The Hidden Cost of Misplaced Financial Incentives

Financial structures influence behavior throughout workers’ compensation, often producing outcomes no one intended.

This National Workers’ Compensation Conference session examines how misplaced incentives affect medical care, claims decisions, recovery and return to work.

Session Information

The Hidden Cost of Misplaced Financial Incentives

Date TBD
Time TBD
Location TBD

Join the Conversation at National Comp 2026

William M. Zachry, Steven Feinberg, MD, and Raja Sundaram will explore how misplaced financial incentives show up throughout workers’ compensation and what organizations can do to better align decisions with injured-worker recovery.

Session Speakers

William M. Zachry

Executive Director, CompSense Strategic Advisor, Plethy Inc.

Steven Feinberg, MD

Adjunct Clinical Professor, Stanford Pain Medicine and PM&R

Raja Sundaram

Chief Executive Officer Plethy Inc.

What You'll Learn

Key Takeaways

A practical look at how financial structures shape decisions across the workers’ compensation system.

1

How to recognize when a financial incentive rewards the wrong outcome

2

How incentives influence treatment, claims decisions and return to work

3

A framework for evaluating policies, contracts, metrics and payment structures

4

Ways to better align performance measures with injured-worker recovery

Whose Check Gets Bigger When This Goes Wrong?

Follow the financial reward to understand what the system actually encourages, regardless of its original intent.

The Hidden Cost of Misplaced Incentives

This 60-page report examines how financial structures shape behavior across workers’ compensation and introduces a framework for identifying and addressing misplaced incentives.

Report Authors

William M. Zachry

Judge David Langham

Steven Feinberg, MD

David North

Start With the Injured Worker.

If an incentive works exactly as designed, does it improve the outcome for the injured worker?