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Workers' Comp Article

Workers' Compensation Pharmacy Legislative and Regulatory End of Year Recap

6 MIN READ

New regulations, proposed legislation, and notable judicial developments made 2024 a significant year for workers' compensation pharmacy programs. For pharmacy benefit management (PBM) roles, staying on top of these changes is critical for compliance and operational efficiency. Here is a recap of some of the major developments in workers' compensation pharmacy we’re watching as we move into 2025.

Workers' Comp Article

The Heart of the Challenge: The Role of Direction of Care in Managing Workers' Compensation Costs

3 MIN READ

At the core of the drug pricing challenges in workers' compensation is the concept of "direction of care." This refers to the ability of employers or payers to direct injured employees to a specific network of health care providers, including pharmacies.

Workers' Comp Article

Decoding Functional Restoration Programs: Ensuring Accurate Billing Practices

5 MIN READ

Functional Restoration Programs (also known as Functional Rehabilitation Programs or FRP) are like a well-curated menu at a restaurant—designed to help workers' compensation claimants get back to work.

PC360 Article

Workers' comp medical costs stabilizing nationally amid state-level volatility

Curious about medical costs in the workers' comp industry? Check out the latest PC 360 article featuring insights from our Enlyte Medical Price Index (MPI) Report, with expert analysis by Michele Hibbert.

Workers' Comp Article

Safeguarding Medicare's Interests: Strategies and Updates

5 MIN READ

Discover insightful strategies for Medicare compliance, including essential updates on Section 111 reporting and Medicare Set-Asides. Learn best practices to efficiently resolve conditional payments and prepare for 2024 enforcement changes, safeguarding Medicare's interests in claims settlements.

Auto Casualty Article

Georgia Looks to Revise Civil Procedures for Vehicle Accident Settlements

2 MIN READ

In a move to address its high rates of vehicle accident settlements, the state of Georgia has passed new legislation aimed at clarifying and streamlining the settlement process.

Auto Casualty Article

The Regulatory Rollercoaster: A High-Stakes Game of Collaboration and Adaptability

3 MIN READ

As the workers' compensation and auto industry braces itself for the regulatory changes sweeping across Michigan, Florida  and California, one thing is clear—collaboration, adaptability and a keen eye for detail will be the keys to succeeding at this high-stakes game.