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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Virginia Adopts Opioid Prescribing Limits
Virginia recently instituted new regulations governing the prescribing of opioids and buprenorphine in all areas of health care
Brand and Generic Trends in Managed and Unmanaged Populations
Regulars at Costco know the Kirkland name well.
How to Find the Best Providers
Providers can significantly contribute to the success of a workers’ comp claim, so finding the best ones to assign to a case is key to positi
Top Therapeutic Classes by Cost and Utilization
Therapeutic classes falling within the top 10 most utilized and costly categories had some interesting, although not altogether unsurprising, movement. View out our latest video blog which addresses some of the changes and trends seen for the top ten drug classes both in- and out-of-network.
How Pharmacy Management Drives Better Claims Outcomes
When we look at the entire claim lifecycle, many important points stand out along the way. What type of care is the injured worker receiving? What support does he or she have throughout? What successes or problems occurred at various steps? When a claim is prolonged for many months and even years, it can be difficult to see the whole picture.
StateWatch: Summer 2018
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 services Genex provides.