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
See how a 78-year-old maintenance worker overcame a complex hip fracture with field case-management support from Enlyte, returning to modified duty in six weeks and full duty soon after—while saving more than $100K in combined indemnity and medical costs.
Enlyte has enhanced its Casualty Solutions Accelerator for Guidewire Cloud, connecting ClaimCenter with SmartAdvisor and DecisionPoint to enable faster, more accurate medical bill processing through a pre-built, cloud-based integration.
Home modifications for injured employees can sprawl in scope and cost, adding administrative work and exposing the claim to delays, change orders and reauthorizations. Partnering with an experienced workers’ compensation home modification coordinator like Apricus can simplify the process, increase transparency and keep every project aligned to clear milestones that control scope, cost and timelines.
Mitch Freeman examines how well-intended workers’ comp pharmacy regulations can backfire—and offers practical solutions to improve outcomes.
Watch our on-demand drug trends webinar, where our pharmacists share insights on top workers’ comp pharmacy trends and how to prepare your program for emerging challenges.
Brian Allen is featured in Business Insurance, offering insights on a landmark PTSD case involving a Pennsylvania firefighter. The article examines how evolving presumption laws for first responders are shaping workers’ compensation claims and mental health strategies nationwide.