Paradigm

Founded in 1991 by Dr. Nathan Cope, a specialist in catastrophic spinal cord injuries, Paradigm was established as a value-based care management organization. The company operates within the healthcare and insurance industries, focusing on managing care for individuals with complex and catastrophic injuries and diagnoses. Paradigm's business model is centered on a value-based approach, aiming to deliver improved clinical outcomes while managing costs for its clients, which include employers, insurance carriers, and third-party administrators (TPAs).

Paradigm's services are organized into several divisions, including Catastrophic Care Management, Complex Care Solutions, and Specialty Networks. The company provides risk-based clinical solutions, case management services, specialty networks, home health, and payment integrity programs. A significant aspect of its offering is the management of workers' compensation cases, particularly those involving severe injuries. Over the years, Paradigm has expanded its capabilities and market presence through a series of strategic acquisitions. These include The ALARIS Group, Encore Unlimited, ForeSight Medical, Adva-Net, Restore Rehabilitation, HomeCare Connect, and Welvie. These acquisitions have broadened Paradigm's service offerings, adding expertise in areas like telephonic case management, home healthcare, and patient decision-support.

The company's growth strategy has involved integrating these acquired entities to create a comprehensive suite of services. For instance, the acquisition of Welvie in 2023, a healthcare decision-support company, led to the formation of a new Healthcare Solutions business unit aimed at serving health plans, TPAs, and employers. Paradigm's approach has reportedly demonstrated significant positive outcomes, with studies indicating lower costs and higher return-to-work rates for the cases it manages. Headquartered in Walnut Creek, California, the company maintains offices across the United States.

Keywords: value-based care, catastrophic care management, workers' compensation, complex injuries, specialty networks, case management, healthcare solutions, payment integrity, home health services, insurance services, medical management, catastrophic injuries, return to work, healthcare cost management, third-party administrator services, employer health solutions