Article

Navigating Future Medical Costs: Forecast Claims Costs with Precision

… In claims management, the necessity of ensuring adequate capital reserves requires a precise prediction of the medical care and services an injured employee will need throughout their lifetime. This strategic foresight is pivotal not …
Podcast

Making Change Happen in WC: What’s Holding You Back?

… Ron, what are some of the issues that make change difficult in workers’ comp? … All the regulatory fiefdoms, make it difficult to make real change across a large swath of the risk or of the claims or of the injured workers. I think the incentives are somewhat of an obstacle. What are the incentives of each of constituents? What is the incentive of a claim … most in our book are the ones who we're closest to the end customer, the end benefit recipient of our services — the employer and their employees. And the feedback, both from them, and from …
News Release

Decrease in Used Electric Vehicle Prices Coincides with an Increase in Total Loss Claims

… —Mitchell, an Enlyte company and leading technology and information provider for the Property & Casualty … an update on EV total loss frequency, which has risen since late last year as the price of used EVs has fallen. In the U.S. and Canada, EV total loss rates were 9.93% and 7.48% respectively—an increase of approximately 8% from Q4 2023 and 30% from Q3 2023 in both regions. Despite the dramatic rise, …
News Release

Genex Earns URAC Reaccreditation for WCUM and CM

… Genex Services, the nation's largest provider of workers' compensation case management services, has recently been reaccredited by URAC for … clinical care. Companies holding URAC's Case Management accreditation are among an elite group of managed care organizations that maintain and measure an essential set of performance … 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 …
Blog

Why Use Antidepressants to Treat Pain?

… focus on the ongoing opioid epidemic and stricter guidelines on opioid prescribing has led to an increased utilization of non-opioid pain treatments in workers’ compensation. In a previous blog post , we looked at … Expert guidelines in our industry, such as the Official Disability Guidelines (ODG) and American College of Occupational and Environmental Medicine (ACOEM), support the use of tricyclic …
Article

Prepare for IAIABC Claims Release 3.1 by Starting with Your EDI Reporting Process

… The IAIABC (International Association of Industrial Accident Boards and Commissions) maintains and develops electronic reporting … build and ownership costs in the long run. 2. Do you have the resources required to launch an implementation? Whether you choose to partner with a vendor or build 3.1 in house, resources … The IAIABC has resources such as in-person and web-based modules that will be available for purchase. The IAIABC also has bi-annual conferences where leaders in the industry meet to define …
News Release

Changes to the ODG Drug Formulary Impact Opioid Class

… formulary as stated above. If you have any questions about this update, please contact your account manager or client services manager. …
News Release

Changes to the ODG Drug Formulary Impact Opioid Class

… formulary as stated above. If you have any questions about this update, please contact your account manager or client services manager. …
Conference

Guidewire Connections 2024

… the Gaylord Opryland Resort in Nashville, TN. This year the conference will focus on the power of our P&C community. Featured Keynotes include: Mike Rosenbaum, Chief Executive Officer, … Guidewire Jason Sudeikis, Emmy-winning Actor, Comedian, Writer, and Producer Ted Ligety, American Alpine Skier and Olympic Gold Medalist Don't miss out on this unique opportunity to explore emerging trends in cloud technology as well as gain a deeper understanding of what the Guidewire cloud journey into the future looks like. With over 90 learning …
Conference

Mitchell 2019 mPower Conference

… for Mitchell’s annual customer gathering, the Mitchell 2019 mPower Conference. This event is an opportunity for us to collaborate, share what we’re seeing in the industry, discuss emerging … inspired, technology-focused main stage presentations and breakout sessions, plus plenty of opportunities to get to know and network with your industry colleagues. We’ll dive deep into … and Managing Director of The Flux Group; Mike Walsh, Futurist and CEO, Tomorrow; Shawn Achor, American Researcher and author of  The Happiness Advantage , and more. …
Article

What You Need to Know About Extended Reality

… The concept of Extended Reality (XR) conjures up images of virtual computer worlds built as an escape from everything around us. Considering what 2020 … where you can interact with digital objects projected around you in three dimensions. To get an idea of how VR could work in the insurance industry, it’s worth taking a look at the impact it is … “lenses” that adjust to our faces—and even our pets—in real time. Snap says more than 70% of its daily active users play with its lenses every day. In a more serious use case, …
News Release

Genex Services Outlines Top Barriers to Effective Return-to-Work Programs

…  Genex Services, LLC (Genex), one of the nation's largest providers of managed care services, reports that more than three million American employees experienced a work-related injury last year at a direct cost to employers of … to get those injured workers back on the job quickly, safely, and sustainably has become a top concern for U.S. employers. … duration. Genex Services has conducted in-depth analysis of recent claims and outlined the top five barriers and solutions for more effective RTW programs. …
News Release

Genex Nets Two Communicator Awards for Podcast and eBook

… ‘Inside Workers' Comp' series and ‘The Hidden Cost of Bill Review Complacency' among best digital and audio content produced across major … - Genex Services has been named a dual winner of the 25th Annual Communicator Awards of Distinction by the Academy of Interactive and Visual … review services, including health checks for pertinent areas of bill review, was among the top campaign content of the year along with works published by other world-renowned brands …
Article

When Good Intentions Misfire in Workers’ Comp Pharmacy

… to limit opioid exposure by prohibiting physicians from dispensing Schedule II opioids out of their offices. The intuitive expectation was that opioid volume would move into network retail … note, overall opioid prescribing did decrease. Unexpectedly, non-opioid office dispensing of non-steroidal anti-inflammatory drugs (NSAIDs) and other opioid alternatives increased … If a rule targets drug class without addressing site of service and network status, prescribing behavior will adapt to preserve provider profit in the …
Article

How Naloxone Can Help Fight the Opioid Crisis

… U.S. looks for ways to stem the opioid crisis, one major strategy that has emerged is the use of naloxone to counteract opioid overdoses. The FDA’s recent approval of the generic form of Narcan®, which is the first generic formulation for naloxone nasal spray, … the impact of the opioid crisis. According to the CDC , almost 400,000 people died from an opioid overdose between 1999 and 2017. On average , more than 130 Americans die from an …
Podcast

The PAID Act is Coming to Medicare—Are You Ready?

…   In December 2020, an act was signed into law, which will change the way some reporting entities coordinate Medicare … the Provide Accurate Information Directly Act and it was enacted back on Dec. 11, 2020. It’s an act that is a means to help nongroup health plans such as workers’ compensation, insurance … is the Mandatory Insurer Reporting. So, carriers and insurers have an obligation to report all of their open claims to Medicare so that Medicare can coordinate benefits and determine if there …
Article

Plugged In: EV Collision Insights Q4 2022

… in U.S. EV frequency, displacing the Tesla Model X. Q4 2022 also saw the first appearance of the Hummer EV in a U.S. collision repair facility (none reported in Canada thus far) as well … to lag behind vehicles with internal combustion engines (ICEs), ending the quarter at 19.18% (an increase from 18.83% the previous quarter). The average number of mechanical labor hours on EV … 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 …
Article

Plugged-In: EV Collision Insights Q4 2022

… in U.S. EV frequency, displacing the Tesla Model X. Q4 2022 also saw the first appearance of the Hummer EV in a U.S. collision repair facility (none reported in Canada thus far) as well … to lag behind vehicles with internal combustion engines (ICEs), ending the quarter at 19.18% (an increase from 18.83% the previous quarter). The average number of mechanical labor hours on EV … 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 …
Article

Understanding Compliance and Regulatory Trends in Workers’ Comp Costs

… transparency mandates to accelerated artificial intelligence (AI) oversight, the intersection of legislation, compliance, and cost containment is changing rapidly. Forward-thinking … payers, providers, and workers’ compensation stakeholders. A prominent example is the overhaul of the Department of Health and Human Services (HHS), which includes the formation of the Administration for a … algorithmic denials have already prompted regulatory backlash—underscoring the importance of having auditable algorithms, real data inputs, and human oversight. Organizations looking to …
Article

Reduce Cost and Complexity in Workers’ Comp Ankle and Foot Claims

… frequent and costly musculoskeletal claims in workers' compensation. Representing 10% to 15% of all claims, and up to 20% in high-risk sectors like construction, these injuries average … teams with unnecessary touchpoints. Proactive Oversight Drives Outcomes   Sprains and strains account for 50–60% of all foot and ankle claims. While a Grade I sprain (mild, with a small number of muscle fibers …   Managing Complex Cases with Precision While high-severity cases make up a smaller portion of claims, they consume a disproportionate share of costs. Crush injuries, Achilles ruptures and …
Virtual Event

Webcast: Michigan No-Fault Reform-An Expert's Guide to the New Utilization Review Administrative Rules

… As a part of Michigan’s no-fault auto insurance reform, new utilization review administrative rules will go … insurance carriers on July 2, 2020. In this webcast, hear from Mitchell Senior Vice President of Regulatory Compliance Management Michele Hibbert-Iacobacci and Manager of Product Management Sanjog Patel to learn about the new rules and the potential impact to your … a retrospective utilization review process that will help determine the appropriateness of care and related costs. As a part of the new utilization review administrative rules, carriers …
News Release

FDA Authorizes Second Coronavirus (SARS-CoV2) Vaccine for Use

… (EUA) for a messenger RNA (mRNA) vaccine developed by Moderna . The EUA authorizes use of the Moderna vaccine for the prevention of COVID-19 disease caused by SARS-CoV2 in individuals … that they'll each deliver 100 million doses in the first quarter. Moderna has contracted for an additional 100 million doses to deliver in Quarter 2, negotiations with Pfizer are continuing … and manufacturing quality needed to support emergency use authorization that the American people have come to expect from the FDA. These standards and our review process, which …
Article

Turning Claims Data Into Actionable Insight

… for outcomes. But when data is scattered and unclear, you’re stuck reacting instead of leading. WC Claims Dashboard changes that.  Enlyte’s WC claims dashboard takes the guesswork out of understanding your program performance. No more piecing together disconnected reports. The …
News Release

Cases of the Heart: 2018 Heart of Case Management Awards

… From gunshot wounds to addiction recovery, winners of this year's Genex honors went a long way to help injured employees return to function WAYNE, … were selected from more than a thousand highly skilled professionals to be named 2018 Heart of Case Management Award winners. This is the third year of the national awards program spotlighting case managers at Genex Services, one of the nation's …
News Release

The Collision Repair Industry Gains from Giving Back

… You don't need big budgets and a large marketing staff to make a difference. Simple acts of kindness result in workplaces that are "better for business, better for the people who work there and better for the world." [1] Here are just three of the many benefits your organization will glean from giving back. Boost employee morale: … exposure: Consumers value good corporate citizenship. Studies have revealed that the majority of consumers would switch to a brand supporting a good cause. [2] Check out these real-world …
Article

Specialty Solutions Spotlight: Cybersecurity Risks With Internet Connected Medical Devices

… Are internet-connected medical devices a cybersecurity risk? The advent of the Internet of Medical Things (IoMT) has facilitated the transmission of data from medical devices and … most high-risk medical devices with internet connectivity. This conclusion was drawn based on an analysis of common vulnerabilities and exposures (CVEs). The assessment conducted by the …
Article

Ask The Pharmacist: Medication Step Therapy in Workers’ Compensation

… care. It is meant to guide it. It can help you: Support appropriate prescribing  Reduce use of higher-risk medications when safer options are available Encourage recovery and return to … pharmacy costs   For you, that means more confidence that a prescribed medication follows an established treatment path and that any escalation is supported by a clinical reason.  … are based on widely accepted clinical guidelines, including: Official Disability Guidelines American College of Occupational and Environmental Medicine guidelines  These guidelines help …
News Release

Mitchell Earns URAC Reaccreditation for Workers' Compensation Utilization Management

… June 29, 2018— Mitchell International , a leading provider of technology, connectivity and information solutions for the Property & Casualty (P&C) insurance … Mitchell earned reaccreditation in April 2018, further validating the company's long history of demonstrating a quality commitment and ongoing dedication to providing high-quality clinical … which requires utilization review entities that modify or deny treatment requests to obtain an accreditation by an independent, nonprofit organization that establishes and monitors UR …