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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Why Telephonic Case Management Is Not One-Size-Fits-All
Discover how partnering with a tailored telephonic case management (TCM) program can enhance return-to-work outcomes. Hear from Dawn Moore on assessing and customizing TCM programs to meet unique client needs in this insightful podcast episode.
Top 3 Retail and Mail Order Trends
Join Tom Kerr as he interviews Nikki Wilson, Senior Director of Clinical Pharmacy Services to dig into part one of our annual drug trends series. In this short video they’ll discuss standout trends from our most recent retail and mail order data focusing on decreasing opioid trends and significant jumps in migraine and respiratory medications.
5 Must-Know Home Modification Tips
Managing an injured employee’s transition back to daily life involves more than just overseeing their medical treatment; it requires ensuring their living environment supports recovery. Home modifications play a crucial role in making spaces more accessible and functional. The primary goal is to transform spaces into safe, independent and healing environments, fostering a setting where injured employees can regain their sense of self-sufficiency.
Navigating Future Medical Costs: Forecast Claims Costs with Precision
Our latest article explores how precise cost projections and life care plans can transform your approach to managing claims and financial planning, ensuring both empathetic patient care and robust reserve setting.
Medical Price Index Shows Increases in Workers’ Comp and Auto Injury Services Costs
Enlyte’s latest Quarterly Medical Price Index Report delves into first- and third-party auto and workers’ comp claims using data from the top 200 billing procedures in professional services.
Top 5 Must-Know DME Insights for Workers’ Comp Adjusters
Understanding the intricacies of durable medical equipment (DME) is crucial to streamlining claims, optimizing costs and facilitating patient recovery. Here are five essential insights that adjusters should keep in mind when an injured employee requires DME for one or more products.