The-Shift-Shapers-Podcast-(Rough-Comp-2)

From application to claims, DI is a bit of a different animal. Underwriting is both medical and financial, and policy provisions are (understandably) more complex than a life sale. Death is not subjective, but disabilities are, and oftentimes this leads to claim challenges. Eric Buchanan, JD, and his firm help claimants when the rubber meets the road.

What You’ll Learn From this Episode:

  • How did he get into this area of the business?
  • What causes most claims disputes.
  • How to keep your client out of Federal Court, where the rules favor the insurer.
  • What can you do on the app to avoid problems down the road?
  • Avoid “ERISA-fying” your client’s policies.

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The-Shift-Shapers-Podcast-(Rough-Comp-2)

Musculoskeletal  claims  represent  16-22%  of  medical  spend  in  most  plans.  Yet  with  a  misdiagnosis  rate  of  nearly  40%  and  with  new  evaluative  and  treatment  regimens,  plans  can  save  as  much  as  25-35%  of  that  spend.

Chad  Gray,  CEO  at  Integrated  Musculoskeletal  Care)  has  been  tracking  this  trend  and  is  one  of  the  foremost  experts  on  how  plans  can  provide  better  quality  care  while  lowering  costs  in  this  space.

What You’ll Learn From this Episode:

  • How big is this spend?
  • What Chad’s background is and how it informs decision making.
  • Where the breakdown begins.
  • How analysis deals with the variability of these claims.
  • What the “grand rounds” methodology is.

Featured on the Show:

Listen to the Full Interview:

This Episode is Sponsored by:

Enjoy The Show?

Subscribe-with-iTunes-smallSubscribe-with-Stitcher-smalliHeartRadio-small