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 …
Article

Premiums Written: Q2 2019 Quarterly Must Read Round-Up

… I discuss the challenges that come along with that transformation and what insurers can do to make sure they’re getting the most out of their technology. Appeared on …
Article

Insurtech: Improving Consumer Experiences and Relationships

… effect. Customers want their claims handled quickly and fairly. Insurtech is poised to do just that––providing a quick response time and improving the digital experience for the …
News Release

Pennsylvania Governor Tom Wolf Announces Executive Action on Workers' Compensation Opioids

… actual cost of ingredients. The order does not address high-cost compounded medications that do not contain opioids. Workers' compensation prescriptions for scheduled drugs will be subject …
Article

Streamlining Medical Bill Disputes: Inside FairPay Flex's Efficient and Adaptable Process

… mind, reduce claims handlers’ time and expense incurred to support reductions—let FairPay Flex do the work for you.  See how one insurer used FairPay Flex to reduce overpayment risk and …
News Release

Enlyte Launches Bundled Solution for Auto Bodily Injury Cost Containment

… tool for reducing bottom-line bodily injury severity, especially for liability claims that do not have attorney representation.    “Carriers can confidently settle provider payments …
Article

The rising retirement rate is changing the U.S. workforce

… younger cohorts, being generally more cautious and careful in their movements. But when they do get hurt, such as from falling at work, their recovery tends to take longer and be more …
Blog

Brand and Generic Medication Trends

… or treatment of blood clots such as Xarelto®, Eliquis®, or Lovenox®, which represent the top 3 medications in the class by both use and spend in 2019. This class jumped from #14 in cost … agents of Xarelto®, Eliquis®, and Pradaxa® are only available in brand name formats and do not contain many of the drug interactions and dietary restrictions seen for warfarin. Overall, …
Blog

Coventry Cares
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Premiums Written: Q3 2018 Casualty Must-Reads
News Release

Arizona Governor Signs Workers' Compensation Opioid Legislation

… effective on July 20, 2018. Mitchell testified in favor of the bill in a Senate hearing. We do not anticipate any operational changes due to these new requirements beyond those that were …
Article

Opioid Management in Workers’ Comp: Is Case Management the Missing Link?
News Release

Genex Develops Ebola Guidelines for the Workers' Comp Industry

… employees and 47 service locations throughout North America.  The company serves 381 of the top Fortune 500 companies in the U.S. today. In addition, Genex is the only company that delivers …
Article

Augmented Reality & Artificial Intelligence in Insurance

… in which augmented reality and artificial intelligence are merging. So, what does this have to do with the Property & Casualty and collision repair industries? A lot, it turns out. Smart … time-saving ways to use smart glasses by being able to dictate notes in real time. Not only do they get to spend more time focused on patient care, their notes are also more accurate—both …
Article

Success Story: New AI Model Helps CCMSI Seal the Cracks in the Claims Cycle

… amount of time and energy could be saved, allowing them to focus more intently on what they do best: help claimants get back on the job safely and quickly. … this could significantly lighten case manager workload. More importantly, we knew if we didn’t do it, someone else would.” In late 2018, CCMSI initiated a search to find a strategic partner …
Article

Safety Rules and Public Sentiment Impede Self-Driving Cars

… number of semi-autonomous vehicles on the road grows, the number of collisions increases, as do the articles written about these crashes. 8 Deloitte links news coverage directly to the … https://www.autonews.com/article/20181210/MOBILITY/181219970/as-calif-av-population-doubles-so-do-crashes 9 …
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2018 Recap and 2019 Predictions: P&C Regulatory and Legislative Changes

… to opioid prescribing limits. As the new year approaches, Mitchell takes a look back at 2018’s top trends and industry issues and projects what to watch for with 2019 predictions. … will lag in effect for P&C until providers become more educated in the potential use, we do not look for major shifts in the usage of these billable items initially,” Hibbert-Iacobacci … for reimbursement, while other states specifically spell out that employers and insurers do not have to reimburse. The New York and New Jersey legislatures will consider bills in 2019 …
Blog

Managing Catastrophic Cases: Best RTW Strategies for the Worst Workplace Injuries

… values on them, and it's really important for the employer and the carrier to be on top of them so they can be managing to their financial needs in the case. Another consideration … addressing them in a timely fashion. A third factor in handling catastrophic injuries has to do with lag time in engaging catastrophic case management. Statistics show that the two optimal … : What unique aspects do case managers bring to catastrophic injury management? …
Article

Ask The Pharmacist: Proper Medication Storage and Expiration Dates Explained

… with your health care professional such as the prescribing doctor or dispensing pharmacist. Do you have a workers’ compensation or auto related pharmacy question? Send us an email at …
Article

7 Tips for Managing Prosthetics in Workers’ Compensation

… Prosthetics do more than just replace a lost limb; they play a pivotal part in an injured employee’s …
Article

Ask The Pharmacist: Safe Drug Disposal Methods in Workers’ Compensation

… with your health care professional such as the prescribing doctor or dispensing pharmacist. Do you have a workers’ compensation or auto related pharmacy question? Send us an email at …
News Release

Mitchell Teams With Mazda North American Operations to Launch U.S. Collision Repair Network

… workflow efficiency and attract new business. “Our customers are at the heart of everything we do,” said Rob Milne, Vice President of Aftersales and the Technical Services Division of MNAO. …
Blog

Understanding Brand & Generic Utilization and Cost

… utilization. We call it “brand only” to emphasize that the brand name drugs in this category do not have available generic alternatives. This decrease in utilization resulted in First Script …
News Release

Vermont Adopts Opioid Prescribing Rule

… in the rule only apply to initial prescriptions for a given course of treatment and do not apply to renewals or refills. One of the stated goals of the rule is to “provide …
Article

The Importance of Automotive Diagnostics in Collision Repair

… especially aftermarket scan tools—because there is no proof of the scan diagnostics. Where Do We Go From Here? Industry experts like Mike Anderson are recommending that any vehicle that is …
Article

The Black Car Fund Delivers the Future of Benefits to Independent Workers Today

… How do you provide a safety net for over 100,000 workers who are not your employees without their … model. Instead, it derives its funding from a 2.5 percent passenger-paid surcharge added on top of the fare. Over time it has enabled The Fund to become a self-insured and self-administered … How do you reach people in their cars? If you’re The Black Car Fund, you reach them by whatever means possible. As Executive Director Ira Goldstein states, “We have to do a lot in terms of outreach to make sure the drivers know the benefits that they have. Some …
Article

Person-First Support Drives Better Recovery and Return-to-Work Results

… to protect outcomes and keep files moving. Case management is a key tool in your toolbox to do that with clarity and confidence. …
News Release

Strong Sales of New Battery Electric Vehicles Face Tariff Threat