the injured worker recover.  […]
When Optimization Becomes Harm 
When Optimization Becomes Harm 

Dollars & Sense Every organization in the workers’ compensation system has legitimate goals. The challenge emerges when individually reasonable decisions combine to create consequences nobody intended.  Consider a workers’ compensation claim in which everyone appears […]
The Business of Prediction 
The Business of Prediction 

Dollars & Sense Predictive tools can identify expensive workers’ compensation claims. Whether the response improves recovery and reduces total costs demands a different kind of proof.  A workers’ compensation claim receives a high-risk score. The […]