Technology Meets Empathy in Modern Telephonic Case Management
5 MIN READ
Discover how early intervention telephonic case management (TCM) integrates clinical expertise, AI, and technology to enhance workers' compensation claims, promote faster recoveries, and build trust with injured employees.
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.
The Coventry VIP Program
4 MIN READ
In this article, Jill Harris, SVP, Network Operations outlines how the Coventry VIP Program benefits all parties. She provides an overview and the components of the program's offerings, illustrating how investing in provider relationships serves as a foundation for a robust network strategy.
Enlyte Pharmacy Experts Speak on Turning Challenges Into Opportunities
7 MIN READ
Clients face numerous challenges in managing their workers' compensation pharmacy programs including capturing all pharmacy utilization and costs as well as addressing abuse by price opportunists. In this Enlytening Conversation we’ll dig deeper into these issues and others to find proactive opportunities to address pharmacy challenges through identification, regulation, and continually reevaluating outcomes and analytics to better understand how the right pharmacy partner can positively impact overall spend and claims outcomes.
Modernizing Claims Management: Streamlining Workflows With Integrated Negotiation Solutions
2 MIN READ
Conventionally, the process of settling bodily injury claims entails a period of waiting—waiting for the injured individual to conclude their medical treatments and compile all pertinent medical bills and records. Enlyte’s new PrecisionDirect solution gives Auto Carriers exclusive access our expert negotiation services integrated with the Coventry Auto Network to ensure your client pays fair and accurate rates to providers on their unrepresented settlements.
The Artificial Intelligence Revolution
1 MIN READ
In the insurance industry, innovation isn't just a buzzword; it's a lifeline to the future. This is why AI is not just important – it's essential.
Ask The Pharmacist: The Role of a Pharmacy and Therapeutics (P&T) Committee
2 MIN READ
A Pharmacy and Therapeutics (P&T) committee plays a crucial role in the realm of health care, particularly in the context of a workers’ compensation pharmacy benefit manager (PBM). This committee is comprised of health care professionals, such as physicians and pharmacists, who are responsible for evaluating and making decisions about the formulary—a continually updated list of medications covered by a prescription drug plan.