In the News

Comp industry wary of rise of migraine meds
Article

Navigating the CARES Act Emergency Small Business Funding

… No personal guarantees Low interest rates Deferred payments Partial or complete forgiveness of the loan amount We’ve assembled a few resources that help small business owners like you … expenses through March 31, 2021, Congress tightened the guidelines for eligibility. Phase 2 of the PPP is designed for organizations with 300 or fewer employees (down from 500) that have … If you did not already apply for a PPP loan, “first draw” funding may be subject to the terms of the original CARES Act and not the updated legislation). The maximum loan amount for Phase 2 …
Article

2020 Vision: A Look at Proper and Safe Glass Repair

… As ADAS system components increasingly become standard on newer vehicles, running an efficient glass business while ensuring proper and safe glass repair is increasingly … tools to help streamline business operations and glass repair. Many continue to use Point of Sale (POS) management systems to improve efficiency, enhance dispatch services, bill more … communications. Even small operators have found that these systems assist with many aspects of running a glass business including: Improved ability to manage work schedules and dispatching …
Article

Empowering Excellence: How Our Dedicated Team Elevates Care for Injured Employees

… unwavering dedication to continuous improvement and quality assurance lies at the heart of our customer-centric approach, utilizing data to enhance outcomes for injured employees. They leverage every tool and resource to ensure each client receives the highest standard of care.  Additionally, our commitment to providing 24/7 support exemplifies our dedication to … that empower Apricus Specialty Solutions to achieve its goals and elevate the standard of care for injured employees.  Read Insights From Our Team: …
Article

Technology & tools for employee wellness

… can help make workers happier, healthier, and more productive on the job. The U.S. Department of Labor estimates that employee absenteeism costs companies nearly $1,700 a year per employee. Most employers are on the lookout for ways to foster feelings of contentment and company loyalty to reduce turnover and absenteeism. A study last year showed that an employee assistance program, or EAP, can have a significant return on investment, from 3:1 for …
Case Study

2021 Field Heart of Case Management Award Winners

… Watch the video and read the cases of our Field Case Management winners to learn how these professionals make a difference. The Heart of Case Management Award is a national program recognizing case managers who are highly regarded for transcending beyond their traditional job duties to improve the lives of thousands of injured employees.    Houston, TX … and ankle. She was sent to the local hospital’s emergency room where her foot was treated by an orthopedist. Marisela Chavero, RN, a bilingual case manager at Genex, was assigned to the case …
Case Study

2022 Telephonic Heart of Case Management Award Winner

… A 45-year-old manager of an auto repair company was assisting an employee when a vehicle he was standing near fell off a lift and onto his foot, creating an open fracture of his large right toe with bone puncturing skin. The injured employee was treated at his local …
Article

6 Benefits of Diagnostic Imaging in Workers’ Compensation

… The non-invasive nature of diagnostic imaging allows for a comprehensive view of internal structures, aiding in accurate assessment of injuries and detecting complex issues that might go unnoticed with other methods. … need for exploratory surgeries and invasive procedures. By offering a clearer understanding of injuries, it lessens unnecessary interventions, reducing employee discomfort, medical costs …
Article

Five Pain Management Trends Workers’ Compensation Leaders Should Watch

… Pain management remains one of the most complex and costly components for workers’ compensation claims. Non-opioid therapies … medication for pain management in workers’ compensation. Increased awareness of opioid misuse, addiction, and overdose have driven significant changes, and pharmacy programs … Your Pharmacy Program As pain management evolves, workers’ compensation stakeholders have an opportunity to strengthen pharmacy program oversight and improve outcomes. Key strategies you …
Article

Less Leakage, More Leverage: Reconnecting the P&C Cost Chain

… In today’s P&C environment, rising costs are not a mystery. They are the result of multiple interconnected factors requiring a strategic and unified response. Over the past … ensure charges align with contract terms and evidence-based care. Medical expenses remain one of the largest components of workers’ comp spend. Leaders often focus on negotiated rates or … and higher administrative burden. Network strategy is a critical component of integration. An effective network doesn’t simply offer discounted rates. It requires focused investment, …
Article

The Shifting Landscape of Medical Costs: How Workers’ Compensation is Becoming a Payor of Last Resort

… As open enrollment season is in full swing and the future of the Affordable Care Act's (ACA) enhanced premium tax credits remain uncertain, employers and consumers are seeing significant increases to the costs of health care coverage. While the national policy debate largely centers on individual and group … is about 5.3% more likely to be filed as a workers' compensation claim when patients face an average health insurance deductible of $630 compared to plans with no deductible. This …
Article

Field Case Management-A Matter of Life and Death

… Telemedicine is starting to be considered by some as an ideal treatment modality for coronavirus social distancing. However, what happens when true … due to COVID-19 precautions.    Since the officer had recently been hospitalized for shortness of breath and atrial fibrillation, the field case manager was concerned he wouldn’t receive the … his cell phone to discuss her concerns and convince him to keep the in-person visit.  The day of the appointment, Krystina immediately observed that the officer appeared short of breath upon …
News Release

Oklahoma Joins Growing Chorus of States Limiting Opioids

… By Brian Allen, VP of Government Affairs … issues designed to curb opioid prescribing in the Sooner State. We applaud the efforts of the Oklahoma Legislature and Governor to reduce the number of opioids prescribed for their … the Controlled Substances Act, defining it as “pain that persists beyond the usual course of an acute disease or healing of an injury.” Chronic pain “may or may not be associated with an …
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News Release

Heart of Giving

… they committed to changing lives for the better and devoting themselves to the welfare of those entrusted to their care. As the need for these professionals continues to grow in the … supervisors and branch managers recently had another unique opportunity to give back to one of the noblest professions, by nominating their alma mater (or local college/university) for the … The program is designed to assist the institutions that develop and nurture future generations of students who are critical to the entire healthcare system. Genex, provides a total of $100,000 …
News Release

Mitchell Issues Fourth Quarter 2018 Industry Trends Report

… SAN DIEGO— Mitchell , a leading provider of technology, connectivity and information solutions to the Property and Casualty (P&C) claims … Collision Repair industries, today released its Industry Trends Report for the fourth quarter of 2018. The report explores how intelligent automation is changing the nature of work in insurance, collision repair, and beyond. It also provides insights into key industry …
Article

Understanding Normal Range of Motion for Joint Functionality

… Understanding the normal range of motion (ROM) for different joints is an essential tool. It provides a solid foundation to assess workers’ compensation claims and tailor rehabilitation strategies effectively. Each joint has a generally accepted range of motion, reflecting the degrees to which it can typically move. However, it's important to … it aids in developing personalized physical medicine recovery strategies that honor an individual’s unique movement capabilities while fostering optimal recovery outcomes. Whether …
Blog

Embracing Technology: Old School vs. New

… Boomers and the Silent Generation. The three older generations are still skimming the surface of how to use technology to positively impact their lives. Think about the Silent Generation – … found the older generations are less enthusiastic about using alternative methods of medical care (like telemedicine) in exchange for the traditional face-to-face doctor/patient … interactions. I recall attempting to explain Telemedicine to a State Regulator for one of our Work Comp Managed Care Organization (MCO) filings, and the regulator who was likely well …
Case Study

2022 Field Heart of Case Management Award Winner

… A police officer was hospitalized in the ICU with shortness of breath secondary to a COVID diagnosis. He required ICU care for several weeks including … and, after two-and-a-half months in the ICU, was weaned off the ventilator and discharged to an inpatient rehabilitation facility. Despite his condition, the officer was determined to return … and reduce claim costs. The officer was eventually able to return to modified duty with a goal of full-duty release expected after continued work conditioning. Listen as Pittman dives into the …
News Release

Florida Issues State of Emergency for Hurricane Michael

… The state of Florida has issued a state of emergency in preparation for Hurricane Michael. Among the provisions, this will lift some restrictions for early refills and allow an additional 30-day refill for maintenance medications. In accordance with Section 465.0275, …
News Release

Texas Joins Ranks of States with Opioid Limits

… legislature passed HB 2174, implementing several policy changes related to the prescribing of opioids, including new prescribing limits for acute pain. The legislation applies to all … Summary of the Various Provisions of the Bill: … designated to prescribe, handle or dispense a controlled substance. Limits the prescribing of opioids for acute pain to a 10-day supply with no refill option, with the following …
Podcast

A Network of Support for Mental Health in Comp

… comp, provider networks are stepping up to meet the need. Kate Farley-Agee, vice president of network product management for Coventry, joins Inside Workers’ Comp to discuss how this shift … injured worker behavioral health needs are increasing. People are becoming increasingly aware of the impact of behavioral health challenges as a result of the pandemic, as well as how the challenges can … What are the best ways employers, adjusters, providers can identify mental health issues with an injured worker? …
Article

Improving Date of Injury Outcomes with Pharmacy Management

… What is the total potential impact of Pharmacy Benefit Management (PBM) within a workers’ compensation claim lifecycle? … Workers’ compensation claims can extend many months or even years from date of injury until closure. This can make it difficult to pinpoint the most impactful moments of action. In retrospect, we can often see where improvements could have been made, whether that … Improving Outcomes on the Date of Injury …
Case Study

2021 Catastrophic Heart of Case Management Award Winners

… The Heart of Case Management Award is a national program recognizing case managers who are highly regarded for transcending beyond their traditional job duties to improve the lives of thousands of injured employees. Watch the video and read the cases below of our Catastrophic Case … liver and kidney lacerations. The officer underwent numerous procedures and surgeries, three of which were in the first five days following the injury. Over the course of his recovery, the …
Article

Property & Casualty in the Age of (Humane) Automation

… Welcome to the age of (humane) automation. As organizations ramp up technology investment in search of greater efficiency, a global conversation is emerging around the need to use artificial intelligence ethically and to ensure that people remain at the center of technological innovation. As Fei Fei Li, co-director of Stanford University’s Institute for … While artificial intelligence and other types of advanced automation can be applied in limitless ways, their potential impact coalesces around …
Article

Year of the Nurse in High Definition

… A world on lockdown receives a much-needed reminder on the value of nurses … Predicting the impact of health risks around the globe has been the World Health Organization’s (WHO) job since its … more than 70 years ago. But when WHO officials announced 2020 as the “International Year of the Nurse and the Midwife” it wasn’t based on a premonition that a pandemic would soon bring … these unheralded caregivers to the forefront. Instead, it was prompted by the 200th birthday of modern nursing's mother, Florence Nightingale. It’s not surprising that Nightingale’s career …
Article

Basics of Workers' Compensation Pharmacy Benefit Management [Video]

… MED stands for Morphine Equivalent Dose and is an important consideration when prescribing opioids. Learn how MED is used to determine the potency of a particular opioid, plus how to calculate the MED of an opioid. … AWP, or Average Wholesale Price, is the suggested wholesale price of a drug. Curious how AWP is assigned and used in workers' compensation? Watch the video below …