Insights
The Art of Creating a Physician Peer Review Panel - Part 1
4 MIN READ
Creating a physician peer review panel is like solving a puzzle – it comes together only after reviewing the landscape, discerning what is important, and identifying what resources are available. As in most industries, a problem or opportunity in the workers’ compensation arena first presents itself, then team members come together to share ideas and collaborate on possible solutions.
Navigating the Landscape of Drug Formularies and Prescribing and Treatment Guidelines
1 MIN READ
Over the course of the next several years we can expect more and more jurisdictions to move towards adoption of legislative and/or regulatory measures as an effort to combat the nation’s opioid crisis and to control prescription utilization and cost. Our latest video covers tools such as closed formularies and opioid prescribing limits, along with prescribing oversight measures such as treatment guidelines.
The Growing Federal and State Challenges of Medical Marijuana
1 MIN READ
As of October 2018 a total of 29 states and the District of Columbia currently allow for medical marijuana and cannabis programs. What implications does this pose for workers’ compensation? Our latest video covers the current legislative and regulatory trends at the state and federal levels, along with the potential implications for the workers’ compensation industry.
Six Key Concepts in Pharmacy Benefit Management
The workers' compensation industry can be complex, from keeping up with regulatory changes to understanding the roles and responsibilities of various key stakeholders. Whether you are just starting out in the industry or looking to refresh your knowledge, here are six key concepts to understand about Pharmacy Benefit Management in the workers' compensation industry.
StateWatch: Bill Review October 2018
2 MIN READ
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 bill review services Genex provides.
When are Specialty Drugs, Biologics, and Biosimilars Used in Workers’ Compensation?
3 MIN READ
For workers’ compensation, specialty drugs are prescribed to treat conditions either directly or indirectly related to workplace injuries or illnesses. Directly related conditions, such as HIV and hepatitis, might occur when individuals are exposed to contaminated material (i.e. those working in healthcare or emergency service settings). Indirectly related conditions, such as inflammatory arthritis, are common, and the subsequent work disability and/or potential of being linked to this group of illnesses is significant. Other indirectly related conditions that could be compensable in workers’ compensation are those aggravated by a workplace injury, including multiple sclerosis. The impact specialty drugs will have on workers’ compensation claims will depend largely on the demographics of the insured population.
Property Damage Appraisers Gets Customers Back to Their Lives Faster by Helping Carriers Deliver on Their Promises
What began in 1963 as four fraternity brothers looking for additional work between classes has grown into a nationwide franchise organization. With 650+ appraisers serving thousands of clients, Property Damage Appraisers (PDA) completes an astonishing 450,000 estimates annually for auto, heavy equipment and property claims. How does a company that started as a college side project become one of the most successful damage estimating corporations in the nation?
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