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WorkCompWire
Article
How to Upgrade Your Bill Review Program Without the Disruption
This recent WorkCompWire article shares how one large workers’ comp payer completed a bill review implementation in three months with zero service disruptions. Success was driven by a simplified, single-platform approach, disciplined focus on core business requirements, and strong executive alignment that enabled rapid decision-making.
Workers' Comp
Article
Thoughts on the Publix Decision and What Actually Changed (Spoiler, Less Than You Think)
Few Florida workers' compensation decisions have sparked more conversation than Publix Super Markets, Inc. v. Department of Financial Services, or generated more questions about their practical impact.
Auto Casualty
Article
Key Implementation Considerations from Kentucky's New PIP Fee Schedule
For decades, Kentucky's no-fault auto system operated without a dedicated Personal Injury Protection (PIP) medical fee schedule. That changed with the enactment of House Bill 627, which established a new reimbursement framework for PIP medical benefits by incorporating Kentucky workers' compensation fee schedule rates.
Business Insurance
In the News
Out-of-network drug costs 67% higher in workers comp: Enlyte
Read how out-of-network prescriptions are driving significantly higher workers’ comp pharmacy costs, according to Enlyte’s latest analysis. Read the full Business Insurance article.
Workers' Comp
Article
Specialty Solutions Spotlight: When Home Health Referrals Need a Closer Look
Home health can be a critical part of recovery, but it should not run on autopilot. The issue for adjusters is knowing when the ordered services no longer match the injured employee’s current needs, recovery progress or claim goals. A closer look can prevent unnecessary service hours, prolonged dependency, and care that is either too much or too little for the situation.
Workers' Comp
Article
Ask The Pharmacist: Why Migraine Medications in Work Comp Deserve a Closer Review
Migraine headaches can be disabling, difficult to document and costly to treat. In workers’ compensation, they also create claim complexity when causation, medication choice or treatment progress is not clearly supported.