The Compliance Corner: Opt-Out, an Alternative Workers' Compensation Model
Opt-out in the workers’ compensation world is 2016’s buzzword for deregulation of payment for workers’ compensation claims at the state level. Opt-out is an alternate compensation model for the injured worker whereby employers choose to opt-out of state regulated systems. It has been promoted in some states like Oklahoma and Texas.
The Compliance Corner: Telemedicine: New Innovations in the Old Program
Telemedicine is the method of delivering health care electronically through applications like smart phones, email, and skype. Telemedicine started over 40 years ago with the intention of enabling health care providers, mainly hospitals, to provide services to patients in remote areas.
The Compliance Corner: Understanding MACRA in the P&C Industry: Medicare Access and CHIP Reauthorization Act of 2015
A change is in the wind, or more like a tornado, when it comes to new healthcare reforms, particularly on the payment side. In 2019, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) will be introduced requiring new quality measurements.
Help Combat Opioid Misuse
1 MIN READ
The worst drug overdose crisis in U.S. history is driving policymakers to declare opioid-use disorder a national emergency and to seek new ways to battle the epidemic. The workers’ compensation industry must likewise step up efforts to protect patients and better understand how the number one drug class among injured workers affects return-to-work and quality of life.
The Compliance Corner: New Physical Therapy Evaluation Codes for 2017: Moving Toward Value Based Payment
The American Medical Association (AMA) shook up the Property and Casualty industry by bringing a big change to the 2017 Current Procedural Terminology (CPT) code set. Two very familiar CPT codes, 97001 Physical Therapy (PT) Evaluation and 97002 Physical Therapy Re-evaluation were deleted effective January 1, 2017.
Technology Integrations Are Transforming How Pharmacy Benefits Managers Monitor Drug Therapies
4 MIN READ
Technology continues to transform the way we live and work, and the insurance industry is no exception. One way technology advancements are having a positive impact on workers’ compensation payors and enabling them to get their claimants on the road to recovery in a safe and effective manner is by improving visibility into pharmaceutical utilization.
Winners to be announced at the P&C Conference in October
We are excited to announce the winners of our first annual Mitchell mPower Awards at our P&C conference, October 18, 2017. With a focus on delivering better outcomes for their customers, this years’ winners transformed processes and innovated services resulting in a positive impact on their business.