North Carolina Utilization Rules for Opioid and Other Pharmacological Pain Management Treatment
2 MIN READ
When do the new rules apply? The rules apply to all affected treatment in all affected claims on or after May 1, 2018.
Care Management: Empowering Knowledge For Case Managers and Those They Serve
1 MIN READ
Explore how informed advocacy empowers case managers to deliver ethical, evidence-based care by understanding regulations, leveraging best practices, and guiding clients through complex health and disability systems.
Heart of Case Management Award Winning Case: Home Team Advantage
1 MIN READ
A 53-year-old male sustains a crush injury with shinbone fractures on both legs.
Workers' Compensation Medical Price Index: Q1 2018
2 MIN READ
The National Consumer Price Index, or CPI, for All Services, as reported by the Bureau of Labor Statistics, in May 2018, was 124.14, which reflects a 0.6 percent increase since Q3 2017 and further eliminates the decrease experienced in the Q1 2017 results.
Premiums Written: Q2 2018 Casualty Must-Reads
2 MIN READ
Each quarter, I round up and highlight some of my favorite articles written by Mitchell experts and let you know where we have been published outside of our mPower thought leadership website. This quarter, Mitchell was featured in PropertyCasualty360, where Senior Director of Product Management Rebecca Morgan partnered with Bill Morgan from Guidewire Software to discuss the value of systems integration.
Back to the Basics: Cost Control and the Role of Precertification and Utilization Review in Workers’ Compensation
3 MIN READ
Medical expenses, now averaging well over 60 percent of average claims costs,1 represent a significant impact on an employer’s workers’ compensation total cost of risk. This trend isn’t going away soon, as this average is expected to climb even higher in the coming years. Contributing to the climb are expenses incurred for treatment that are unrelated to an injured workers’ injury.
Do You Need a Medicare Set-Aside?
Workers' compensation payers are under increasing pressure to consider and protect Medicare's interests when settling claims. In this edition of Inside Workers’ Comp, Deborah Robinson Stewart, National Manager of Medicare Services at Genex, breaks down the basics of MSAs and offers insight of when they should be established.