MedRisk

Managed physical rehabilitation and medical bill review for the workers compensation industry.

Specialty Solutions Established PE-Backed

Overview

MedRisk is a leading managed care organization specializing in physical rehabilitation services and medical bill review for the workers compensation industry. Founded in 1994 and headquartered in King of Prussia, Pennsylvania, MedRisk operates one of the largest networks of rehabilitation providers in the country -- over 191,200 credentialed physical therapists, occupational therapists, and chiropractors -- serving approximately 500,000 injured workers annually.

The company is backed by CVC Capital Partners and The Carlyle Group. Its mission centers on restoring movement, empowering recovery, and driving measurable progress in workers compensation outcomes. MedRisk has reduced the average days from injury to first conservative treatment by nearly 50% between 2021 and 2025 through its clinical management approach.

In 2026, MedRisk significantly expanded its capabilities through two acquisitions: Medata (a provider of cost management and clinical solutions) and the Horizon Casualty Services (HCS) PPO Network from Horizon Mutual Holdings. These acquisitions broaden MedRisk's cost containment and network reach for workers compensation payers.

Products & Services

Physical Medicine Management

Coordinated access to a national network of credentialed physical therapists, occupational therapists, and chiropractors. Combines clinical oversight with active case management to optimize recovery timelines and outcomes for injured workers.

Key Features

National provider network of 191,200+ credentialed rehabilitation specialists
Clinical case management and authorization support
Outcome tracking and return-to-work coordination

Target Users: Workers compensation carriers, TPAs, and self-insured employers

Medical Bill Review

Review and repricing of medical bills for workers compensation claims, helping insurers and TPAs control costs while ensuring appropriate clinical care.

Key Features

Bill review and fee schedule repricing
Duplicate billing detection
Cost containment reporting

Target Users: Workers compensation carriers and TPAs

Network Services

Broad access to a credentialed therapist and specialist network for injured worker referrals, including the HCS PPO Network acquired from Horizon Mutual Holdings (February 2026).

Key Features

Multi-discipline provider access (PT, OT, chiropractic)
Specialty PT network (acquired from Sedgwick, October 2022)
HCS PPO network for expanded cost management options

Target Users: Workers compensation payers and adjusters

Return-to-Work Programs

Functional recovery programs designed to accelerate timely workforce re-entry for injured workers. MedRisk has reduced the time from injury to first conservative treatment by nearly 50% between 2021 and 2025.

Target Users: Workers compensation carriers, TPAs, and self-insured employers

Claims and Adjuster Portal

Digital tools for claims adjusters to manage authorizations and referrals, improving operational efficiency and visibility throughout the claims process.

Target Users: Claims adjusters at carriers and TPAs

Medata Cost Management Platform

Comprehensive cost management and clinical solutions platform acquired from Medata (February 2026), enhancing MedRisk's capabilities in claims expense control.

Target Users: Workers compensation carriers and TPAs

At a Glance

Founded: 1994
Headquarters: King of Prussia, Pennsylvania, USA
Employees: 1000+
Funding: PE-Backed

Category & Focus

Category: Specialty Solutions
Subcategories: Workers Compensation Managed Care Medical Bill Review Physical Medicine Management
Insurance Verticals: Workers Compensation
Target Customers: Carriers, TPAs, Employers