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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Oklahoma Joins Growing Chorus of States Limiting Opioids
New opioid-limiting legislation has been signed into law in Oklahoma.
Quarterly Drug Update: Pharmacy Drug Spend
CompPharma's 2018 Annual Survey of Prescription Drug Management in Workers' Comp found that, in the past eight years, drug spend has decreased 31.5% among those surveyed in workers’ compensation. Part of this is due to increased focus on dangerous opioid prescribing behaviors and the implementation of state-mandated formularies. Opioid spend has decreased for the same group by around 18.22% in the past year and payers and PBM’s have been able to reduce opioid spend by about one third in the last two years.
Cases of the Heart: 2018 Heart of Case Management Awards
From gunshot wounds to addiction recovery, winners of this year's Genex honors went a long way to help injured emplo
AWP Trends — Understanding the Forces That Drive Drug Prices
A drug’s Average Wholesale Price (AWP) is a simple benchmark for distinguishing the cost of one medication from that of another.
Heart of Case Management Awards 2018
Three case managers were selected from more than a thousand highly skilled professionals to be named 2018 Heart of Case Management Award winners.
North Carolina Opioid Rule Goes into Effect May 1, 2018
The North Carolina Industrial Commission adopted opioid prescribing guidelines effective May 1, 2018.