Our nurses have received training from a nationally recognized program. This program provides specialized post-graduate training to qualified professionals in the accepted methodology of this process.
The case managers who work with the specialty have a background to access services and identify resources necessary to best serve the needs of individuals with catastrophic injuries and other disabilities.
Our nurses focus on obtaining the best care at the most reasonable cost in the appropriate setting. Life care planning today has practical everyday use and our case managers’ caseloads often encompass a number of clients who have long-term care needs, making them a natural fit for this practice. Our case managers can also evaluate other agencies’ life care plans for appropriateness according to accepted methodology which can be beneficial in coming to a settlement of a high-cost claim.
Life care planning can assist in aiding not only to the insurer in identifying potential costs to set reserves, but to the claimant and those involved in his/her care:
- Health care needs can be identified through patient assessment and consultation with treating physicians.
- Local suppliers and community resources can be identified to meet those needs most cost effectively.
- Health care facilities can be identified for best outcome management for specific patient populations.
- Specific programs can be identified for individuals with chronic conditions.
- Collateral funding sources such as schools or government organizations could be identified.
Formats can vary, but generally include a narrative summary of the individual’s medical and vocational history, current and future care needs, and physical function. This is accompanied by a graphic chart that projects current and future cost analysis for equipment and services that will be needed for the individual’s projected life span.
These costs are projected based on current figures, and any inflationary costs or economic growth trends would require the expertise of an economist. We can provide sanitized examples of life care plans that have been done by Associates in Rehabilitation Management’s case managers.
- Catastrophic injury such as brain or spinal cord injury
- Amputations or specific loss cases
- Catastrophic pediatric cases
- Medical malpractice cases
- Personal injury cases
- Product liability cases
- Total or partial disability settlements
- Reserve setting for high-cost claims
- Structured settlements
- Evaluation of opposing party’s life care plan or settlement proposal