Article

Alternative Transitional Duty: A Win-Win for Employee, Employer and Community

… We are heavy manufacturing type business." So, for them to pull an employee off an assembly line and recreate a job for them takes a lot of time and energy that, frankly, they may not have. …
Article

Six Key Concepts in Pharmacy Benefit Management
Article

Automate the Chaos: AI, Dashboards, and the Future of Claims
Podcast

Managing the Labor Challenge: Technology Solutions

… 75 percent so they can get to their work quicker. We reduced the steps it takes to edit a bill line by 44 percent. So, we're just trying to make them more efficient. We go back and we measure …
Article

2020 CPT Code Changes: What You Need to Know
Blog

How to Find the Best Providers

… medical spend, we'll look for that in the data and those are the providers that we'll consider top tier. … makes it easier to schedule for the claimant if you stay within that. And, as long as they're top-tier providers, I don't care if they're connected to each other or different companies. It … opportunity. So, if you get them out of the door and you train them well, they can become that top-tier provider for the next 20 years. But we do want data on those new providers, so we do …
Article

COVID-19 P&C Industry Update: Regulations, Telemedicine, Access to Care and Testing

… and casualty lines of insurance. The pandemic quickly moved this mode of a visit to the top of the priority list, leaving everyone wondering why this had not happened sooner. … compensation and auto claims. Managing individual rules and legislation from 50 states on top of federal government guidance has created a quagmire of rules and welcomed changes. The …
Article

Top 3 Retail and Mail Order Trends

… And so first-line agents would be some of those short-acting opioids. We don't like to see a huge use in our … Yes. Well, overall, the top therapeutic classes had decreases in cost and utilization by claim. As we just saw the data … a pretty significant jump in the utilization per claim. Both those classes were also among our top five therapeutic categories to experience brand, average wholesale price, or AWP increases in …
News Release

Restoring Lives: 2021 Heart of Case Management Awards

… Winners of top case management award help injured employees move beyond tragedy and return to meaningful … and disabled workers. Genex, a clinical management leader throughout North America, serves the top underwriters of workers' compensation, automobile, disability insurance, third-party …
Article

What is Ticket to Work?
Article

What is Ticket to Work?
Article

Out-of-Network Dispensing Channels and Their Unique Challenges

… 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 … pharmaceutical charges on a bill due to differences in coding and the commingled pharmacy line item charges on a bill that also might have codes for the office visit charge and the …
Podcast

Chronicling the World of Workers’ Comp with Roberto Ceniceros
Podcast

The Other Drug Issue - When Addiction is a Pre-Work Injury Problem

… saying this, but there is a world of difference between managed pain and zero pain. The bottom line is that injuries hurt. The worker got injured and he or she will be in pain. And surgeries …
Article

StateWatch Early Spring 2017

… . The following top five leading causes of disabling injury in the workplace accounted for 63.8 percent of the … called for taking about $98 million from various state accounts, though the governor used a line item veto to prevent some of the cuts. Diverted dollars from the comp fund will be placed …
Article

StateWatch Early Spring 2017

… . The following top five leading causes of disabling injury in the workplace accounted for 63.8 percent of the … called for taking about $98 million from various state accounts, though the governor used a line item veto to prevent some of the cuts. Diverted dollars from the comp fund will be placed …
Podcast

How Top Claims Teams Catch Risk Before Costs Escalate
Article

Average Length of Rental for Repairable Vehicles: Q4 2022

… increase is significant, the quarter-over-quarter increase is telling as this is in line with historical LOR trending from Q3 to Q4 of pre-pandemic years. For comparison purposes, …
Podcast

Is Your Workplace Safe2Work?

… to help the employee come back faster. That is why we decided to build the Safe2Work app on top of that and add it into this very robust system for trackability and ability to actually …
Podcast

From Homeless to Hope
Article

Workers’ Compensation: 2022 Trends & Predictions

… regulatory changes and more. To help you navigate what’s next and understand this year’s top trends, we’ve outlined Enlyte’s top 2022 workers’ compensation predictions: Staffing Shortages Will Affect Employers and Payers … To help mitigate the risk that comes with top employees leaving or retiring, claims organizations in 2022 will likely put a special focus … person is assigned the right claim from the start to prevent delays and frustrations down the line. While automation will most likely be at the forefront of the technology conversation next …
Article

2020 in Hindsight: Clinical Trends and Predictions

… those who have been studying the epidemic over the years, the AMA’s comment seems to fall in line with the trends we have seen in prescribing rates. According to the AMA, opioid … topicals increased an average of 379%. The largest price increase for a topical within the top 20 topical medications was for a combination cream of nystatin and triamcinolone, which …
Podcast

Safe at Home: Managing the Provider Shortage in Home Health

… focused on ensuring that we’re attracting that talent and retaining it. All those things are top of mind for Apricus, and we’re here to partner with our clients to deliver the very best in a … and we are skilled, experienced advocates for our patients. We try to bring all of that into line when we’re creating a solution for any of our clients.   …
Podcast

Examining Opioid Utilization Drug Trends

… yielded another year of declines in both opioid utilization and cost. Those that we saw at the top of the bubble within that class, looking at aggregate trends across our top five opioid meds, those aggregate trends now would be data that we’re seeing from both … Oxycontin, which is a controlled‑release or long‑acting version of oxycodone, took the top spot for cost at 24 percent, followed closely by a combination product, oxycodone with …
Article

The New CDC Opioid Guidelines

… guideline release. Reminders for prescribers in these materials include: Opioids are not first-line or routine therapy for chronic pain Establish and measure goals for pain and function …