MEC Connect

In this episode of MEC Connect Impact Stories, Jeff Pack Medical Management Consultant at MEC, shares two compelling cases that highlight how proactive clinical oversight and disciplined cost management can significantly reduce medical spend without impacting the quality of care for injured workers.Jeff explores a rare and complex COVID‑19 vaccine–related claim involving immune thrombocytopenic purpura (ITP), where ongoing high‑cost specialty pharmacy treatments required close monitoring and strategic vendor negotiation. By collaborating with a preferred bill review vendor, MEC achieved meaningful cost reductions while maintaining treatment stability for the injured worker.He then reviews a traumatic brain injury case where prescription refill patterns revealed an opportunity to adjust medication formulation — preserving therapeutic effectiveness while dramatically lowering long‑term pharmacy costs. By engaging defense counsel and the treating provider, the MEC team implemented a safe, physician‑approved change that resulted in substantial lifetime savings.These Impact Stories demonstrate how MEC’s experienced people, proven processes, and trusted vendor relationships work together to deliver results that matter — protecting injured workers’ outcomes while responsibly managing catastrophic claim costs. Send us a text and let us know what you think!

In the first episode of MEC Connect Impact Stories, Tina D’Andrea, Sr. Nurse Case Manager at MEC, shares two powerful real‑world cases that demonstrate how the right people, results-driven processes, and trusted vendor partnerships can drive meaningful outcomes for injured workers — while delivering measurable cost savings for insureds.Tina walks listeners through a complex lightning‑strike injury involving long‑term Intravenous Immunoglobulin (IVIG) therapy, where creative problem‑solving and collaboration with a vetted pharmacy management partner improved continuity of care, enhanced the injured worker’s quality of life, and generated significant annual savings. She also recounts a severe COVID‑19 catastrophic claim that progressed from ECMO and transplant consideration to a full‑duty return to work, made possible through coordinated clinical oversight, strategic rehabilitation placement, and effective bill negotiation.These Impact Stories highlight MEC’s commitment to putting people first, leveraging proven processes, and partnering with best‑in‑class technology and vendors to achieve results that matter — better recovery outcomes for injured workers and responsible cost management for employers.Send us a text and let us know what you think!

Join us for our upcoming new season of MEC Connect later this month. MEC’s Medical Management Consultants will be sharing Impact Stories that spotlight catastrophic claims, loss‑mitigation strategies, and smarter care decisions. Each new episode will offer real-life stories about how outcome‑driven medical management lowers costs while delivering the most impactful treatment for injured workers.We’ll be announcing the release of our new episodes soon! Send us a text and let us know what you think!

Post-Traumatic Stress Disorder (PTSD) has undergone significant evolution in both understanding and diagnosis over the past century. In our new MEC Connect Expert Insights episode, “PTSD Diagnosis Dilemma,” our Chief Medical Officer, Dr. Fernando Branco, provides a comprehensive overview of PTSD, its progression in medical understanding, and why it is becoming overdiagnosed in modern practice. Dr. Branco challenges listeners to recognize the critical distinction between Acute Traumatic Stress Disorder – a standard, time-limited response to abnormal events – and true PTSD, which persists beyond six months and manifests through specific symptoms that are often misunderstood. He also urges healthcare providers to be more precise in their diagnosis and shares his perspective on:How our understanding of PTSD shifted from purely military contexts to recognizing trauma in civilian populations.The fact that people living with genuine PTSD typically avoid discussing their trauma rather than repeatedly sharing it.The diagnostic criteria for PTSD evolving and becoming more inclusive.Promising treatment approaches, particularly the success of group therapy among first responders.Listen now to hear an essential conversation about how trauma affects the human mind and gain valuable insights about the vital importance of maintaining diagnostic integrity while still honoring the very real suffering of those affected by PTSD.Send us a text and let us know what you think!

Burns represent one of the most devastating workplace injuries, with treatment costs potentially reaching millions of dollars and recovery periods extending for months or even years. Diving deep into the world of severe burn injuries, this episode, “Understanding Burn Injuries in the Workplace,” MEC’s Senior National Catastrophic Medical Consultant Phyllis Ramondetta unveils the staggering reality behind workplace burns. The financial toll alone is eye-opening - from $207,000 for moderate burns to a jaw-dropping $10 million for severe cases with complications. Understanding burn severity is crucial for appropriate treatment planning. With 63% of workplace burns involving thermal or scalding injuries, and manufacturing sectors reporting the highest incidents, the conversation explores: Why these injuries occur and how they can be prevented through proper safety protocols and training.The four degrees of burn severity and treatment landscape for burn care and rehabilitation. The recovery path after hospital dischargeHow modern medical advances transformed survival outcomes for patients.For employers, healthcare providers, and safety professionals, understanding the complexity of burn injuries is crucial for both prevention and proper care management. Listen now to gain essential insights that could save lives, reduce suffering, and mitigate the enormous financial impact of workplace burn injuries.Send us a text and let us know what you think!

Understanding brain injuries can be overwhelming for patients, families, and caregivers alike because every brain injury follows a different recovery path. In this episode, “Rancho Los Amigos Scale: Roadmap for Brain Injury Recovery,” Tracie Lemus, RN, CCM, National Medical Catastrophic Nurse Consultant at MEC, breaks down the vital tool that healthcare professionals use to track cognitive and behavioral rehabilitation after brain trauma.Tracie shares her perspective about how the Rancho Los Amigos Scale helps monitor recovery progress, determine appropriate treatment plans and timing, and facilitate coordination among the various specialists involved in a patient's care journey. This knowledge empowers healthcare teams to create more targeted rehabilitation strategies tailored to each patient's current cognitive and behavioral functioning. It includes:Tracking recovery progress through ten distinct levels, enabling better treatment planning and communication among medical team members.Valuable context for the often confusing and unpredictable nature of brain injury recovery.Factoring in both the patient’s state of consciousness and need for assistance with daily cognitive and physical functions.Projected timelines to help everyone involved understand where a patient currently stands and what challenges and progress might lie ahead.Listen now to gain key insights into the Rancho Los Amigos Scale assessments, which offer a roadmap through the complex journey of brain injury rehabilitation by breaking down recovery into distinct, observable stages in the realm of neurological healing.Send us a text and let us know what you think!

The Glasgow Coma Scale (GCS) is one of medicine's most critical assessment tools for traumatic brain injuries. In this episode, “The Glasgow Coma Scale: Setting the Bar for Brain Injury Evaluation," MEC’s Peggy Ford, a Senior National Medical Catastrophe Consultant with over 30 years of experience, provides essential knowledge about how the GCS measures brain injury severity.Peggy offers valuable insights into this evaluation method, which has become the cornerstone of neurological tests worldwide in emergency settings. It includes a scoring system that allows medical professionals to quickly categorize the severity of brain injuries and make critical treatment decisions in time-sensitive situations where every moment matters. She explains:How the scale rates three key aspects of traumatic brain injuries — eye opening, verbal response, and motor response — to generate scores ranging from 3 (completely unresponsive) to 15 (fully alert).Why understanding the nuances of each category is essential for accurate assessment.The science behind brain injury measurement. Factors that can compromise proper evaluation. Listen now to gain key insights on the importance of standardized assessment tools like the GCS in guiding initial treatment approaches and providing valuable prognostic information for healthcare providers, patients, and families during vital stages of care.Send us a text and let us know what you think!

Medicare Set-Asides (MSAs) represent a critical factor in the workers compensation settlement landscape, yet they remain widely misunderstood by many professionals in the industry. In this Expert Insights episode, "Demystifying Medicare Set-Asides in Workers Comp," MEC’s Medical Management Consultant, Tina D’Andrea, unpacks how a properly executed MSA ensures compliance with Medicare requirements and provides clarity and protection for all parties involved in the settlement process.Tina shares insights about fundamental components of MSAs—from threshold requirements to submission procedures to review and appeal options— to help claims professionals better understand and navigate the complex process more effectively. This includes:Centers for Medicare and Medicaid Services thresholds that determine when an MSA should be submitted for their review.Why the MSA submission process requires meticulous documentation and attention to detail.Remediation pathways that can save thousands of dollars and countless headaches. Re-review options for mathematical errors, missing documentation, or significant pricing changesThe vital importance of working with experienced MSA vendors for best results.Listen now to get the guidance you need to successfully address the challenges of Medicare Set-Asides and approach your next workers compensation settlement with clear focus and confidence. Send us a text and let us know what you think!

Urine drug screens have become an essential component in the landscape of workers comp claims management. In this Expert Insights episode, "The Powerful Impact of Drug Screening on Claims Management," MEC’s Medical Management Consultant, Jeff Pack, RN, BSN, provides his unique perspective on how these tests serve multiple purposes throughout the lifecycle of a claim and can significantly impact treatment decisions, safety protocols, and claim outcomes. Jeff breaks down the science behind drug testing methodologies and the way these approaches function as safety tools across various industries. This includes pre-employment screening, workplace accident investigations, and ongoing treatment monitoring. He shares compelling real-world examples of how drug screening is invaluable for: Use in safety-sensitive industries to enhance workplace protectionDetermining if substances contributed to workplace accidentsMonitoring injured workers' compliance with prescribed treatmentsRevealing dangerous behaviors such as exceeding the prescribed dosage Helping to prevent risks of overdose from medication interactionsListen now to get essential insights into a tool that Pack describes as “the cornerstone of modern healthcare and safety practices” and why trained professional interpretation of drug testing is vitally important to avoid false positives. Send us a text and let us know what you think!

The medical field has long recognized the complex intersection of chronic pain and addiction, but a critical third component is often overlooked. In this MEC Connect Expert Insights episode, “Beyond Pain and Addiction: The Triple Diagnosis,” our Chief Medical Officer, Dr. Fernando Branco, shares his approach to treating patients beyond the traditional pain-addiction model.Dr. Branco discusses the framework of "triple diagnosis" in pain medicine. His decades of experience revealed that addressing underlying psychiatric conditions alongside pain and substance use disorders is critical for successful treatment outcomes. He offers expert insights into:The interconnected nature of physical pain, substance use, and mental health.Why a triple diagnosis framework could enhance treatment approaches for some of medicine's most challenging cases.The importance of considering psychosocial factors, such as family dynamics, environmental stressors, and social support systems, that can either facilitate recovery or create additional barriers. How underlying psychiatric conditions consistently influence treatment outcomes. Why pre-existing conditions create a complex treatment landscape that demands a more comprehensive approach.Listen now to hear about Dr. Branco’s holistic approach to viewing patients as "global persons" and the paradigm shift that moves integrated patient care beyond the common dual focus of pain and addiction.Send us a text and let us know what you think!

In this MEC Connect Expert Insights episode, “Unsung Heroes: Spotlight on Nurse Case Managers,” MEC’s Medical Management Consultant Dana Dorsey explains how nurse case managers serve as the critical bridge between injured workers and successful recovery.Based on two decades of experience in the field, Dana shares insights about how Nurse Case Managers play a vital role in facilitating collaboration between injured workers, employers, healthcare providers, and insurance carriers. This includes:Conducting comprehensive evaluations to identify recovery barriersFormulating action plans to overcome them and develop return-to-work strategies.Mitigating attorney involvement through consistent communication with injured workers.Interpreting medical information, educating injured workers, and ensuring necessary treatments.Assistance with claims involving wage loss, multiple injuries, catastrophic conditions, non-compliant workers, and surgical recommendations.      Listen now to gain a fresh perspective on the often underappreciated yet high-impact role Nurse Case Managers play in all aspects of effective workers compensation management.Send us a text and let us know what you think!

In this episode, MEC’s Senior National Medical Catastrophic Consultant Peggy Ford unpacks the complex world of the American Spinal Injury Association (ASIA) Impairment Scale. Peggy breaks down this essential clinical tool that standardizes how healthcare professionals evaluate and communicate about spinal cord injuries. This includes:The three crucial components of the ASIA scale The scoring system for sensation Categories for measuring muscle strength Insights into how clinicians map injury severity  The five grade classifications for the assessment tool How classifications drive treatment decisions, rehabilitation strategies, and recovery expectations. Listen now to understand the language that shapes spinal cord injury management and gain valuable knowledge applicable to workers' compensation and catastrophic claim oversight.Send us a text and let us know what you think!

Amputations are among the most challenging cases in workers' compensation. In this Expert Insights episode, MEC’s Senior National Catastrophic Medical Consultant Phyllis Ramondetta provides excellent insights into this complex topic that affects thousands of workers annually.Phyllis shares expert commentary based on over 20 years of experience as a catastrophic nurse case manager. This includes:How trauma accounts for 44% of all work-related amputations, typically in high-risk environments.How prosthetists collaborate with medical teams to find the right solution. The multi-faceted recovery process following an amputation.The psychological impact of an amputation. Whether you are managing amputation claims, supporting an injured worker through recovery, or trying to understand prosthetic technology better, this episode provides essential insights to navigate these life-altering injuries. Send us a text and let us know what you think!

In this episode, Dr. Fernando Branco, MEC AVP of Claims and Chief Medical Officer, tackles the multifaceted world of Complex Regional Pain Syndrome (CRPS) by drawing on decades of specialized experience in physical medicine, rehabilitation, pain management, and addiction medicine.Dr. Branco provides valuable insights about: How this complex diagnosis can create significant physical and emotional stress for patients.Why a proper CRPS diagnosis requires careful assessment of specific symptoms across three key categories: sensory system, vasomotor activity (blood flow) and sudomotor function (sweat glands).  Diagnostic criteria to help distinguish true CRPS from other pain conditions.The pendulum swing from underdiagnosis to overdiagnosis and the importance of experienced medical assessment when evaluating potential CRPS cases. For claims professionals handling a claim with a CRPS diagnosis, this episode provides essential context that could change your approach to these challenging cases.Send us a text and let us know what you think!

In this episode, Tracie Lemus, RN, CCM, MSCC, National Catastrophic Nurse Consultant at Midwest Employers Casualty, highlights critical care strategies and rehabilitation insights for better recovery outcomes for spinal cord injuries. Tracie provides invaluable knowledge on injury types, common complications, and the importance of comprehensive treatment. Topics covered include:Understanding spinal cord injury demographics and causes The importance of immediate care and specialized centers Complications and their management The role of rehabilitation in recovery Transitioning home and ongoing support needs Impact of vocational rehabilitation on independence Send us a text and let us know what you think!

Join us for a new MEC Connect season featuring our innovative series of Expert Insights podcasts. These episodes highlight the expertise of MEC colleagues who share insights and best practices for managing catastrophic claims and our outcome-based approach for excess workers’ compensation insurance coverage that benefits workers and employers alike. This includes breaking down complex cases, conditions, and terminology to give you a deeper understanding of how they impact injured employees and guidance on developing strategies for customized solutions to meet your unique needs. Send us a text and let us know what you think!

Hosts Matt Yehling and Patty Reinecke welcome back Dan Dalton, Chief Claims and Regulatory Counsel at MEC, to discuss the resolution process for complex and high-exposure workers compensation claims. Dan provides insights into when to begin settlement discussions, the steps involved in resolving these claims, and the role of mediation in reaching a compromise.Discussion Points:1.       Timing and Steps for Resolution: Dan explains when to consider settlement and outlines the steps involved in resolving excess claims, from identifying issues to determining exposure and engaging the other party.2.       Involving Defense Attorneys: MEC strongly recommends involving a defense attorney, especially on large dollar claims, to protect the employer's interests, handle paperwork, and navigate the administrative system. Dan highlights the importance of having legal representation for both the claimant and the employer in complex cases.3.       Mediation as a Resolution Tool: Dan discusses how mediation serves as an alternative dispute resolution process that brings parties together to reach a compromise. He explains that mediation is particularly effective for claims with disputed issues and high exposure, where a neutral mediator helps the claimant, their attorney, and the employer's representatives find middle ground.Send us a text and let us know what you think!

Hosts Matt Yehling and Patty Reinecke sit down with Vicki Barker, Senior Claims Analyst for at MEC, to discuss success stories and the positive impact MEC has made on injured workers’ lives through their handling of complex workers compensation claims. Vicki shares her perspective on measuring success, collaborating with partners, and achieving positive outcomes for all parties involved.Discussion Points:1.       Defining Success: Vicki explains that success in excess workers compensation claims is measured by making a difference, regardless of the size of the impact, through new perspectives, ideas, information, and resolution strategies.2.       Collaboration and Addressing the Opioid Epidemic: Vicki emphasizes the importance of collaborating with all parties involved in a claim and discusses how MEC assists partners in identifying and mitigating opioid usage while prioritizing the well-being of the injured worker.3.       Impact Story: Vicki shares the inspiring story of a police officer who, despite being shot and rendered semi-quadriplegic, received comprehensive support from MEC and went on to become a consultant for his department and a hometown hero.Send us a text and let us know what you think!

Hosts Matt Yehling and Patty—Reinecke are joined by Gina Holt, former Client Consultant Manager and current ISI Underwriter at MEC, to discuss how MEC collaborates with clients and TPAs to mitigate costs on complex, potentially excess-level workers compensation claims. Gina shares insights on MEC's hybrid role, early intervention strategies, and leveraging internal resources to improve claim outcomes.  Discussion Points:Early Intervention and Collaboration: Gina emphasizes the importance of early intervention and collaboration among MEC, clients, and TPAs to prevent medical costs from compounding. MEC's team reviews claims to identify red flags and provide mitigation strategies.Managing Excess Claims: Gina outlines the key components of successfully managing an excess claim: communication and trust. MEC takes a holistic approach, engaging their resources to develop mitigation strategies in collaboration with the TPA and defense attorney.Connecting with Injured Employees: Gina shares an example of how MEC's interventions, such as medication reviews, can significantly improve an injured worker's quality of life by addressing issues like over-medication and helping them return to a more functional lifestyle.Send us a text and let us know what you think!

Hosts Matt Yehling and Patty Reinecke are joined by Marianne Reed, Senior Claims Analyst at MEC, to discuss strategies for containing and mitigating costs in complex workers compensation claims. Marianne shares her expertise on identifying cost drivers, collaborating with stakeholders, and implementing targeted interventions to improve outcomes and reduce expenses.Discussion Points:Cost Drivers in Complex Claims: Marianne outlines the medical treatments that tend to be the biggest cost drivers in complex claims, such as injections, brand name medications, spinal cord stimulators, and failed surgeries. She also describes the typical features of these claims, including multiple surgeries, psychological issues, and long-term opioid use. Strategies for Cost Containment: Marianne shares her approach to mitigating costs, which involves reviewing medical records, engaging MEC's resources, collaborating with stakeholders, and implementing targeted interventions like medication reviews and negotiated rates.Successful Claim Intervention Case Study: Marianne provides an example of a catastrophic claim where early intervention by MEC led to a successful outcome. Send us a text and let us know what you think!

Hosts Matt Yehling and Patty Reinecke sit down with Dr. Fernando Branco, MEC's Chief Medical Officer, to discuss Complex Regional Pain Syndrome (CRPS) and Reflex Sympathetic Dystrophy (RSD). Dr. Branco shares his expertise on these challenging diagnoses, explaining how they can develop from seemingly minor injuries and the difficulties in accurately diagnosing and treating these conditions.Discussion Points:Sprains and Strains Progressing to CRPS/RSD: Dr. Branco explains that it's common for minor injuries like sprains and strains to progress into CRPS or RSD, especially in the excess claims world. He notes that increased awareness of these conditions has also led to potential overdiagnosis. Diagnosing CRPS/RSD: Dr. Branco emphasizes the importance of a thorough physical exam and following established diagnostic criteria. He discusses the role of temperature measurements, sweat tests, bone scans, and sympathetic blocks in the diagnostic process.Treating CRPS/RSD: Dr. Branco outlines a treatment approach that includes sympathetic blocks, aggressive physical therapy with desensitization techniques, cognitive behavioral therapy, and medication management. He stresses the importance of an experienced, multidisciplinary team and cautions against overreliance on invasive treatments.Send us a text and let us know what you think!

This episode features guest Tina D'Andrea discussing the critical topic of post-traumatic stress disorder (PTSD) in the workplace. With over 25 years of experience in workers compensation, Tina offers deep insights into the symptoms, diagnosis, and effective treatment of PTSD, particularly among professions with high public interaction like first responders, medical personnel, and teachers.Discussion Points:Understanding and Diagnosing PTSD: Tina defines PTSD and outlines its common symptoms, such as intrusive thoughts and hypervigilance. She elaborates on the diagnosis process, highlighting the CAPS-5 test and the PTSD Checklist as critical tools for accurately identifying the disorder.Effective Treatments for PTSD: The conversation shifts to treatment strategies, with a focus on cognitive behavioral therapy, group therapy, and the potential use of medication. Navigating PTSD in Workers Compensation: Tina, Matt, and Patty tackle the challenges of managing PTSD claims within the workers compensation system, stressing the need for specialized care and the difficulties associated with psychological injury claims. A success story is shared to illustrate the positive impact of appropriate and timely treatment.Send us a text and let us know what you think!

Hosts Matt Yehling and Patty Reinecke are joined by Jeff Pack, a Medical Management Consultant at MEC, to discuss failed back syndrome. Jeff shares his experience dealing with complex back injury claims that often start as sprains or strains but can lead to multiple surgeries and the diagnosis of failed back syndrome. The episode explores common trends in these cases, potential interventions, and advice for managing claims involving failed back syndrome.Discussion Points:Sprains and Strains Leading to Excess Claims: Jeff explains how many back injury claims that reach the excess layer at MEC begin as sprains or strains but progress to surgeries, sometimes multiple, before arriving at a failed back syndrome diagnosis. He shares examples of cases involving a nurse and a mechanic to illustrate this progression.Common Trends and Potential Interventions: The discussion covers common back injury diagnoses seen in the excess world and potential interventions to prevent failed back syndrome. Jeff highlights the importance of addressing problems quickly, finding physicians aligned with the goal of returning employees to work, and considering tools like nurse case managers and second opinions.Risks and Complications of Spinal Cord Stimulators: Jeff delves into the risks and complications associated with spinal cord stimulators, which are sometimes presented as a "golden ticket" for pain relief in failed back syndrome cases. He emphasizes the need for thorough consideration and second opinions before proceeding with these devices.Send us a text and let us know what you think!

Hosts Matt Yehling and Patty Reinecke welcome Dana Dorsey from MEC's Medical Management Unit to discuss sprains and strains. Dana, with her extensive background in field case management, dives into the definitions, treatments, and prevention of these injuries, highlighting how they can lead to complex claims if not managed properly from the outset. The episode focuses on practical advice for both employers and employees to handle and prevent these injuries effectively.Discussion Points:Defining Sprains and Strains: Dana explains the differences between sprains, which involve ligaments, and strains, which involve muscles or tendons. She outlines the symptoms, severity grades, and recovery processes for these injuries, providing a clear understanding of their impact.From Simple Injuries to Excess Claims: The discussion addresses how injuries that initially appear as sprains or strains can develop into more severe conditions, leading to significant claims. This segment underscores the critical role of early and accurate diagnosis in managing these injuries.Strategies for Prevention and Early Intervention: Highlighting the importance of preventive measures, Dana discusses ergonomic improvements, proper training, and early medical intervention. This part of the conversation emphasizes actionable steps employers and employees can take to minimize the occurrence and severity of sprains and strains in the workplace.Send us a text and let us know what you think!

They explore key differences from catastrophic claims, focusing on disputed issues, medical care management, and disability assessment. Dan shares insights on the use of Independent Medical Examinations (IMEs) and emphasizes the value of involving opposing counsel. The episode highlights the need for a collaborative approach to improve outcomes for injured employees. Discussion Points:Investigating Migratory Claims: Dan explains the key differences between migratory claims and catastrophic claims, highlighting the importance of identifying disputed issues, managing medical care, and addressing disability in migratory claims.Effective Use of Independent Medical Examinations (IMEs): Dan offers insights into the strategic use of IMEs, emphasizing the need to consider their purpose and potential impact before proceeding.Collaboration and Communication: The episode underscores the value of collaboration and open communication among all stakeholders, including defense counsel, to navigate complex migratory claims and achieve the best possible outcomes for injured employees.Send us a text and let us know what you think!

In this episode of MEC Connect, hosts Matt Yehling and Patty Reinecke sit down with MEC Senior Claims Analyst Kam Garrett to delve into the complex world of migratory claims. Kam shares a real-life example of a migratory claim that spanned over a decade and the challenges involved in handling such cases. They also discuss recurring trends, resources, and strategies for managing migratory claims effectively.Discussion Points:Real-Life Example: Kam provides a detailed example of a migratory claim that took almost 13 years to resolve, emphasizing the persistence required in managing such cases.Challenges in Handling Migratory Claims: Kam highlights the unique circumstances and evolving treatment plans associated with migratory claims, including prescription complexities, financial considerations, and posturing for settlement.Impactful Resources at MEC: Kam discusses the resources available at MEC, such as preferred pharmacy benefit management, experienced medical teams, cost projections, and structured settlement brokers, to help navigate and reduce costs in migratory claims.Send us a text and let us know what you think!

Hosts Matt Yehling and Patty Reinecke interview MEC’s Sherrie Murray about the challenges of "migratory claims"—claims involving injuries that start simple but spiral into complex cases involving endless treatments and prescriptions. In this episode, we explain MEC’s approach to these thorny claims, focusing on appropriateness of care, prescription issues, and ultimately settling cases.Discussion Points:Nature of Migratory Claims: Common types of injuries in migratory claims, particularly involving the spine.Challenges of Migratory Claims: The medical, psychological, and employment-related challenges faced in these claims.MEC's Approach to Migratory Claims: Team of experts including medical management consultants and claims attorneys.Deep dive into claimant's current treatment, prescription complexities, and cost-effective settlement strategies.Importance of pre-MSA product evaluation and Medicare considerations.Send us a text and let us know what you think!

In our final episode of Season 1, Matt Yehling and Patty Reinecke speak with Geoff Jones, Senior Claims Attorney at Midwest Employers Casualty (MEC) about resolution of catastrophic claims.Topics covered include:If and when a catastrophic claim can be settled.Situations where a settlement is not possible or recommended.  Considerations for indemnity or medical only settlements.The people involved in resolution of a catastrophic claim.How Medicare Set-Aside trusts affect settlement.Send us a text and let us know what you think!

In episode 8, Kelly Loos, Senior National Catastrophic Claims Analyst at Midwest Employers Casualty (MEC), teams up with Matt Yehling and Patty Reinecke for a conversation about claim management once an injured employee has achieved medical stability.Topics covered include:Factors that need to be addressed before a CAT claim can be considered stable.Who is involved with following a catastrophic claim over the long term.  How to reserve for a claim – both initially and after the claim is stable. Send us a text and let us know what you think!

In episode 7, Matt Yehling and Patty Reinecke welcome back Phyllis Ramondetta, Senior National Catastrophic Medical Consultant at Midwest Employers Casualty (MEC).  They will discuss the factors involved for an injured employee to achieve the goal of returning home after a catastrophic injury.Topics covered include:Services and modifications that need to be in place before the employee’s return home.  How MEC helps facilitate a smooth and successful transition for the employee and their family. Options for attendant care, if required.The advantages of returning home versus long-term facility care.Send us a text and let us know what you think!

In episode 6, Matt Yehling and Patty Reinecke welcome Phyllis Ramondetta, Senior National Catastrophic Medical Consultant at Midwest Employers Casualty (MEC), for a discussion on what to expect after the acute phase of a catastrophic injury.Topics covered include:Types of rehabilitation options available after hospital discharge.Injuries that benefit from post-acute rehabilitation programs.Characteristics of an effective rehabilitation program.Considerations for reaching an individual’s best possible outcome.Send us a text and let us know what you think!

In episode 5, Matt Yehling and Patty Reinecke welcome back Midwest Employers Casualty’s (MEC) Chief Medical Officer, Dr. Fernando Branco.  The three discuss the significant role Centers of Excellence (COE) play in the rehabilitation of catastrophically injured employees.Topics covered include:Explain why MEC may recommend a COE for the treatment of a catastrophically injured employee.Differentiating COEs from other centers and how to choose the appropriate COE. Measuring treatment outcomes at a COEThe COE’s process and level of communication prior to admission, treatment, and discharge.Determining fair pricing.Send us a text and let us know what you think!

In this installment of MEC Connect, Matt Yehling and Patty Reinecke chat with Midwest Employers Casualty’s (MEC) Chief Medical Officer, Dr. Fernando Branco.  Dr. Branco addresses the importance of proper medical treatment to achieve the best outcome for the injured employee. Topics discussed include:Initial steps of a successful catastrophic medical care plan.Trauma center classifications.The importance of investing in quality care.Treatment considerations.What constitutes a good outcome for a trauma center. Learn more about CAT Claims here: https://mecasualty.com/claims-admin/cat-claim.For inquiries about MEC Connect, email [email protected] us a text and let us know what you think!

In Episode 3, Matt Yehling and Patty Reinecke welcome Dan Dalton Chief Claims and Regulatory Counsel at Midwest Employers Casualty (MEC).  Dan addresses the benefits of having a lawyer involved in catastrophic (CAT) claim investigations.  Topics covered include:Necessity of attorney retention and involvement on day one in catastrophic losses. The “grand bargain” of the no-fault system of workers’ compensation.Overview of third-party liability and subrogation.The methodology and importance of a thorough claim investigation to a successful outcome.Learn more about CAT Claims here: https://mecasualty.com/claims-admin/cat-claim.For inquiries about MEC Connect, email [email protected] us a text and let us know what you think!

Matt Yehling and Patty Reinecke welcome back Courtney Waltz, Senior National Catastrophic Claim Analyst at Midwest Employers Casualty (MEC), to continue their discussion about MEC’s unique approach to CAT claims management.  Topics covered include:Why the right team matters.How MEC has utilized technology to enhance the CAT claims round table process.The importance of communication to enhance the quality of care.How MEC makes a difference.Learn more about CAT Claims here: https://mecasualty.com/claims-admin/cat-claim.For inquiries about MEC Connect, email [email protected] us a text and let us know what you think!

Welcome to the first episode of MEC Connect! Special guest Courtney Waltz, Senior National Catastrophic Claim Analyst at Midwest Employers Casualty (MEC), joins cohosts Matt Yehling and Patty Reinecke for the first in a series of discussions about catastrophic (CAT) workers’ compensation claims.Topics covered include:·         How the MEC dedicated CAT Claims team defines CAT claims ·         Who makes up the CAT Claims team·         The  initial reporting process for these types of claims·         Why immediate action for CAT claims is critical to helping achieve better resultsLearn more about CAT Claims here: https://mecasualty.com/claims-admin/cat-claim.For inquiries about MEC Connect, email [email protected] us a text and let us know what you think!

Welcome to MEC Connect! We’re excited about the launch of our new podcast. Check out the trailer to get a sneak peek on what you can expect in Season 1! Send us a text and let us know what you think!