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.
More stories
Opioids in 2019: Insights into New Regulations and Studies of the Epidemic
Momentum in battling the opioid crisis continues. As more states enact opioid prescribing limits, the federal government proposes new legislation, while new studies look at the impact of opioid laws and medical marijuana on lessening opioid abuse.
How Naloxone Can Help Fight the Opioid Crisis
As the U.S. looks for ways to stem the opioid crisis, one major strategy that has emerged is the use of naloxone to counteract opioid overdoses. The FDA’s recent approval of the generic form of Narcan®, which is the first generic formulation for naloxone nasal spray, provides another avenue to reverse the impact of the opioid crisis.
Morphine Equivalent Dose (MED) Continues to Decline
In 2018 Coventry’s pharmacy benefit management solution, First Script®, saw a 7.8% decrease in average MED per prescription for its retail and mail-order channels. This was the largest decrease in the last 5 years across First Script’s retail and mail-order programs. In addition, there was a reduction in the percentage of opioid scripts with greater than or equal to 90 MED. To better understand why this is important let’s answer a few questions.
Humanizing the Collision Claims Experience in the Digital Age
Today’s customers have high expectations. From ordering coffee to online banking, they experience personalized, on-demand service from the businesses they interact with, and they expect the same from their insurers. How can insurance claims organizations adapt to a digital world and continue to exceed customer expectations? Start by reading these five tips from industry experts for humanizing the collision claims experience.
Arizona Industrial Commission Proposes Changes to Pharmacy Fee Schedule
The Industrial Commission of Arizona posted their staff proposal and request for public comment for the 2019/2020 Arizona Physicians' and Pharmaceutical Fee Schedule.
Texas Joins Ranks of States with Opioid Limits
The Texas legislature passed HB 2174, implementing several policy changes related to the prescribing of opioids, including new prescribing limits for acute pain.