Article

The Compliance Corner: Telemedicine: New Innovations in the Old Program

… Telemedicine is the method of delivering health care electronically through applications like smart phones, email, and skype. Telemedicine started over 40 years ago with the intention of enabling health care providers, mainly hospitals, to provide services to patients in remote … when it comes to delivering emergency services for some medical conditions. With timing being an influential role, it makes sense that telemedicine continues to think about how to develop …
News Release

Beneva Selects Mitchell to Streamline Claims Management

… —Mitchell, an Enlyte company and leading technology and information provider for the Property & Casualty … the largest insurance mutual in Canada, selected its enterprise claims management suite of solutions. These solutions are designed to improve claims handling efficiency and accuracy, … appraisers and auto body shops in just one week.  “We’re thrilled to support one of Canada’s top insurers and leading providers in Quebec,” said Debbie Day, executive vice president and …
Article

A Provider of Hope

… Kids’ Chance Awareness Week is a great opportunity to support an organization so close to our hearts … As the holiday season approaches, many of us will drop coins in a bucket or gladly write checks to give to others in need. Though we know our dollars will help others along the way, we rarely see the direct result of the donations. For many in the workers’ comp industry, there is no charity that offers us a …
News Release

Mitchell Reports a Lower Total Loss Rate for Electric Vehicles

… —Mitchell, an Enlyte company and leading technology and information provider for the  Property & Casualty … over the same time period and with a comparable actual cash value (ACV) had a rate of 7.47% versus 8.49% for all ICE vehicles. “Many believe that auto insurers are writing EVs off as a total loss more often than their ICE counterparts of a similar model year and ACV, even with only minor damage,” said Ryan Mandell, director of …
Article

Outdated imaging equipment can affect quality of care and cost of claims

… Among specialty services, diagnostic imaging—such as an MRI, CT, or PET scan—is often the first critical step to assess the severity of an injury and develop a treatment plan for prompt recovery and return to work. That's why it's … was not properly vetted. According to a position paper published by the European Society of Radiology, imaging equipment less than five years old is considered state-of-the-art …
Article

Specialty Solutions Spotlight: Why Translation Matters in Workers’ Compensation

… and outcomes? Language diversity is a significant consideration in the effective management of workers’ compensation claims because non-English or Limited English Proficient (LEP) employees … the following without proper translation services : Issues understanding how or when to report an injury, especially if forms or instructions, are provided in English. Misunderstood or … can connect you with certified, native-speaking interpreters in 200+ languages, including American Sign Language, to ensure seamless, cost-effective communication. This information is …
White Paper

Insight to the Power of 2

… The Power of Data Analytics … Seasoned claims professionals don’t need an algorithm to tell them that an injured worker who is obese or has diabetes might need an extra hand in recovery. Understanding the implications and potential effects of a comorbid condition comes from experience. As that experience accumulates it yields insight. Data analytic tools work much the same way: they ingest stores of data and, as the amount of information grows, algorithms produce more nuanced conclusions. At …
Blog

2019 Recap

… place in July and since then we have shared 47 posts. We thought it fitting to cap off the end of the year, with a review of our top three most viewed posts. The Drug Trends Series posts were the big winners in 2019 with 82% … Egypt, France, Australia, Denmark, Ireland, and more. Read on to see some stats regarding our top three posts and our recommendations.  …     As part of our Annual Drug Trends Series, this piece was first published on September 10, 2019 is a video …
Article

Specialty Solutions Spotlight: Translation, Transcription and Interpretation Services in Workers’ Comp

… Why is translation one of the most requested and used services in workers’ comp? According to a recent census report the … language. Given this, it’s not surprising that communication in multiple languages can play an important role in injured employee recovery. Getting hurt on the job can be a very stressful … translators and interpreters to facilitate communication for many languages including American Sign Language. Native speakers offer a means to needed communication ensuring a smooth …
Podcast

Boosting Comp Outcomes Through Case Management-Physical Therapy Collaboration

… Physical Therapy” which explored how certain mental health factors are strong predictors of adverse outcomes in workers’ comp, especially for injured employees recovering from physical … : So, the standardization of psychosocial screening and physical therapy evaluations really emerged from several key … to develop the tools for it. So, there are a lot of tools out there. It’s both a challenge and an opportunity, but one of the most recent ones is called SPARE (Screening for Pain Vulnerability …
Blog

AWP Trends — Understanding the Forces That Drive Drug Prices

… A drug’s Average Wholesale Price (AWP) is a simple benchmark for distinguishing the cost of one medication from that of another. Policymakers and insurers use this important figure in determining fee schedules and … overall AWP increased 4.4%. This was less than the previous year’s AWP growth of 5.9%. An increase of 10.9% in the cost of brand drugs accounted for nearly all of the increase in … Price hikes ahead of a patent expiration …
Article

Ask The Pharmacist: Managing Benzodiazepine Tapering in Injury Claims

… proactive management is essential. New guidance from a multidisciplinary group led by the American Society of Addiction Medicine (ASAM) offers timely direction for managing workers’ compensation and auto … motor vehicle accidents and workplace injuries. They can impair cognitive function, affecting an individual's ability to drive, perform job duties and manage daily activities. Even at … the taper can also improve adherence and outcomes. The guideline acknowledges the complexity of implementing these practices, especially given the number of patients who may benefit and …
Article

Reduce Workers Compensation Claims By Using Wearables in The Workplace

… Resource Center, 1 in 6 Americans currently own a wearable device. While fitness is still the top priority for most wearable owners, when used in the workplace, these devices have the … claims. Further, the devices hold promise as a tool to speed recovery times, reducing the time an injured party is away from the job. The caveat—these advances come with some important … There is an explosion of workplace-focused wearables coming to market that go beyond smart watches and Google …
News Release

Mitchell Automates Scan and Calibration Detection in Estimating Workflow

… Enhancement comes as company’s diagnostic solutions surpass milestone of 5 million scans and 125,000 ADAS calibrations … —Mitchell, an Enlyte company and leading technology and information provider for the  Property & Casualty (P&C) claims and  Collision Repair industries, today announced the availability of a new feature in Mitchell Cloud Estimating  that automatically detects a completed scan or …
Article

How to Strategically Develop a Strong PBM Partnership

… much are they charging for particular medications? What is their dispensing cost? How few out-of-network bills get through the PBM? A vendor relationship is a simple exchange, but it may not … What Are the Benefits of a PBM Partnership? … that help drive better results Regulatory monitoring and support Ongoing analysis of your book of business to continually bring new offerings that will that not only help reduce …
Article

The Realization of Claims Virtualization

… Five years ago, if someone mentioned “claims virtualization,” it most likely referred to an insurance carrier’s mobile application, or possibly just conjured visions of VR goggles used for high-tech simulations. These days however, the idea of virtual claims handling, or as Lexis Nexis 1 defines it, “photo or video estimating in which … by the year 2030. So what do they have to do with virtualization? Born just before the turn of the century, millennials are the first generation to grow up in an internet-enabled world. For …
Article

Quarterly Drug Update: Evaluating Combination Medications

… Pricing for prescription drugs is a topic of much discussion. Combination drugs are often under scrutiny as a common practice for … come at a significantly lower Average Wholesale Price (AWP). AWP is the average value of a drug when sold to customers such as physicians and pharmacies, and is typically used to calculate the cost of a particular drug. However, prescribing in workers’ compensation is multifaceted. It is …
News Release

Mitchell Announces New Provider Data Explorer to Help Combat Claims Fraud, Waste and Abuse

… —Mitchell, a leading supplier of technology, connectivity and information solutions to the Property & Casualty (P&C) claims and … announced the new Mitchell Provider Data Explorer solution, which provides a holistic view of medical provider behavior in the P&C industry. Using data visualization, Provider Data … vice president for product management. "This new visualization tool is the first step in an ongoing initiative to help Mitchell clients leverage provider data for improved …
Article

Sensors in Claims: How To Reduce Workplace Injuries

… tracking sleep and monitoring heart rates. Fitbits and devices like them are just the tip of the iceberg. Sensors have become so sophisticated and so small, a company called SENSIMED has developed a contact lens with an embedded microsensor that measures and tracks eye pressure. The resulting data enables doctors … that so much critical data can be generated by such a small form factor, but the real value of sensors, as SENSIMED demonstrates, is in putting the data they generate to good use. In many …
Article

Ask The Pharmacist: CGRP Therapies for Migraine Management in Workers' Compensation

… improve outcomes in workers’ compensation migraine claims? Migraines affect around one out of every six Americans in the adult population and can significantly impact workplace productivity and quality of life. For adjusters managing claims involving chronic or post-traumatic migraines, … migraine-specific relief without impairing job performance, critical when evaluating an injured employee's readiness to return to work. When reviewing requests for CGRP therapies, …
News Release

Coventry Receives URAC Re-Accreditation for Case Management

… quality health services through this URAC re-accreditation,” said Tammy Bradly, Vice President of clinical product development for Coventry. “We are very pleased that our programs continue to be recognized for providing this level of quality, ethics, and oversight.” About Coventry Coventry is the leading provider of care and cost management solutions for workers' comp, disability and auto insurance carriers, …
Article

The State of Third Party Auto: Claim Costs, Consistency and a New Generation of Adjusters

… The cost of third party auto claims is rising quickly, and many insurance carriers are struggling to keep up. As the number of attorney-represented claims grows, adjusters are getting more and more demand packages, which … and problems lead to unnecessary spending. In a competitive auto casualty market, an insurance company can’t afford to leave these costly problems unaddressed. A partner that … Challenge 1: Rising Cost of Third Party Claims …
News Release

Enlyte Completes Acquisition of PartsTrader

… for the property and casualty industry, announced today it has completed its acquisition of PartsTrader , a leading parts procurement marketplace for auto insurers and collision … within Enlyte’s Auto Physical Damage portfolio. PartsTrader will be a wholly owned subsidiary of Enlyte and continue to operate as an independent entity alongside Mitchell's Auto Physical Damage division. Both organizations will …
Article

Specialty Solutions Spotlight: How Physical Therapy Clinical Guidelines Help Drive Faster Recovery and Lower Claim Costs

… habits and anecdotal care.  Guidelines such as the Official Disability Guidelines (ODG), American Physical Therapy Association’s (APTA) Occupational Health Guidelines, and state-specific … reliance on passive treatments over time. Documentation should include objective measurements of strength, range of motion, or work-specific tasks, along with a clear link between treatment … for physical medicine, diagnostics and other services, call us today at 877.203.9899 or send an email to apricus.referrals@enlyte.com .   …
Podcast

On the Hot Seat: Political Uncertainty Clouds Heat-Related Work Injury Measures

… : Summertime is here, and while most of look forward to days at the beach, backyard BBQs, family road trips, rising temperatures can … complementary perspectives to this critical topic. Michele Hibbert, Senior Vice President of Regulatory Compliance Management at Enlyte, will walk us through current and proposed … Melissa Martinez, Clinical Operations Manager at Enlyte, who will discuss the clinical aspects of heat-related injuries, from early warning signs to emergency interventions and how nurse …
Article

Managing Medical Records is Key to Improving Third Party Claim Settlements

… typically unorganized, inaccurately coded and seemingly stacked a mile high. It can feel like an insurmountable challenge to organize, digitize and understand every detail of the medical records, but processing a claim without first organizing, capturing the data and … quality data capture is essential in order to achieve the most accurate and complete analysis of medical treatment. An end-to-end third party solution can help organize and surface key …
Article

Specialty Solutions Spotlight: How to Keep Workers’ Compensation Home Modifications on Time and on Budget

… work and exposing the claim to delays, change orders and reauthorizations. Partnering with an experienced workers’ compensation home modification coordinator like Apricus can simplify the … at a level comparable to what previously existed without letting modifications creep out of scope or drive up costs. A structured approach reduces paperwork and helps prevent additional … when the current home presents obvious barriers. This coordinator becomes your dedicated point of contact to guide the process, working directly with vendors, and keeping the project on track. …
News Release

Risk & Insurance: How Bayne, Genex and Sikorsky Banded Together to Create an Optimal Return-to-Work Program

… a Lockheed Martin Company, shares their newly created program that significantly decreased an injured worker's disability duration period.  Continue reading here. …