Insights
A Comprehensive Guide to Texas Health Care Networks (HCNs)
1 MIN READ
Advance your claims strategy with Coventry’s certified statewide Texas HCN solution, designed to reduce claim spend, improve RTW outcomes and simplify oversight.
Predictive Power: How AI Is Helping Workers' Comp Insurers Stay Ahead of Demographic Shifts
4 MIN READ
America's shifting workforce demographics, combined with health care policy changes, are fundamentally altering workers' compensation risk profiles and requiring insurers to adopt innovative strategies.
How to Go from High-Dollar to High-Value: Five Strategies for Claims Cost Control
4 MIN READ
If you oversee claims, whether in workers’ compensation or auto casualty, you know the pressure: rising medical costs, extended recovery durations and increasing litigation can strain budgets, disrupt operations and threaten the trust you’ve worked hard to build. Every decision you make has a ripple effect on both financial performance and the well-being of the people involved.
Ask The Pharmacist: Pain Pumps in Workers’ Compensation
3 MIN READ
For adjusters, understanding the tools used in post-surgical recovery can be key to evaluating treatment plans and costs. One increasingly used option—the patient-controlled analgesia (PCA) pump—offers targeted pain management that can improve outcomes and reduce hospital stays. But when is it appropriate, and what should you watch for in the claim file?
Functional Restoration Programs: What the Latest CWCI Study Reveals, and Why Oversight Matters
3 MIN READ
Functional restoration programs can help select injured workers, but CWCI data shows FRP claims average over $234,000 and start nearly 800 days into a claim. Tight utilization review, guideline alignment, and early intervention are essential to approve the right cases and control costs.
Health Care Price Transparency: What Workers' Comp and Auto Insurers Need to Know
4 MIN READ
The recent One Big Beautiful Bill Act (BBB) Act mandates unprecedented health care price transparency that will significantly impact Property and Casualty (P&C) insurers. This article outlines key provisions affecting workers' compensation and auto claims management, state-level implications, and strategic opportunities for insurers to leverage these changes for competitive advantage.
When Machines Miss the Meaning
4 MIN READ
Download this case study to see how clinicians enhance AI medical record summaries, cutting review costs by 33%, boosting efficiency by 80%, and ensuring accuracy in claim decisions.