Medical Cost Analysis

A "snap-shot" of current/future medical care needs
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The Medical Cost Analysis can assist you with determining an estimation of future damages for mediation/settlement conferences, setting reserves, case stratagies, and/or negotiating a case. Recommendations are based upon review of limited medical records, evidence based research, as well as the knowledge/experience of the authored nurse.

In addition to providing you with a detailed report, our certified nurse life care planners (CNLCP®) are able to identify common complications/secondary diagnosis associated with your client’s diagnosis and will include proactive recommendations as appropriate.

medical cost analysis

At Northeast Life Care Planning, we believe that nurses are best suited to develop and/or review life care plans.  Nurses use assessment and clinical judgment when identifying actual or potential problems, risks, and/or health promotion opportunities.  Certification is a formal recognition that validates knowledge, experience, skills and judgment within a specific nursing specialty.  We appreciate the value life care planning certification can bring to your case and require it of all our nurse life care planners.

As certified nurse life care planners (CNLCP®), we develop/review plans of care for individuals with catastrophic and/or chronic health care conditions such as:

Our brain controls everything we do, say, think and feel.  When an individual suffers a brain injury, the effects can be mild or devastating, affecting not just the individual, but his/her family and loved ones.

The Brain Injury Association of America (BIAA) has developed the following definitions regarding brain injuries:

“A traumatic brain injury (TBI) is defined as a blow or jolt to the head or a penetrating head injry that disrupts the function of the brain.  Not all blows or jolts to the head result in a TBI.  The severity of such an injury may range from “mild”, (I.e., a brief change in mental status or consciousness) to “severe”, (I.e., an extended period of unconsciousness or amnesia after the injury).  A TBI can result in short or long-term problems with independent function.

Aquired brain injury (ABI) is an injury to the brain that is not hereditary, congenital or degenerative.  Acquired brain injuries are caused by some medical conditions, including strokes, encephalitis, aneurysms, anoxia (I.e., lack of oxygen during surgery, drug overdose, or near drowning), metabolic disorders, menigitis, or brain tumors”.

According to the Brain Injury Association of America, despite the cause, a brain injury may result in an impairment of cognitive abilities, physical functioning, and/or distrubance of behavioral or emotional functioning.  Cognitive issues may include slowed ability to process information as it is received, memory loss, lack of initiation, problems concentrating, organizational difficulties, and poor judgment.  Physical issues can include fatigue, headaches, balance issues, muscle spasticity, and seizures.  Emotional/behavioral issues can include mood swings, anxiety, agitation, impulsivity and depression.  All, or some of these issues may be present.

Brain injury affects not only the individual, but can have lasting effects on families and communities.  Roles and relationships change and the financial ramifications may be extensive.  Our certified nurse life care planners are ready to asssit you with navigating our complex healthcare system or developing a life time plan of care for your client outlining all of his/her future care needs. 

The Medical Cost

Analysis Includes:

An Overview of A Medical Cost Analysis
Often helpful early in a case, the Medical Cost Analysis is a highly abbreviated version of a life care plan and considered a “snap shot” of future medical needs. Below is a list of what is included:
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Extensive review of all medical and billing records provided, expert reports, depositions, and interrogatory responses (if shared)

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Research and identification of current and projected medical and non-medical needs.

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Detailed narrative report summarizing medical history and treatment to date (optional)

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Itemized tables outlining projected future medical and non-medical care with associated charges based upon your specific needs (e.g., workers' compensation fee schedule, usual & customary fees)

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Ability of report to be converted to a Medicare Set-Aside Allocation or Life Care Plan (additional information will be requested)

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     Northeast Life Care Planning, Inc.                                                                                                                                                                

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