title: Contract case managers prove cost effective in federal workers' compensation programs.
abstract: OBJECTIVE
  This pilot study examined whether contract case managers are cost effective in reducing workers' compensation (WC) costs and preventing injuries.
  
  
  METHODS
  We placed contract medical case managers at four installations where they employed private industry best practices. A needs assessment was performed and site-specific targeted interventions were developed. Case managers improved WC program effectiveness by ensuring command support, and strengthening the case management process. They minimized lost work time and provided the WC team resources to review the oldest cases.
  
  
  RESULTS
  Case managers cost $1.25 million and they generated $4.4 million in savings for a 3.52 return on investment. Case managers removed 73 workers from long-term rolls by making use of vocational rehabilitation, finding modified duty jobs, offering workers medical retirement, and terminating benefits when workers refused to work after being offered a job.
  
  
  CONCLUSIONS
  This study of medical case managers demonstrates they can reduce WC costs.
authors.affiliation: Department of Preventive Medicine and Biometrics, Uniformed Services University, Bethesda, MD 20814, USA.
authors.forename: Timothy Michael
authors.initials: TM
authors.lastname: Mallon
authors.forename: Marianne
authors.initials: M
authors.lastname: Cloeren
authors.forename: Lisa Michelle
authors.initials: LM
authors.lastname: Firestone
authors.forename: Helen Christine
authors.initials: HC
authors.lastname: Burch
mesh_terms: D019090:Case Management; D017046:Cost Savings; D003362:Cost-Benefit Analysis; D035082:Federal Government; D006801:Humans; D008887:Military Medicine / Q000191:economics*; D008889:Military Personnel; D020380:Needs Assessment; D009732:Nursing Care; D010865:Pilot Projects; D014942:Workers' Compensation / Q000191:economics*