Payers & Adjusters

Lower total cost of recovery

Programs that reduce opioid claims, complications, and time away from work.

Measured outcomes

What changes for payers & adjusters

38%

Less opioid use after surgery

Average reduction in post-surgical opioid consumption across cold compression programs.

24%

Fewer recovery-related readmissions

Reduction in readmissions attributable to swelling, wound, and mobility complications.

9 days

Shorter indemnity duration

Average reduction in time away from work on managed recovery programs.

Figures shown are illustrative placeholders pending clinical and operational substantiation. They are visible on this staging build only.

What we provide

What payers & adjusters get from us

01
Opioid claim reduction
Non-drug pain management that shows up as fewer pharmacy claims.
02
Complication avoidance
Edema control and healing support that reduce readmissions and revisions.
03
Return-to-work acceleration
Functional recovery timelines that shorten indemnity duration.
04
Auditable adherence data
Utilization documentation for every device program we run.

How it works

How the economics work

A managed recovery program is a front-loaded cost against three back-loaded ones.

  1. 1

    Spend moves earlier

    Equipment and fitting are paid once, before the procedure, instead of reacting to a complication later.

  2. 2

    Pharmacy exposure drops

    Non-drug pain control reduces opioid fills — and the long-tail claims that follow dependence.

  3. 3

    Complications get avoided, not treated

    Edema and mobility control cut the readmissions and revisions that dominate recovery cost.

  4. 4

    You get the documentation

    Per-patient utilization and milestone data, auditable, rather than an invoice with no evidence behind it.

The line

Technologies for payers & adjusters

The programs from our catalog that apply to payers & adjusters.

Model this against your book

Send us a procedure mix and we will walk through where a managed recovery program changes claims cost.