Stephanie McCahon - IFDM

Applying the evidence• Early intervention model successful withmusculoskeletal conditions, in motor, ELand OH settings, and in other countries…UK life and health (L&H) industry?Vocational rehabevidence baseNature of L&Hpolicies

Our approachStep 1• Telephone triage• Bibliotherapy, guidance in self-help strategies, signpostingStep 2• Telephone case management• RTW support, coaching/trainingStep 3• CBT/psychotherapy• Intensive vocational support

ReduceddisabilityInterim resultsReduced time off workReducedintervention costsReduced claimlengthProactive management& win-win for all parties

Interim results• PHQ-9 59%• GAD-7 66%• 92% customer satisfaction• 93% beneficial in assistingcustomers return to normalactivities"They asked the rightquestions – ones I hadn’tbeen asked by other healthprofessionals.""I've learnt to manage myfeelings much moreeffectively.""I'd never have gotten backto work so quickly."

Interim results5958575655545352515049RTW or fit for work (52%)RTW, fit for work, &/or positive claimsoutcome (58%)Work status on rehab case closure: pure work outcome vs claims outcome

Interim results80706050403020100RTW or fit for work (52%)Referred

What's different?• Funding within claimsdeferred period• Applying the latestevidence• Challenging traditionalapproach• Not just an assessment• Cost-effective, steppedcare• Aligned with currentgovernment strategy:work is good for us!

ConclusionsEvidence-basedstepped-careintervention....is associatedwith improvedmental healthoutcomes..& improved IPclaimsmanagementoutcomes• Evidence of IP benefits – despite barriers• Need further evidence for robust analysis• Next step RCT – but in industry context?• Continue to challenge traditional claimsmanagement approach

Contact details• Stephanie McCahon– Claims Medical Expert, Swiss Re– stephanie_mccahon@swissre.com– phone +44(0)20 7933 3525