At Care First Rehabilitation, we pride ourselves on implementing professional, safety-conscious, and outcome-oriented services for those catastrophically injured. Unfortunately, our commitment to excellence is sometimes met with skepticism by insurance adjusters and representatives from the Michigan Catastrophic Claims Association (MCCA), particularly when our care plans differ from what a previous provider offered.
What must be understood is this: differences in services do not automatically signal excessiveness. They may instead reflect a stark improvement in care planning, liability management, and rehabilitation protocol. Some previous providers, eager to satisfy all parties, may have compromised on safety or failed to employ clinical formulas to determine staffing needs, medical supervision, or environmental safeguards. At Care First, that is never our approach.
hat must be understood is this: differences in services do not automatically signal excessiveness. They may instead reflect a stark improvement in care planning, liability management, and rehabilitation protocol. Some previous providers, eager to satisfy all parties, may have compromised on safety or failed to employ clinical formulas to determine staffing needs, medical supervision, or environmental safeguards. At Care First, that is never our approach.
We base our interventions on medical necessity, therapist input, safety risk assessments, and individualized patient needs—not on what was previously authorized by another provider. Our goal is not to mirror past service but to elevate care to its appropriate standard. That may include closer nursing oversight, specialized staffing, or environmental enhancements aimed at fall prevention and behavior management.
We urge adjusters and MCCA representatives to recognize that quality care evolves—and sometimes that evolution requires revisiting assumptions and supporting providers that prioritize long-term recovery and liability prevention. What one provider did not do may reveal a gap in care, not an excess in ours.
At Care First Rehabilitation, we’ll continue to implement what is right, not what is simply tolerated. Because for the catastrophically injured, adequate is not enough—and we intend to be better than that every single day.