Health reform is affecting and changing healthcare delivery models, however, there is a large gap between the healthcare related to Workers' Compensation and the group health approach.

As a result of health reform, the industry has experienced significant consolidation of health systems and medical practices, with an added emphasis on patients as consumers of healthcare, and providers continue to evolve.

As employers, though, our message is confused. We tell employees that we have a great healthcare system set up for them, encourage them to choose the best physician to meet their needs and to get regular checkups. However, if an employee gets injured, we have a separate system with a separate set of doctors and a separate set of rules.

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