Anthony Segrich Promoted as Chief Technology Officer of Tower MSA Partners

July 29, 2015

Anthony Segrich Newly positioned as the Chief Technology Officer of Tower MSA Partners, Anthony Segrich will pilot all components of technology at Tower MSA. Segrich’s experience in the architecture of successful business process management systems serves as a huge asset for Tower’s commitment to innovative systems and practices.

Anthony Segrich brings his history of consulting, designing and implementing valuable process management systems to the table for Tower MSA Partners. He has performed extensive consulting and development for Fortune 25 companies, such as Cingular Wireless/AT&T, National Semiconductor, and Pepsi International. He holds a bachelor’s degree in Computer Science from Boston College. Before joining Tower, he developed major process management systems for institutions like Fannie Mae, while serving as the general manager for Foreclosure.com.

“Anthony’s previous experience designing business process management systems for Fortune 25 companies equipped him to use the latest BPM technologies in our Section 111 modules,” said Tower CEO Rita Wilson.

In 2012, Segrich partnered with Tower MSA to develop its custom MSP compliance tracking software. He also served as the lead architect for the Section 111 Reporting and data mapping for claims eligibility exchange.

“We can convert files into CMS-preferred formats and then back into client-preferred formats and overlay advanced business rules to make MSP compliance as simple and effective as possible,” Segrich said. “We can now achieve in weeks what takes legacy systems months.”

Segrich has played an intricate role in equipping Tower MSA Partners with the latest technology to deliver end-to-end visibility for their client’s MSAs while simultaneously creating straightforward integration with multiple claim system platforms.

What Can Data Tell Us About Predictors of Long Term Opioid Use?

July 9, 2015

Virtually every day, I encounter an MSA where the use of opioids has affected not only the cost of settlement, but has impacted quality of life, and even reduced life expectancy as a result of the side effects that often occur with long term opioid use.  In each situation, I find myself asking the same question, “Could this have been avoided?”  I want the answer to be a resounding  “YES”, but when I look at the history of the claim, I find so many different paths taken through the years of treatment, it’s difficult to find the single turning point that took both patient and claim in the wrong direction.

Today I ran across a study that reminded me of a basic problem solving pillar I learned from my early IT days.

When troubleshooting a logic problem, shortcuts rarely work.  We must go back to the beginning.

Back to the Beginning

In  a recent article published by the Mayo Clinic, a team of researchers headed up by anesthesiologist, Dr. Michael Hooten, studied how many patients prescribed an opioid for the first time progressed to long term prescriptions, even to the point of addiction.  The answer:  1 in 4 people.  In its findings, the researchers noted that people with histories of nicotine and past substance abuse were likeliest to use opioid pain medications long term.

Researchers used the National Institutes of Health-funded Rochester Epidemiology Project to get a random sample of 293 patients who received a new prescription in 2009 for a short acting opioid pain medication such as oxycodone, morphine, hydromorphone, oxymorphone, hydrocodone, fentanyl, meperidine, codeine and methadone.  In their analysis, they found that 21 percent, or 61 people, progressed from short-term use to prescriptions lasting three to four months, and 6 percent, or 19, of the 293 studied ended up with more than a four-month supply of the drugs.

What’s the Connection?

According to Dr. Hooten,  it’s “all in our heads”.   The actual truth is that  neurobiology related to chronic pain, chronic opioid use and addiction is similar.  We know that smoking has  complex effects  on pain perception in humans and has long been considered a risk factor for a number  of painful conditions, including low back pain and  musculoskeletal pain.   There have also been behavioral animal studies (Vihavainen T, Piltonen M, Tuominen RK, Korpi ER, Ahtee L., Eur  J Pharmacol. 2008) that  have shown that  both the rewarding and the psychomotor-activating effects of morphine  were enhanced following  nicotine treatment.  Basically, according to Dr. Hooten,

Nicotine activates a group of receptors, or brain structures, in a way very similar to how opioids and chronic pain may activate them.

Impact On Early Treatment

According to Dr. Hooten, the identification of nicotine use and substance abuse as top risk factors for long-term use of opioids suggests that physicians should be particularly careful about prescribing these pain medications to patients with such histories.  For workers’ compensation, however, it  is critical to identify the potential risk factors before opioid medications are approved the first time, and if possible, even before the patient sees the physician.

Asking the Right Question

If potential risk factors such as past substance abuse and nicotine use could be obtained through investigative data gathering during the first 72 hours after an injury, is there an opportunity to mitigate exposure, and to optimize claim, patient health and settlement outcomes?

With more access to data via social media investigations, employment and medical history searches , financial / credit checks and general post-injury questioning, early claim data analytics can be a tremendous tool to identify triggers that could indicate future claim complications.