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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Prescribing Care: How Risk Management Can Support Health Care Workers
Dawn Moore, RN, senior director, case management services, explains how increasing stressors in health care are factoring into more providers leaving the field. And, as more providers leave, those who stay in the field often must work longer hours, exacerbating the situation.
Push Continues To Expand Cancer Presumptions For Firefighters
Brian Allen was recently featured among top regulatory professionals in a Business Insurance article focusing on the increase of cancer presumption regulations in state workers’ comp systems.
Enlyte and Emperion Finalize Creation of Stand-Alone IME Business
Emperion and Enlyte leaders have completed the separation of IME, Peer Review (PR), and Independent Review Organization (IRO) services from Enlyte to Emperion, following the agreement announced in February. Emperion will focus on expanded product development and investment opportunities for these and related solutions, paving the way for specialized IME and Peer Review growth and innovation.
Medical costs for injured workers outpaced overall cost increases nationwide
Business Insurance recently featured an insightful piece on Enlyte's latest quarterly medical price index report.
AI and Emerging Technology's Impact on Auto Claims
Auto insurers are facing unprecedented challenges this year as they try to balance the rising cost of claims with their commitment to making policyholders whole after a loss. In response, many are investing in artificial intelligence (AI) and other new technologies to both automate and accelerate the claims process.
Ask The Pharmacist: Topical vs. Systemic Pain Medication
Managing chronic pain with medications can be difficult for various reasons. Pain experiences and treatment effectiveness may differ among individuals and caregivers.