Over the last decade, workers' comp has become a big ticket item for most companies. Managed care means taking control of the company's workers' comp costs. This helps employers achieve two goals: better care for employees and reduced costs for the company. Two factors that most affect employers' workers' comp costs are loss of control and poor communications. A company loses control when it assumes the claims administrator should handle everything. Poor communication with the injured employee makes them less likely to return to work in a timely manner. Employers can also control their workers' comp costs by taking preventive measures such as providing expanded job descriptions detailing the physical requirements of a position, providing treatment guidelines to physicians regarding a person's return-to-work prognosis, and requiring job placement physical examinations.