Leveraging ODG for Enhanced Workers’ Compensation Management: WC Treatment Utilization Challenges
Medical severity is up 6% year over year, with physician services driving a 7% increase — signaling a growing trend in treatment utilization. This session explores how the Official Disability Guidelines (ODG) can help address over-utilization in workers’ compensation.
Industry experts share real-world strategies for improving care decisions and reducing unnecessary treatment. Hear insights from ODG representatives, clinical practitioners, and claims professionals.
Watch now to learn how to navigate rising treatment utilization by leveraging ODG and expert insights, designed for claims managers, clinical practitioners, and others managing workers’ compensation within insurer organizations.
Meet the Experts
Chris Daniel (Host)
Director, Solutions Consulting, Sapiens
Chris Daniel is Director of Solutions Consulting at Sapiens, with nearly 30 years of experience in the insurance industry. He guides Workers’ Compensation clients through the discovery process, aligning technology with business goals for stronger outcomes. A former president of SCWCEA, he’s held leadership roles at Conduent, Cognizant, and Companion P&C, and holds a BA in Accounting and an Associate in Claims designation.
Sian Boggess
Senior Technical Analyst, Claims Product and Operations, Encova
Sian Boggess brings over a decade of experience to her role as Senior Technical Analyst in Claims Product and Operations at Encova. She leads Nurse Case Management policy, quality assurance, and compliance with the insight of a seasoned healthcare professional. A Registered Nurse, Certified Case Manager, and Certified Disability Management Specialist, Sian has been part of the Encova team for 13 years.
Pam Bloom-Pugliese, RN, BSN
Director of Product Management, ODG by MCG
With over 35 years of nursing experience, Pam’s areas of expertise include driving operational efficiency through automation, claim segmentation, advanced analytics, and clinical process optimization. At ODG by MCG, she leads the development of evidence-based tools and duration benchmarks for Workers’ Compensation, Disability, and Auto Injury programs. Her mission is to enhance claims management, promote holistic care approaches, and ensure fair, consistent, and global standards for claim handling.
Key Takeaways
- Understand the impact of treatment utilization on workers’ compensation outcomes
- Learn strategies for integrating ODG guidelines into treatment planning
- Discover how technology can support and enhance utilization management
- Gain practical insights and takeaways from case studies showcasing successful approaches
