Article

Specialty Solutions Spotlight: What to Look for in a Home Health Program

… Do the services aim to enhance the injured employee’s condition and increase their level of …
News Release

White House Issues Executive Order on Drug Pricing

… of new medications. If CMS moves forward on rulemaking, litigation will likely ensue. We do not expect immediate impact to drug prices in the workers' compensation systems across the …
Virtual Event

Pot Policies in Workers' Compensation and Auto Casualty [Webinar]

… many open-ended questions for the industry and the country in general to consider. Although we do not know what the future holds for marijuana, we expect its path toward legalization to …
News Release

Nebraska Legislature Studies Workers' Comp Drug Formulary

… have about unnecessarily prolonged cases of disability and lost productivity when workers do not receive proper care or become dependent or addicted to opioids. The Nebraska Medical …
Article

A New Era of Performance Management

… are measured against all desirable targets and not one simple goal” as one of their top tips toward encouraging healthy competition 2 among employees. Another unique aspect of … would allow members of the leadership team to easily promote healthy competition and to do so in a manner that is best aligned with their organization’s goals and processes. 1 …
Article

Out-of-Network Dispensing Channels and Their Unique Challenges

… a more holistic care approach across the breadth of treatment we're able to see. So we do wanna be able to intake, those fills, whether they're in- or out-of-network, from bill review … series to the retail. We see a shift in the trends where topicals actually bubble up to the top spot by cost. They made up about 19% of the cost in 2023, but the and so they were in that … managed data that we covered in part 1 of our drug trend analysis, it has opioids in that top spot by cost ranking. Topicals as a percentage of total script volume was up slightly in 2023 …
Article

AI and Ergonomics: Merging Technology with Human Expertise for Optimal Workplace Solution

… as mental health, stress, and overall employee satisfaction—factors that AI systems typically do not account for. By combining AI insights with human empathy and communication, ergonomists … and conditions are standardized, such as manufacturing lines. However, many workplaces do not fit neatly into these categories. Healthcare environments, construction sites, or hybrid …
Article

Federal Regulatory and Legislative Trends Affecting Property & Casualty

… (CTA), to name a few, provided Congress a blueprint for what they believe the U.S. should do going forward. They had three main areas they stressed to help give Congress a roadmap for the … evaluations regarding telehealth by the end of 2023. They are giving them almost two years to do their due diligence and make a determination so that in 2024, Congress can introduce permanent …
Article

5 Steps to Prepare for a Successful Post-COVID Future

… reduce the number of different systems that my adjusters are required to go into in order to do their jobs? Are my team members inputting data manually anywhere? Has my vendor established … Efficiency is one of the top challenges workers’ compensation and auto casualty claim professionals have struggled with … and maintaining the best possible relationships: What is the company’s business expertise? Do they specialize in bill review? What technology does the company leverage, and what is their …
News Release

Genex Patient Satisfaction Survey Reveals Five Factors That Matter Most to Injured Employees

… a vital role in connecting with insurance adjusters and providers when their attempts to do so on their own failed. "It was great to have Charlene working with me on my recovery,” said … and disabled workers. Genex, a clinical management leader throughout North America, serves the top underwriters of workers' compensation, automobile, disability insurance, third-party …
News Release

Bosch and Mitchell Collaborate on New Tool That Provides Repairers with an All-in-One System for Diagnostic Scanning, Calibration and Estimating

… Codes (DTCs) and automatically upload scan reports or photos. “The MD-500 lets repair planners do nearly everything they need to on a single, mobile device,” said Jack Rozint, Senior Vice … increase profitability by not having to outsource the work.” “Being able to use one device to do scans, complete estimates, capture photos and access repair procedures will save our team so …
Article

Getting Into Insurance? The Insurance Industry Outlook is Brighter than Ever

… of the American workforce as it compares to how our industry is positioned to attract the top tech and service-driven talent in the country. While the toll of COVID-19 has been tremendous … changes have helped our industry become even more appealing to American workers—including top talent in the graduating class of 2020. Although many organizations are carefully considering …
Podcast

Using the ODG’s Treatment Analyzer on Outcomes to Improve RTW

… How do case managers use TAO? … What do you like best about TAO? …
Article

Five Questions With Shahin Hatamian on How to Incorporate More Automation in the Claims Process

… your business? Which decisions could you automate to reduce waste? What data would you need to do so? Being proactive about addressing these questions can help businesses make better decisions … 5. What do you envision the near future of claims automation will look like in the auto casualty and …
Article

Impact of COVID-19 on Workers’ Compensation and Auto Casualty Industries

… 16, 2020. Included in the New York emergency amendments are allowances for specialties that do not normally use telemedicine such as acupuncturists, physical therapists, occupational … to assist affected policyholders and work with them to make sure that their insurance policies do not lapse ( Bulletin No. 20-04 ). All of these New Jersey timeline changes have remained …
Article

Gabapentinoids in Workers’ Compensation

… for neuropathic pain include anticonvulsants (gabapentin or pregabalin)….” The guidelines do not suggest uses outside of the FDA’s indicated uses, but do suggest that gabapentinoids are a good option to try to treat neuropathic pain before opioids …
Article

The Power of an Optimized Workflow: Automation, Customization and Solution Integration

… any simple, repetitive tasks that our adjusters perform constantly that we could automate? Do we want to lower the threshold for auto adjudication to allow more bills to pass through …
Article

Everyday Insurance Analytics: Using Data at Every Level

… the scientific method. This narrows the focus of inquiry, eliminating wide swaths of data that do not contribute to answering the question. This step is arguably the most important because the … increase efficiencies within the organization. The author does not publish a novel simply to do so, but to delight readers and to make a small contribution to society. On an organizational …
Article

Home Health Care Frequently Asked Questions

… Concussions or other traumatic brain injuries may require monitoring and rehabilitation. How do I coordinate home health services for my injured employee? Apricus Specialty Solutions …
Article

Specialty Solutions Spotlight: Expert Care Coordination for Catastrophic Claims

… compensation catastrophic injuries occur with relatively low frequency. However, when they do happen, you want a partner who can holistically address the needs of the claim. Catastrophic …
News Release

Enlyte Celebrates National Adjuster Day by Launching Streamlined DecisionPoint Interface

… is our way of thanking hard-working claim professionals and supporting the valuable work they do each day.” To help further boost efficiency and reduce product training time for adjusters, …
Article

Ask The Pharmacist: Urine Drug Testing in Workers’ Compensation

… or illicit substance can lead to timely intervention that otherwise may have gone unnoticed. Do you have a workers’ compensation or auto related pharmacy question? Send us an email at …
Article

Best Practices for Selecting a Provider Network

… The first thing you should do is ensure that your selected partner has access to a large national network that consists of …
Article

Plugged In: EV Collision Insights Q4 2022

… to repair lighter weight substrates. However, a portion of this increase may also have to do with ongoing supply chain disruptions and the lack of replacement parts availability. EV part … a proper and safe repair. EV Q4 2022 Statistics EV Average Repairable Severity By the Numbers Top North America EV Markets Based on Repairable Claims Frequency Top EV Model Frequency by Region   Subscribe Now To subscribe to future issues of Mitchell's …
Article

Plugged-In: EV Collision Insights Q4 2022

… to repair lighter weight substrates. However, a portion of this increase may also have to do with ongoing supply chain disruptions and the lack of replacement parts availability. EV part … a proper and safe repair. EV Q4 2022 Statistics EV Average Repairable Severity By the Numbers Top North America EV Markets Based on Repairable Claims Frequency Top EV Model Frequency by Region …
Blog

Introducing Networks 2.0: Part Three

… return-to-work programs to help their injured employees recover. The best programs do far more than safeguard the bottom line. They focus on truly addressing the needs of injured … medical complications resulting from potentially being forced into a more sedentary lifestyle. Top companies understand that having a worker return to the job either under modified duty or, if … these employers offer fair reimbursements to providers and pay on time. That’s because top-tier employers recognize the irreplaceable value providers bring. Alongside employers and …
Article

The Power of Technology Enabled Services: Balancing Technology with the Human Touch

… As claims organizations navigate the best ways to automate the claims process, they should do so with the concept of Humane Automation in mind by finding ways to use technology to better …
Article

Medicare Secondary Payer Updates

… If the RRE wants to update their Section 111 Claim Input records with an MBI they should do so by sending an updated record with the MBI as the Injured Party Medicare ID. RREs should not …