This article emphasizes the need for a proactive, data-driven approach to workers’ compensation case management. Ron Skrocki critiques programs that rely on delayed, reactive intervention and outlines how integrating configurable rules, early telephonic and field case management, and robust analytics can improve outcomes and reduce costs. He urges organizations to reassess current practices, optimize provider networks, and closely monitor utilization to maximize case management's value and impact.
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Mitchell Announces Partnership with Drew Technologies to Deliver OEM Scanning and Remote Diagnostic Support
Enhancements from Drew extend Mitchell Diagnostics' (MD) industry-leading product suite capabilities for collision repairers with new MD-OEM option.
StateWatch: Bill Review July 2019
Keep current with new legislation and its potential effect on your organization. This regulatory update is for informational purposes only, and provides some key highlights on state initiatives that may impact the bill review services Genex provides.
Understanding Brand & Generic Utilization and Cost
In 2018, First Script realized a 0.6% increase in generic utilization.1 Generic medications contain the same active ingredient and approved indications as their brand name counterparts. An increase of 0.6% might not seem like a lot; however, when the difference in cost per script is considered, it is easy to see why a shift in favor of generic use is a win and can be a big cost saver.
StateWatch: Bill Review July 2019
Keep current with new legislation and its potential effect on your organization. This regulatory update is for informational purposes only, and provides some key highlights on state initiatives that may impact the bill review services Genex provides.
Changing Workforce: What to Do Now Before Your Best Bodily Injury Claims Adjuster Retires
Preparing for retirement typically means contributing to a 401K, figuring out your cost of living and deciding what you’re going to do with your time once you aren’t occupied 40 hours per week. But for insurance companies, preparing for retirement has taken on a whole new meaning.
What is an MCO?
More often than not clients will ask the question: What is an MCO? Well isn’t that a loaded question? If we take it at face value, a Managed Care Organization (MCO) is an organization that manages care. Like Coventry, who manages all types of “care” injured workers seek to get on the road to recovery. However, usually the question has more to do with State Certified Managed Care Programs, commonly referred to as MCOs. From there it gets clear as mud. While the general category of state certified programs may be commonly referred to as MCOs, when you get into the state specifics you won’t find it to be that easy.