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2016 Innovation Awards: Origami Risk L.L.C.

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Origami Risk L.L.C. hopes to help clients cut workers compensation costs and reduce lost work time for injured workers by including some of the comp industry's leading medical treatment and return-to-work standards in a risk management information system.

Chicago-based Origami Risk integrated the Official Disability Guidelines into its data platform in September, earning it a 2016 Business Insurance Innovation Award.

www.origamirisk.com

The ODG guidelines, which include evidence-based medical care and return-to-work standards for injured workers, are published by the Encinitas, California-based Work Loss Data Institute.

While clients can access the ODG guidelines by using the Work Loss Data Institute's data platform, Origami Risk incorporated the ODG data directly into its model.

The combination has made the RMIS system a one-stop shop for employers who want to see whether their injured workers are receiving medical care proven to be effective for their injuries, or whether those workers need additional medical assistance to help them return to work.

The integration compares individual claims with the ODG data based on criteria that could elevate the cost of a workers comp claim, such as the worker's medical diagnosis, whether the worker has comorbid health conditions such as diabetes, or whether the worker has legal representation, said Earne Bentley, Atlanta-based sales lead for Origami Risk, who spearheaded the integration effort.

The model is “identifying claims up front that might need extra attention or intervention before you might typically figure out this claim could be a problem,” Mr. Bentley said.

Mr. Bentley said it's too early to quantify how effective the integration has been at reducing workers comp claim costs or return-to-work times.

However, Origami Risk cites statistics from the Work Loss Data Institute showing that the ODG guidelines are helpful in resolving workers comp claims when used by other companies.

The institute estimates that entities that use the ODG guidelines for benchmarking see a 34% to 66% reduction in average disability durations and medical cost savings of 25% to 60%, depending on factors such as which state a claim is in and which insurers or third-party administrator is handling the claim.

The ODG data “indicates which treatments are proven to work as indicated in peer-reviewed scientific studies. So it ensures that patients are receiving effective treatments and it also can prevent the use of ineffective or potentially harmful treatments,” said Ingrid O'Keefe, senior account executive with the Work Loss Data Institute.

Ms. O'Keefe assisted Mr. Bentley and Origami Risk in licensing and integrating the ODG guidelines into the data platform.

Mr. Bentley said Origami Risk has received some early feedback from clients about the ODG integration and plans to update the model in the near future based on client requests.

“We're always looking for more and more ways that we can better serve our clients,” he said.