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Taking The Guesswork Out of Establishing Lifetime Care Needs and Cost
Life
Care Planning,
a natural extension of medical case management, represents the application of a
meticulous approach to forecasting events and subsequent costs as they pertain
to the ill/injured individual. Based
on the recommendations of an interdisciplinary team of specialists, a
well-constructed plan details the medical care needs on the ill/injured
individual. Research is performed
to determine the costs of each needed service or supply, and an economic
analysis is performed to determine what those costs will be over the “individual”
lifetime. The plan is then
forwarded to an economist where the costs are reduced to a single, present value
sum.
In
order to compile an accurate Life Care
Plan, one must have a clear understanding of the nature of the injury, the
associated problems and the most appropriate approach for alleviation and/or
remediation of same. Identification
of and collaboration with the appropriate professional disciplines is critical,
as is the ability to articulate and substantiate the content of the plan once
developed.
The
care needs in the Life Care Plan
should relate directly to the individual and his/her particular disability and
thus are exclusive of “normal”
everyday life/health care needs experienced by the well or healthy.
However, recognition must be given to the fact that health needs of
people with disabilities may differ from the health care needs of others, and
that physician visits are reported in the literature to be two to three times
more frequent for disabled individuals.
Today,
no one has the luxury of guessing at what that total might be. Please
call us to discuss the specifics of your case.
Our staff stands ready to assist you at 626-303-6333!
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Legal
Services |
Workers’
Compensation |
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The professionals at Roughan & Associates at LINC, Inc. serve as consultants to
the attorney. They assist
with the overall case coordination and facilitation, and utilize a
collaborative expert team approach to ensure an accurate, credible
depiction of damages. The process of preparing a Life Care Plan includes: ·
Obtaining
and reviewing all medical records ·
Conducting
an on-site plaintiff evaluation when and where possible ·
Interviewing
the current treatment team and family members ·
Delineating
the existing and potential future problems ·
Determining
the interdisciplinary expertise needed to present a credible case ·
Collaborating
with the treatment/expert team to prepare a detailed Life Care Plan ·
Providing
testimony to support the Life Care
Plan The Life
Care Plan itself is individualized and consists of the following:
Medical Summary, Problem Delineation, Needed Services and Supplies,
Economic Analysis, Cost Resource List. |
Few
mistakes are more costly in Workers’ Compensation than under-reserving
on a catastrophic injury. Over-reserving
can be almost as painful. Today,
the setting of accurate reserves is the only practical way to insure the
continued financial health of an organization.
Whether you retain the risk and manage the costs or decide to
settle out, an accurate reserve estimate is critical to sound
decision-making. A
Lifetime Medical Reserve Study
will provide you with an accurate estimate of the cost of care, based on
the recommendations of the treatment/expert team. It is less costly than a full Life Care Plan and is intended for “in-house use only”. (If
litigation is anticipated or expert testimony is desired, a full LCP would
be required) The
Lifetime Medical Reserve Study
includes: ·
Review the current medical records ·
A matrix diagram summarizing the recommendations of the current
treatment team and detailing costs of recommended services and supplies ·
A present value economic analysis |