This includes provisions to eliminate utilization review (UR) delays and inappropriate denials of care for injured workers, as well as prevent billions of dollars in WC billing fraud. Check out the 10 things you need to know about SB 1160 to stay ahead of the complex and evolving regulations
High-cost treatment requests demand more than a checklist. Learn how consultative utilization review helps payers make timely, evidence-based and defensible decisions.
Workers’ comp insurers may face growing pressure from healthcare inflation, Medicaid cuts, workforce shifts and rising claim complexity. Read how Enlyte experts analyze the trends that could reshape claim costs and profitability in the years ahead.
Workers’ compensation claims can slow quickly when an injured employee doesn’t have access to nearby specialty providers. In rural areas, a routine referral for imaging, physical therapy, durable medical equipment or home health can become a claim delay when distance, limited provider availability or several services have to be scheduled at once.
As heat-related risks grow, determining causation in workers' compensation claims is becoming more complex. Read this Business Insurance article featuring Enlyte's Tammy Bradley on the challenges heat exposure creates for claims investigations and compensability decisions.
Pharmacy fraud represents one of the fastest-growing cost drivers in workers’ compensation claims. While most health care providers operate with integrity, fraudulent prescribing patterns can inflate claim costs by thousands of dollars, sometimes without adjusters noticing until significant damage has occurred.
What trends will have the biggest impact on workers' compensation in 2026? Read Business Insurance's coverage of Enlyte's 2026 Envision Trends Report and discover why medical severity and care access are top concerns.