One Fortune 500 company is already exploring how alternative pain-management options can help control Workers' Comp costs.

The psychosocial intervention program in place at hotel chain Marriott International trains on-staff nurses to identify injured workers who exhibit family, financial or fear-avoidance issues that may interfere with a return to work, and then refers those patients to a cognitive behavioral-therapy program.

"In our self-insured Workers' Comp [program], I emphasize to our team that our responsibility is to mitigate loss," Bob Steggert, Marriott's vice president of casualty claims, says of this approach. "In an ideal case, with worker cooperation and good will, I am convinced that we will see better outcomes on more cases and the savings will follow. It's all for the better if we can avoid patients getting on the opioid 'pain train.'"

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