Article

Strategies for Adapting to an Evolving Workforce

… As a result of the pandemic, employee norms around work are changing and impacting the property and casualty … are having both physical and mental impacts on workers. Given that some individuals moved from an office environment to their dining room tables, it may not be surprising that the rate of … and technology that create a new, better employee experience. These are all items that are top-of-mind for industry executives as we navigate what is next in professional environments.   …
Article

A Look Back at 2020 Trends in Auto Insurance

… It has been a year since the United States and Canada first felt the effects of COVID-19. With states and provinces issuing stay-at-home orders that required residents to … habits grow. After just three months, it’s still too early to tell what impact the events of 2020 will have on 2021. However, by taking a look at last year’s key trends, carriers and collision repairers can successfully navigate an uncertain future and adapt to what will likely be a new post-pandemic normal. …
News Release

Symbicort Generic Approval on March 15, 2022

… Recently the U.S. Food and Drug Administration (FDA) approved a generic formulation of Symbicort (budesonide and formoterol fumarate dihydrate) metered-dose inhaler for the … brand name product, 160mcg/4.5 mcg and 80mcg/4.5mcg. The medication contains budesonide (an inhaled steroid to decrease inflammation) and formoterol (a long-acting beta-agonist that … or future impacts assessments, pricing information, or recommendations, please contact your Account Manager or Account Pharmacist. …
Article

Transportation and translation: an unlikely but powerful duo

… Recently, the Sounding Board sat down with Jim Begg, Vice President of National Accounts for Apricus, to talk about transportation and translation services (T&T). We wanted to know more about these types of offerings, seeing that specialty networks like Apricus frequently manage such requests. SB: … partners and feel they have stronger credibility and history with us. There’s also an element of the unknown when sharing rides, which could have an adverse impact on the injured …
Blog

Destination Care

… Destination care, centers of excellence, medical tourism, benefit driven travel and geographically recognized care centers … responsibility with employees for their medical care. Employees are largely insulated from an awareness or care of their company’s’ workers’ comp related treatment costs. A recent report … 2 https://www.fastcompany.com/3041355/the-65-billion-20-year-plan-to-transform-an-american-city 3 …
News Release

New Account Maintenance Feature Now Available in Mitchell SmartAdvisor Platform

… Mitchell recently released Account Maintenance, a new feature in its SmartAdvisor bill review platform that boasts an upgraded configuration interface. The feature was specifically designed to improve efficiency … systems settings within the SmartAdvisor application. The Account Maintenance feature provides an efficient and consistent method for SmartAdvisor configurators to onboard new customers and …
Article

Mind Over Matter: Addressing Mental Health Comorbidity With Pharmaceutical Treatment

… “Mind over matter” is a familiar saying suggesting the potential of “will” to manage or overcome a physical challenge or to persevere beyond expectations. We understand our minds to be powerful agents of will, but how does mental health comorbidity play into a workers’ compensation or auto injury recovery? When a person struggles to cope with a physical injury and a host of other life issues, how might recovery be hampered? Alternatively, how can a healthy mindset …
Article

Supporting an Aging Workforce Through Ergonomics

… As the American workforce ages, workplace safety and productivity are being redefined. Musculoskeletal … injuries are becoming more common, especially among employees over 55, and the cost of claims is rising with them. As a risk manager, you care about keeping your employees safe. But … solution to assist with this growing concern. By designing environments that match the needs of older employees, you can reduce injuries, retain talent, and increase productivity. The Aging …
Article

Honoring Those Who Drive Injured Employees’ Return to Work

… in the P&C industry, but how often do we consider its true meaning? Think about the amount of effort, skill, coordination and compliance it takes to reach that goal, especially for those overcoming the most severe injuries or illnesses. Suddenly, the power of those three words is massive. Those same factors that make for successful return to work also … which runs in conjunction with National Case Management Week (Oct. 13-19), showcases the top four Enlyte case managers who have made the greatest impact on the injured and disabled …
Article

CMS Releases Version 3.0 of WCMSA Reference Guide

… the Medicare Set-Aside services Genex provides. Last week CMS released a revised version of their Workers’ Compensation MSA Reference Guide. Version 3.0 of the Reference Guide includes a number of changes and revised processes.   … Below is a snapshot of WCMSA Reference Guide changes … proposals, final settlements, and re-review requests (Sections 2.2, 17.5, and 17.6). “Death of a Claimant” information has been updated and standardized with the Self-Administration Toolkit …
Article

Moving claims forward during COVID-19 - Guidelines

… In the face of a crisis, the workers’ comp community has historically pulled together to overcome whatever … challenge, rest assured that your partners at Genex Services are prepared to meet the needs of your workers’ comp program and your injured employees. For this reason, we’ve developed a … Product Management, who shares how Genex has been proactively preparing for the spread of the coronavirus through development of our COVID-19 clinical guidelines. …
News Release

Purdue Pharma and DOJ Reach Opioid Settlement

… Purdue Pharma and the Department of Justice (DOJ) have reached a settlement on Purdue's involvement in the opioid crisis. Under the terms of the settlement, Purdue will plead guilty to three federal charges: Dual-object conspiracy to … avoid any federal prison time related to these specific charges. The charges carry a maximum of 5 years probation and a financial penalty that is the greater of $500,000 or twice the gross …
Podcast

Are All Electronic Provider Payment Solutions the Same?

… we discussed how workers’ comp can benefit from the efficiency and cost-effectiveness of digital payment programs . However, before partnering with an organization for an electronic provider payment solution, it’s important to ensure the service meets your unique … a little more on the provider payment piece because that's the most relevant piece here. A lot of vendors out there tend to focus a lot more on the payment part of it because frankly, it's the …
Article

The Long, Winding Road of Drug Pricing

… One of the most persistent and complex challenges facing workers’ compensation claims administrators … outpaced inflation for half of the drugs covered by Medicare. JAMA, the Journal of the American Medical Association, published a study documenting brand name drug price increases over … Eli Lilly & Company, Sharpe & Dohme, and E. R. Squibb were indicted on charges of violating an anti-trust law by “unlawfully combin[ing] and conspir[ing] to bring about arbitrary, uniform …
In the News

2025 Theo Award Winner: American Airlines
Article

Kids’ Chance: An Extension of a Giving Industry

… public, workers’ compensation is often seen as a large government institution more than an effective health care system designed to improve the welfare of injured workers. Far too often, those in our industry are not credited with the tremendous good we do in helping millions of individuals injured in the workplace return to a functional lifestyle and keeping businesses …
Blog

Kids’ Chance: An Extension of a Giving Industry

… public, workers’ compensation is often seen as a large government institution more than an effective health care system designed to improve the welfare of injured workers. Far too often, those in our industry are not credited with the tremendous good we do in helping millions of individuals injured in the workplace return to a functional lifestyle and keeping businesses …
Article

Specialty Solutions Spotlight: Using Quality Physical Therapy First for Low Back Pain Helps Reduce Costs and Improves Outcomes

… Should an MRI be the first step in addressing work-related lower back pain injuries? The U.S. health … or unnecessary services . In workers' compensation, physical therapy can account for up to 20% of medical costs, making it crucial to ensure appropriateness and quality to manage claim costs … lived with disability. Current guidelines from reputable medical organizations , such as the American Academy of Family Physicians and the American Association of Neurological Surgeons, …
News Release

Enlyte and Mitchell Honored as American Business Awards® Winners

… Recognition Marks Consecutive Years of Stevie Award-Winning Excellence … — Enlyte and Mitchell , an Enlyte company, have been recognized by the American Business Association with two prestigious Stevie ® awards for excellence. This … commitment to leveraging their comprehensive data and market expertise to serve the needs of the property and casualty industry. Enlyte won a Silver Stevie Award for Achievement in …
News Release

Genex Services' IME Program Earns URAC designation

… places Genex, a leader in medical cost-containment and disability management services, as one of the first IME programs to be awarded this new URAC certification. Genex's nationwide IME … integrates hard data, clinical expertise, and rigorous quality analysis standards to deliver an easy-to-use, trustworthy IME process for customers and claimants to receive an accurate, … to excellence in its services to purchasers, patients, and providers. Meeting the objectives of URAC accreditation assures clients they will receive accurate, trustworthy decisions backed by …
Article

Addressing Physician Dispensed Medications with Price Opportunist Drug Strategies

… Compensation Research Institute (WCRI) released a report that emphasized the prevalence of costly dermatological products dispensed from physician offices as a major trend across 28 states. By dollar amount, “… physician dispensing of dermatological agents accounted for the majority of payments for the drug group in 12 of the … were paid to physician-dispensers than to pharmacies.” Physician dispensing has long been an area of concern for workers’ compensation, first because it may circumvent some of the …
Article

An In-depth Look into the Role of an Apricus Hospital Discharge Care Coordinator
Article

An In-depth Look into the Role of an Apricus Hospital Discharge Care Coordinator
Article

An In-depth Look into the Role of an Apricus Hospital Discharge Care Coordinator
Article

An In-depth Look into the Role of an Apricus Hospital Discharge Care Coordinator

… home health, transportation, translation and diagnostic services. Efficient coordination of these services is critical to reducing time spent in the hospital and streamlining treatment, … which helps get the injured employee back home and recovering faster. In the final installment of our series, we will examine the discharge planning process from the perspective of an Apricus care coordinator, what a catastrophic discharge request includes and how specialty …
White Paper

How and When to Request an IME

… on a daily basis. At times, you may need clarity or greater certainty on specific aspects of a case. For example, what is the true cause of a claimant’s condition? Is this recommendation the best course of treatment? Does a degree of … – which can hinder recovery. Faced with these challenges, you may place a request for an independent medical examination (IME) to help determine the next step in the claim and injury …
Case Study

Seeing Red: Warning Signs of off-track claims

… case management are indicators signaling potential problems that could adversely impact an injured employee’s timely recovery, return to work, and the ultimate cost of a claim. If not addressed and assertively managed when recognized, the presence of red flags has high potential to derail a claim. The worker’s recovery and return to work may … mitigate the risk. Alone or in combination, red flags are important to recognize. They provide an objective approach to help you assess risk and substantiate the need for case management …
Article

Empowering Workspaces: Harnessing the Power of Ergonomics for Enhanced Productivity and Safety

… Ergonomics is the scientific study of designing workspaces in a way that enhances the health, safety, and productivity of workers. Its goal is preventive, focusing on reducing the risk of injuries before they occur by analyzing job tasks and workstation design. This is especially … prevent injuries from progressing into serious issues. It's important to apply ergonomics when an employee expresses discomfort, reports an MSD, or is returning to work after an injury. …