Specialty Risk Transfer for Acute Catastrophic
and Complex Workers’ Compensation Cases

A patient-centered approach to managing
Acute Catastrophic and Complex
Workers’ Compensation Cases

Pathways 2 Recovery

DUAL ACCREDITATIONS

Carisk is the first and only MBHO serving both the
Group Health and Workers’ Compensation industries
with dual accreditations for both NCQA and AAAHC.

AICPA SOC Header

Carisk Partners is SOC 2 Certified
ensuring data security, risk mitigation
and privacy excellence

Outcomes – Specialty Risk Transfer

Specialty Risk Transfer

Carisk strives to improve outcomes and reduce long-term cost of care by leveraging its biopsychosocial methods, extensive networks of quality providers and proprietary technologies modeled for the early identification and intervention of high-risk patients.

Increased Financial Certainty for High-Cost Patient Populations

To meet the needs of its customers, Carisk provides flexible partnership pricing and assumes risk associated with acute and non-acute large loss cases. By utilizing best-in-class data to drive the clinical and actuarial underwriting processes, our clients benefit from increased financial certainty for high-cost patient populations.

Every Case Goes Through a Pathway 2 Recovery

Carisk utilizes its proprietary systematic approach – Pathways 2 Recovery – to manage acute and complex workers’ compensation cases. Pathways 2 Recovery is structured around evidence-based clinical pathways for both physical and behavioral treatment.

Fee For Service – Solutions for Delayed Recovery Cases

Carisk offers a fee-for-service structure for medically stabilized delayed recovery cases with underlying behavioral health components. Services include:

  • Comprehensive Clinical Interview
  • Physician oversight services
  • Care coordination

Catastrophic Case Types

Psychosocial Issues are the #1 barrier to successful return to work. Additionally, there is a documented and studied bi-directional relationship between physical pain and mental health. Types of Injuries and behavioral health challenges Carisk typically manages:

Catastrophic Cases

Acute and Non-Acute Large Loss Case types

Traumatic Brain Injury

Spinal Cord Injury

Burns

Severe Extremity Injury

Delayed Recovery

Common co-occurring medical and behavioral health challenges

Substance Use Disorder

Mood Disorders

Chronic Pain

Anxiety and Stress-Related Disorders

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