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Workers' Comp Article

Specialty Solutions Spotlight: How Physical Therapy Clinical Guidelines Help Drive Faster Recovery and Lower Claim Costs

3 MIN READ

Physical therapy (PT) plays a central role in recovery. But without clear targets, treatment can easily extend longer than necessary, delaying return to work and increasing costs. That’s where clinical guidelines come in. They provide benchmarks for treatment progression, expected visit counts, and documentation standards—all critical elements needed to ensure appropriate care, reduce friction, and keep claims moving forward.
Workers' Comp Case Study

Home Team Advantage

2 MIN READ

Field Case Management Meet Theresa Martin, RN, BSN, CCM Theresa Martin, RN, BSN, CCM, is a second-career nurse case manager who worked as a flight a
Workers' Comp Blog

Aggregate Top Therapeutic Classes by Age of Claim in 2018

1 MIN READ

The types of medications utilized by ill or injured workers can vary depending on the age of the claim and differences in claim population. Understanding the most-utilized types of medications in younger vs. older claims can help guide decision-making and aid in identifying opportunities for intervention that can lead to better overall outcomes.

Workers' Comp Blog

Aggregate Trends for the Top 10 Therapeutic Drug Classes in 2018

1 MIN READ

In 2018, the top 10 therapeutic classes accounted for 77.1% of all scripts and 81.0% of all costs. An understanding of the most-utilized or highest-ranked classes of medications by cost can help identify intervention opportunities and benchmark targeted efforts for pharmacy program management. Year-over-year trend changes can also guide decision-making and recognize drug class utilization and cost outliers that may warrant further evaluation for appropriateness and safety.

Workers' Comp Article

Claims Magazine: 8 Strategies for Combating Opioid Addiction

1 MIN READ

When employees injure themselves at work, a potentially lethal risk may ensue — they may be prescribed and become addicted to an opioid painkiller. As we know, the United States is currently experiencing an opioid epidemic — with
P&C 360 Article

Claims Magazine: 8 Strategies for Combating Opioid Addiction

Workers prescribed pain medications for work-related injuries must be educated about the risks of opioid addiction.
Workers' Comp Case Study

Man Down, but Not for Long

2 MIN READ

Meet Carrie McCullin, RN, CCM. Carrie McCullin has more than a decade of case management experience at Genex Services, and has been an RN for more than 25 years. Known for her excellent critical thinking skills and ability to handle crises no matter the day or hour, these characteristics came into play when McCullin fielded a call one Saturday morning.
Workers' Comp Case Study

Rising from the Fall

2 MIN READ

Catastrophic Case Management Meet Carolyn Lau, MBA, RN, CCM Carolyn Lau is a seasoned catastrophic case manager who has successfully managed numerou