Thanksgiving is coming, which means it’s time for our favorite podcast of the year: What are You Thankful for in Workers’ Comp? This year, we invited three experts who share very different reasons why they are grateful for comp: Heart of Case Management Award winner Charlene Ramsey, RN, BSN, CCM; Helen Froehlich, vice president of case management; and Donna Bradshaw, vice president of IME Services. We hope their responses lead you to contemplate on your own unique role in workers’ comp and how YOU make a difference in the lives of others.
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Pharmacy Nurse – When specialized attention is what’s needed
Workers’ comp pharmacy costs represent approximately 18% of total medical spend. That translates to $5 billion in pharmacy spend nationwide.1 Most employers and payors utilize Pharmacy Benefit Managers (PBMs) which offer an excellent line of defense in managing these ever-increasing pharmacy costs. But PBMs, by design, only manage the pharmacy related aspects of a claim. What if you could extend the reach of your PBM by combining it with the knowledge, care and one-on-one delivery model used in case management? With a pharmacy nurse, you can.
What Vehicle-to-Vehicle Communications May Mean for Auto Insurers and Collision Repair Facilities
Not so long ago, a “collision warning system” was defined as nothing more than “honking your horn.” While that analogue system still has its place, it is limited in its preventive measures, not to mention its potential for misuse. Fortunately, advancements in ADAS technology (Advanced Driver Assistance Systems) have greatly expanded our collision warning measures, but the industry has also been hard at work taking that technology a step further by enabling our cars to alert us—and each other—to real-time, dynamic information.
RIMS 2020 Annual Conference
The RIMS 2020 Annual Conference is the largest event of the year for the risk management community.
AASCIF Annual Conference
The AASCIF 2020 Annual Conference will bring together state
Catastrophic Case Management: Immediate coordinated response by clinical experts
Most illnesses or injuries progress well with traditional case management services. However, a small percentage of cases require more intense and careful management. Early intervention and proper procedure are imperative in the treatment of catastrophically injured people. Clinical situations that require catastrophic case management are characterized by diagnosis, complexity of treatment, and high dollar exposure.
Medicare Secondary Payer Updates
Keep current with new legislation and its potential effect on your organization. This regulatory update is for informational purposes only, and provides some key highlights on state initiatives that may impact the Medicare Set-Aside services Genex provides.