The document provides sample reports and outcomes from a comprehensive workers' compensation claims reporting and management dashboard. It includes standard reports on injuries, medical costs, lost time, and program effectiveness. Customized reports and auto-triggered reports are also available. Graphs and analyses show that early injury reporting within 3 days of occurrence leads to lower medical and lost time costs compared to later reporting. A hotline for reporting injuries achieved high supervisor satisfaction ratings. Medical case management reduced lost time days and costs compared to national benchmarks.

1. Comprehensive Reporting Dashboard Capabilities &
Sample Stewardship Report & Outcomes
! Standard report package
designed to meet client
needs
! Web based reports are
concurrent with Real Time
Data
! Customized Stewardship &
Ad Hoc Reporting
! Auto Reporting Triggers
! Demonstrates program
effectiveness
! State Reporting
! Identifies safety & loss
control interventions
1

2. Injury Reporting Hotline -
Selected Outcomes
2

3. Injury Reporting Hotline Utilization
CY03 – CY10
Large Transportation Self Insured Employer
3

4. First Report of Injury 3 Day Lag Time Analysis
The percent of Injuries reported via Hotline within 3 days has continued trend upwards. This performance
measure has a direct impact on the overall savings achieved in program as it promotes “Early Intervention”
techniques
4

5. Average Medical Cost by Lag Time Category
Claims received from January 1, $11,150
$12,000 2000 – December 31, 2010.
Valued as of June 1, 2011 $10,024
$10,000
$7,981
$8,000
$5,230
$6,000
$4,000
$2,000
$0
Same Day 1-3 Days 4-7 Days 8 Days or Greater
Cases that are reported 8 Days of Greater incurred roughly 113% more in medical costs than those cases that are
reported the Same Day.
5

6. Average Lost Time Days by Lag Time Category
CLAIMS RECEIVED IN CALENDAR YEAR 2008
- VALUED AS OF DECEMBER 31, 2010
As this analysis depicts, for this Large National Self Insured Employer, Early Intervention does provide for
reduction of Lost Time Days.
6

7. Time of Hotline Utilization Outcomes
FIRST REPORT OF INJURY ANALYSIS - TIME OF NOTIFICATION REVIEW
INJURIES REPORTED VIA TELEPHONE HOTLINE – FY10
This data is used to ensure a given client’s Injury Reporting Hotline is staffed accordingly.
7

8. Injury Reporting Hotline – Recent Supervisor Survey Results
Were you generally satisfied with the service you received through the ICS Injury Reporting Hotline?
95% of those Supervisors surveyed stated they were satisfied to very satisfied with the service they received through
the ICS Injury Reporting Hotline
8

9. Medical Care Management -
Selected Outcomes
9

10. Average Lost Time Days by Closed Lost Time Claim
CY 1999 was the year prior to implementation of current ICS program. Over the past 11 full calendar years, the
Average Lost Time Days on Closed Lost Time Claims is 27.5, 53% improvement measured against CY99 results.
10

11. Monthly Saved Days Analysis - Comparison to National Benchmark
The Saved Days is determined by subtracting the
Lost Time days from closed lost time cases from
the total National Best Practice Estimated
Disability Duration associated with those closed
cases.
There has been a nearly 67% improvement in the Average Monthly Saved Days from CY08, the first full year of
the ICS Early Intervention Program to CY10.
11

12. Lost Production Days Outcome Analysis
NURSE CASE MANAGEMENT - LOST PRODUCTION DAYS ANALYSIS
ALL CLOSED LOST TIME CASES JULY 2007 - JUNE 2008 - VALUED AS OF DECEMBER 31, 2010
The Estimated Disability Duration is calculated using a nationally recognized “best practice” disability duration database. This
analysis depicts the expected disability duration on those closed lost time cases was greater than the actual lost production days
incurred, resulting in 1,485 “saved days”.
12

13. Lost Time Analysis – Comparison to WCRI
Benchmarking Client C Total Lost Time Days Incurred on Closed Lost Time Claims
The Lost Time Days savings for FY08 stood at $1,740,000 - data valued as of 12/31/10
13

14. Lost Time Analysis – Trending Closed Lost Time Files to Expected Disability Duration
In CY10, for a Large Self Insured & Self Administered Client, 85% of all Closed Lost Time Cases were within the
Expected Disability Duration Guidelines set by National Best Practices. Since ICS started with this client in
CY05, there has been a 23% improvement in the percentage of closed lost time files that were within the Expected
Disability Duration
14

15. Return To Work Analysis - RTW Within 30 Days
In CY10, RCOT, the ICS Early Intervention Program, showed results are approximately 135% higher then the
results from other Transportation Industry companies
15

16. Total Cost Per Claim Analysis – Self Insured & Self Administered Client’s Data
Over the past 3 full fiscal years, the EIP Total Cost Per Claim is approximately 35% lower than non EIP
16

17. Average Lost Time Days per Lost Time Claim – Self Insured & Self Administered Client’s Data
Over the past 3 full fiscal years, the EIP Average Lost Time Days per Lost Time Claim is approximately 44% lower
than non EIP
17

18. Average Indemnity Cost Per Indemnity Claim – Self Insured & Self Administered Client’s Data
Over the past 3 full fiscal years, the EIP Average Indemnity Cost Per Indemnity Claim is approximately 50% lower
than non EIP
18

19. Transitional Duty Outcomes - New Employees Entering Program
Since FY02, there have been over 2,300 new employees who have benefited from the Transitional Duty Program. In the past for this
Large Self Insured Client, this represented injured workers that typically obtained legal counsel and accumulated Lost Time Days.
19

20. Transitional Duty Outcomes – Recent Employee Satisfaction Survey Result
Did you feel working in a modified or alternative duty capacity provided you with a better mental and physical outlook during your
recuperation period than not working at all?
96% of those respondents who could recall stated that they felt that working in a modified/alternative duty position
provided them with a better mental and physical outlook during their recuperation.
20

21. Transitional Duty Outcomes – Recent Employee Satisfaction Survey Result
Did you feel working in a modified or alternative duty capacity improved your recuperation period?
90% of those respondents who could recall stated that working in modified or alternative duty capacity improved
their recuperation period.
21

22. Average Lost Time Days Per Lost Time Claim By PPO Provider
For a large Regional Self Insured & Self Administered Client, the Average Lost Time Days per Lost Time Claim
was approximately 37% lower for those Lost Time Claims managed by a PPO Panel Provider.
22

23. Medical Bill Review & PPO -
Selected Outcomes
23

24. PPO Penetration Outcomes –
Large National Self Insured Employer
ICS took over the MBR/PPO services for this Large National Self Insured Employer in CY08. Over the past
three years there has been a 124% improvement in the PPO Penetration, using CY07 as the benchmark.
24

25. Incremental PPO/Specialty Savings & Penetration Breakdown
Incremental PPO Incremental PPO
Savings Penetration
Tier 1 % of Total Savings: 29% Tier 1 PPO Bill Penetration: 21%
Tier 2 % of Total Savings: 8% Tier 2 PPO Bill Penetration: 13%
Tier 3 % of Total Savings: 8% Tier 3 PPO Bill Penetration: 9%
Specialty Network % of Total Savings: 22% Specialty Network Penetration: 23%
Specialty Review % of Total Savings: 33% Specialty Review Bill Penetration: 1%
*Specialty Networks include PT, MRI, DME Total Bill Penetration: 67%
Case study: National retail client with warehousing and distribution centers
2010 New Jersey Results: 75% PPO Penetration resulting in 50% Gross Savings
25

26. A Case Study on PPO Customization –
State Client Located in Northeast
! Impact on customizing and enhancing the PPO Network include the following results:
! First 90 Days post the implementation of Network Services:
! 70% increase in the number of Physicians
! 26% increase in the number of Facilities
! 56% increase in the number of Hospitals
! Overall impact QueBall has had on the PPO network since Program Implementation
! 200% increase in the number of Physicians
! 158% increase in the number of Facilities
! 161% increase in the number of Hospitals
Provider Counts
Month Physicians Facilities Hospitals
July 2009 3,751 683 18
October 2009 6,373 860 28
January 2010 7,538 999 33
June 2010 9,220 1,474 34
June 2011 11,226 1,765 47
26

27. A Case Study on PPO Customization –
State Client Located in Northeast
! Financial impact on customizing and enhancing the PPO Network include the following
results:
! State Client has seen their PPO Network Penetration increase nearly 63% from October 2009 (56%)
to April 2011 ((91%)
! Overall Network Savings below the State Fee Schedule has improved even with the larger influx of
contracted providers
Network Penetration – By Medical Bill Adjudicated
Month October 2009 January 2010 April 2010 July 2010 October 2010 January 2011 April 2011
Total Bills 9,540 5,975 9,994 5,682 5,025 4,708 7,833
In Network Bills 5,331 4,499 8,380 5,021 4,498 3,670 7,148
PPO Penetration 56% 75% 84% 88% 90% 78% 91%
27

28. Pharmacy PPO Outcomes
Average Cost Per Claim/Year
$2,500.00
$2,000.00 $2,270.75
$1,500.00 $1,699.08
$1,000.00 Savings Per Claim/Year
$571.67
$500.00
$-
Other WC PBM myMatrixx
Our PBM Program with myMatrixx drive a lower cost per claim by managing the mix of drugs prospectively,
concurrently and applying proprietary predictive modeling techniques as compared to other Workers’
Compensation PBM Programs.
28

29. Pharmacy PPO –
Network Penetration & Savings Results
myMatrixx Claims Data vs. pre-myMatrixx Claims Data
Client Type Percentage Generic Penetration Average Per Script
Savings Differential Savings
Auto Clients 15.24% 8.27% $27.94
Larger State 19.59% 9.85% $30.84
Managed Care and TPA 18.04% 10.55% $36.95
Insurance Carriers 23.09% 11.24% $39.43
Consistently, the Network Penetration and Savings achieved through our strategic partnership with myMatrixx in
comparison with pre-myMatrixx results have shown impressive incremental improvement in Network
Penetration and Program Costs.
29