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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In her article, Cathy Glade examines the increasing complexities faced by Utilization Review Organizations (UROs) amid rising demands for expedited medical treatment approvals in workers' compensation cases.
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As agents and brokers prepare to counsel clients on ways to minimize the risk of opioid abuse and addiction in Workers’ Compensation (WC) programs, they should be aware of the principles of pharmacovigilance.
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StateWatch Winter 2016
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IME National Provider Evaluation Checklist
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IME Referral Tip Sheet
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