We haven’t reached mid-year 2019, and the United States has already experienced several severe weather events, including a polar vortex and many hail storms in the Midwest, massive flooding in the Northern Plains, and heavy El Niño rains in California.
Helen Froehlich, vice president – case management services at Genex Services LLC, discusses key challenges in getting injured employees bac
A recent survey of public health experts predicted 650,000 people could die from opioid misuse within the next 10 years.¹ Public health spending is falling short, medication-assisted treatment is too rare, and the worst drug overdose epidemic in U.S. history is culling our labor force. Rising medical costs and the opioid epidemic aren’t new trends to our industry, and while there are many beneficial tools being implemented to address these issues there is also one you may be less familiar with – a pharmacy nurse.
HealthCare.gov defines a formulary as, a list of prescription drugs covered by a prescription drug plan offering prescription drug benefits. Typically, a “prior authorization” for coverage is needed when a medication is not listed on the formulary or requires step therapy. Management of the formulary is often maintained by a pharmacy benefit manager (PBM), such as First Script. Meaning, when a medication is not on a formulary, First Script would start the prior authorization process to get approval for payment of the medication.
Catastrophic Case ManagementMeet Charlene Ramsey, RN, BSN, CCMWhen Charlene Ramsey, RN, BSN, CCM, is
Julie Wilcox, RN, MSN, BSN, CRNA, is a field case manager with an extensive three-decade career in nursing which includes pediatrics, obstetrics and education. She uses her exceptional clinical background to guide injured employees from debilitating injuries to return to work.
Industry-first expands use of integrated repair plans consistent with OEM repair procedures, underscoring Mitchell's leadership in support of proper and safe repairs.