1. Mental Health Goes Operational
No longer fringe in workers’ comp. Our real challenge now is operationalizing access to timely, evidence-based mental health care so it supports recovery instead of becoming a barrier.
2. End of Healthcare Subsidies = Cost Shifting Risk
With federal funding changes, i.e. loss of funding for healthcare subsidies and SAMHSA,watch for cost shifting into workers’ comp.
3. Civil Monetary Penalties.
This is a brand-new layer in the Medicare Secondary Payer landscape. CMS is expected to release CMP documentation in March.
4. Complex Claims = Our Biggest Opportunity.
Early identification of red flags, faster access to evidence-based care, and better education for claims professionals prevent complexity → chronicity → runaway costs.
5. Presumptions Are Expanding.
Presumptions continue to shift the burden of proof to employers, especially for PTSD, firefighter cancer, and potential infectious disease claims.
6. Employee Well-being & “Quiet Cracking.”
Quiet cracking, marked by disengagement, burnout, and feeling stuck, emerges as employees remain overloaded and unsupported. Organizations that treat wellbeing as a core risk management strategy see stronger engagement, faster recovery, and lower overall costs.
7. In-Person Events: Where Professional Growth Accelerates 🤝
Connection, learning, and candid conversations happen best face-to-face. Attending even two industry events a year sharpens perspective and strengthens relationships in the workers' comp ecosystem.
Yvonne’s Top Picks:
Rafael’s Picks (+Yvonne's list):
⚡ Rapid-Fire Watchlist - a few other areas/issues to watch this year:
¡Muchas Gracias! Thank you for listening. We would appreciate you sharing our podcast with your friends on social media. Find Yvonne and Rafael on Linked In or follow us on Twitter @deconstructcomp
