From Operational Burden to Financial Breakthrough

When medical bill review is managed by internal teams, performance depends on sustaining specialized expertise and the ability to scale operations in the face of turnover, volume volatility and unexpected disruptions. For many payers, as bill volumes fluctuate and labor pressures increase, sustaining consistent turnaround times and maximizing savings can place growing demands on internal teams.

Specialty Solutions Spotlight: Managing Medical Device Warranties in Workers’ Compensation

March 11, 2026

Not all durable medical equipment (DME) referrals are completed at purchase. Some include warranties that need to be monitored and maintained, including items like wheelchairs, respiratory equipment, prosthetics and patient lifts.

Driving Surgical Cost Savings Through Expanded Utilization Review

Expanded utilization review helped a self-insured employer control rising surgical costs, reduce unnecessary procedures, and generate over $1M in savings while maintaining a two-day review turnaround.

New York Provides Data-Backed Proof That Stronger Utilization Review is a Cost-Control Strategy

March 4, 2026

Read how New York's strategic utilization review expansion kept medical payments stable despite rising costs nationwide.

Settling Future Medical? Don’t Let Medicare Turn It Into a Reopen

March 4, 2026

Discover how to prevent Medicare from disrupting your settled claims. Learn when MSAs are needed, what documentation to gather upfront, and strategic approaches to identify cost drivers.

Ask The Pharmacist: The Hidden Risks of Gabapentin in Workers’ Compensation

March 2, 2026

Gabapentin was approved by the Food and Drug Administration (FDA) decades ago for seizures and nerve pain. Today, it is one of the most commonly prescribed drugs in the United States.