The Art of Creating a Physician Peer Review Panel: Contracting and Training
4 MIN READ
In part I of the series, we discussed the first steps of developing a physician peer review panel including determining candidates for the panel and some basic steps to credentialing, including validating state licenses, experience, knowledge and other factors.
State-Mandated Formulary Implementation: Four Key Considerations
8 MIN READ
The state-mandated formulary wave is poised to continue in 2019. In just the first month of the year, an additional three states published draft or final formulary rules (New York, Montana and Kentucky). These laws provide guidance on the prescribing of medications to injured workers and are effective in addressing major workers’ compensation issues.
Directed Pharmacy Care Drives Positive Results
5 MIN READ
Various issues in the workers’ compensation industry continue to challenge pharmacies, payers, regulators and injured workers alike. One major tool to alleviate problems in the workers’ compensation system is the use of directed care in a pharmacy setting. Learn how this approach can improve outcomes for all involved in the pharmacy portion of a workers’ compensation claim.
Generic Medications: Quarterly Drug Update
4 MIN READ
Managing the pharmacy portion of a workers’ compensation or auto accident-related claim is vital to ensure the best outcomes. An important area to monitor during claims is the usage of brand name medications when generic equivalents are available.
Guidewire Connections 2019
Guidewire Connections is the conference for people who u
Navigating the Landscape of Drug Formularies and Prescribing and Treatment Guidelines
1 MIN READ
Over the course of the next several years we can expect more and more jurisdictions to move towards adoption of legislative and/or regulatory measures as an effort to combat the nation’s opioid crisis and to control prescription utilization and cost. Our latest video covers tools such as closed formularies and opioid prescribing limits, along with prescribing oversight measures such as treatment guidelines.
The Growing Federal and State Challenges of Medical Marijuana
1 MIN READ
As of October 2018 a total of 29 states and the District of Columbia currently allow for medical marijuana and cannabis programs. What implications does this pose for workers’ compensation? Our latest video covers the current legislative and regulatory trends at the state and federal levels, along with the potential implications for the workers’ compensation industry.