Blog

Examining High-Impact Drug Class Trends

… As part of our supplemental podcast series to Mitchell’s Drug Trends Report, we’ve brough back Nikki … spend and utilization has declined. So topicals are actually now a leading spend and source of concern in the workers’ comp space and the category is part of the makeup of a whole that … are being prescribed in workers’ comp with growing frequency — ranking third among the top therapeutic classes at 12.4 percent of total drug cost and representing 5.7 percent of total …
Article

Examining Social Determinants of Health: The Whole Person Approach

… comprehensive solution? And, what part do digital health programs play in meeting the needs of injured employees? Further, how do we deliver a personalized experience and meet injured employees where they are in their journey to recovery?  Social determinants of health , or the conditions in which an individual lives, works, learns, and plays, are a big part of the answer to any of these … For case managers, it is hard to ignore social determinants of health even if they haven’t always applied that term to what they’re observing. Case managers …
Article

Average Length of Rental for Repairable Vehicles: Q1 2020

… LOR summary is produced by Greg Horn, Chief Innovation Officer for PartsTrader. Length of Rental Data provided by Enterprise . Enterprise provides collision repair facilities with free … at armsautosuite.com or by contacting Dan Friedman at Daniel.Friedman@ehi.com. U.S. Length of Rental by State Data excludes total losses. …   U.S. Length of Rental—Q1 2020 Click and drag to move Click and drag to move Click and drag to move …
Article

Airbags Take a Front Seat in Vehicle Safety and Collision Repairs

… After veering into a ditch during an afternoon drive in 1952, an industrial engineering technician named John Hetrick drew … with similar inflatable, protective cushions during a sudden stop, to lessen the chance of injury. 1 This idea eventually became the “safety cushion assembly for automotive vehicles” … from the time of Hetrick’s fateful car accident for frontal airbags to become widespread in American cars. 3 The National Highway and Safety Administration estimates that frontal airbags …
Article

Average Length of Rental for Repairable Vehicles: Q1 2018

… Average Length of Rental for Repairable Vehicles: Q1 2018 Average Length of Rental (LOR) for Q1 2018 landed at 12.5 days in the United States, an increase of .4 days compared to Q1 2017. This represents a return to the consistent upward … Canadian Length of Rental—Q1 2018 … Canada’s Length of Rental (LOR) concluded at 12.7 days for Q1 2018. This was .9 days longer than the Q4 2017 … and 1 day longer than the Q1 2017 result of 11.7 days. While the United States also witnessed an LOR increase—.4 days—through the first 90 days of 2018, (from 12.1 days to 12.5 days), January …
Article

Specialty Solutions Spotlight: What Adjusters Need to Know About Foot and Ankle Injuries in Workers’ Comp

… among the most common musculoskeletal conditions in workers’ compensation, making up 10-15% of all claims. In some high-risk industries, such as construction, their prevalence can reach upwards of 20%. On average, these cases cost $15,000-$17,000 in medical expenses alone. While many … or tendon damage) represent the most frequent foot and ankle injuries, accounting for 50-60% of workers’ compensation claims, with about 85% of ankle injuries being lateral sprains. Severity …
Article

Average Length of Rental for Repairable Vehicles: Q3 2022

… LOR summary is produced by Enterprise Rent-A-Car . Through its ARMS® Automotive Suite of Products, Enterprise provides collision repair facilities with free cycle time reporting with … U.S. Length of Rental—Q3 2022 … Average Length of Rental (LOR) for collision replacement-related rentals in Q3 2022 was 18.2 days, representing … For example, in Q3 2021, results were two full days higher than Q2 2021. U.S. Average Length of Rental (LOR) By State—Q3 2022 ALOR US Map Excludes total losses. U.S. Average Length of Rental …
News Release

Business Insurance: Lack of guidelines complicates COVID-19 care

… workers compensation industry, and those aiming to treat workers with COVID-19 are relying on an ever-changing list of experimental and unproven treatments.  Continue reading here. …
Blog

Top Therapeutic Classes by Age of Claim in 2019

… Part Two: Evaluating In-Network and Out-of-Network Trends … As part of our ongoing drug trends series, in part two of our analysis we’re taking a closer look at the top therapeutic classes by age of claim. Stay tuned for more posts addressing specific trends … hydrocodone, or oxycodone products) continued to decrease year-over-year coupled with an increase in other 1 st -line treatments and are now #3 compared to last year when they were #2 …
Article

Average Length of Rental for Repairable Vehicles: Q3 2019

… President Collision Industry Relations and Sales at Enterprise Rent-A-Car. Dan has 23 years of experience with Enterprise working within the collision repair industry. Through its ARMS® Automotive Suite of Products, Enterprise provides collision repair facilities with free cycle time reporting with … at armsautosuite.com or by contacting Dan Friedman at Daniel.Friedman@ehi.com. U.S. Length of Rental by State …
Article

Average Length of Rental for Repairable Vehicles: Q4 2023

… LOR summary is produced by Enterprise Rent-A-Car . Through its ARMS ® Automotive Suite of Products, Enterprise provides collision repair facilities with free cycle time reporting with … U.S. Length of Rental—Q4 2023 … Overall length of rental (LOR) for collision-related rentals in Q4 2023 was 17.7 days, a one-day decline from Q4 2022. In Q4 2022, LOR (18.7 days) was up one-half day from Q4 2021, so the trend of declining year-over-year LOR we’ve been tracking since Q2 2023 continues. Compared to Q4 2021, …
Article

The Power of Integration and Automation: Humanizing the Claims Process

… Getting injured on the job or in an auto accident can have a significant impact on a person’s life. Going through the process of filing a claim and getting treatment can make it even more complicated. In fact, a 2018 study … to settle their Property & Casualty (P&C) claim, with delays adding to their burden. One of our collective goals as an industry is to simplify the claims process as much as possible to …
News Release

The New Standard for Proper and Safe Repairs

… guessed “SUV,” you are correct. Today's high-tech automobiles need more than 100 million lines of code to operate the hundreds of safety and convenience features that consumers demand and expect. That is 200 times the amount … vehicle technology, there is no such thing as a routine fender bender. A gentle nudge from an impatient car at a stop light can result in one or more computerized systems being knocked …
Case Study

2022 Disability Heart of Case Management Award Winner

… was assigned to the case where she coordinated home health treatment to support continuance of care including ventilator assistance. During one of the visits, the home health nurse indicated the man’s blood pressure had spiked to … this quick action avoided overpayment of short-term disability benefits as the SSDI applied as an offset to the wage replacement benefit. Nicole utilized resources to benchmark estimated …
Article

Implications of Epidiolex FDA Approval on Workers' Compensation

… Learn how the recent FDA approval of Epidiolex might impact the future of pain management in workers' compensation. … medicine in the United States. With several states already moving toward legalization of medical marijuana , this is a major step for the federal government. Until this point, states … marijuana should be legalized for medicinal purposes; most states currently have some form of medical marijuana program, while the federal government still considers marijuana a Schedule I …
Article

Enlyte Experts Discuss the Benefit of a Holistic Approach to Pharmacy

… Seizing opportunity within the complexities of workers’ comp prescription utilization requires a holistic approach that manages all transactions to gain the full picture of medications being utilized. This Enlytening Conversation covers key factors for payers to … Navigating the cost of workers' compensation can be really challenging. There's a lot of different factors that impact cost, and a lot of those have to do with jurisdictional …
Article

2019 CMS Medicare Payments: Proposed Changes and What They Mean for P&C Insurers

… Several states in auto and workers’ compensation claims administration have adopted the Centers of Medicare and Medicaid Services’ (CMS) fee schedules and/or rules for payment of claims. The methodologies employed by CMS in provider billing and payment are typically either … schedules. The allowable commentary from Mitchell to CMS during the public comment periods is an optimal way to be heard by this administration. In July 2018, CMS made proposals for changes …
Article

Improving Outcomes in the Face of Natural Disasters

… “Bad things do happen in the world, like war, natural disasters, disease. But out of those situations always arise stories of ordinary people doing extraordinary things.” -Daryn Kagan, noted broadcast journalist and founder of darynkagan.com. Throughout the year, various natural disasters grip the United States, from … There are several opportunities to mitigate the effects of natural disasters on workers’ compensation. As we addressed in past years, both people the …
Article

Average Length of Rental for Repairable Vehicles: Q3 2018

… President Collision Industry Relations and Sales at Enterprise Rent-A-Car. Dan has 23 years of experience with Enterprise working within the collision repair industry. Through its ARMS® Automotive Suite of Products, Enterprise provides collision repair facilities with free cycle time reporting with … at armsautosuite.com or by contacting Dan Friedman at Daniel.Friedman@ehi.com. U.S. Length of Rental by State   U.S. Length of Rental by State …
Blog

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

… Catastrophic workplace injuries present far-reaching complexities that go beyond the severity of injury, making these cases at-risk for claim derailment. Genex’s Laney Bond, BSN, RN, CCM, … claims offer the biggest challenge for work comp professionals due to the severity of the injury and complexity of the claim. In today’s "Inside Workers' Comp," Laney Bond discusses factors that often derail …
Blog

Have Five Times the Fun at RIMS19 - a User’s Guide

… RIMS heads north to Boston this year, and while spring in New England is a marvel of its own, attendees will have no problem filling their agendas for one of the industry’s biggest conferences. So, with so much to do in a matter of days, here are five ways to have a great time while at RIMS19. … With 250 sessions on the docket , you’ll have no problem finding topics of interest, starting with keynoter and author Erin Meyer’s address on how to navigate the …
News Release

Celebrating the Life Changers - 2019 Heart of Case Management Awards

… Winners of preeminent case management award are among work comp's best … - June 17, 2019 - A paramedic who survived a helicopter crash to become an RN. An airport ground worker who overcame a serious puncture wound to return to lead his crew. A proud veteran who regained use of his left arm after a devastating shoulder injury. Across the nation, case managers at Genex … Julie Wilcox faced when assigned to a case involving an employee mired in eight months of pain and inactivity due to a significant left shoulder injury which rendered him unable to …
News Release

Honoring The Heart: 2017 Heart of Case Management Awards

… Genex recognizes its extraordinary case management team through its 2017 Heart of Case Management Awards WAYNE, PA - May 10, 2017 - Genex Services today announced the winners of its 2017 Heart of Case Management Award. This is the second year of the national awards program spotlighting … A wood shop machine malfunction caused a piece of molding to launch 100 mph toward a custom cabinet maker, striking him in the right temple. The …
News Release

Business Insurance: Reviews of psych claims in comp increase

… claims with a psychological condition are rising, in part due to greater awareness of post-traumatic stress disorder and an increase in workers seeking treatment for depression and anxiety in conjunction with a … more costly that physical exams are driving comp costs higher, they say. “There is not a lot of data on PTSD, but we are seeing it on the rise,” said Donna Bradshaw, Philadelphia-based …
News Release

California Utilization Review Regulation Updates Effective April 1, 2026

… The California Office of Administrative Law has adopted the California Division of Workers’ Compensation ( CA DWC) rules, 8 CCR §§ 9767.6, 9781, 9785, 9785.6, 9786, 9792.6 et … and 9792.27.17 relating to requirements for Medical Provider Network (MPN) physicians, change of treating physicians, utilization review (UR) standards, and the drug formulary. This … Course of Treatment … by claims administrator or utilization review organization, necessitating an extension of time, prior to the determination of medical necessity" …
Article

Release of Generic Medications for Workers' Comp in 2022

… formulations will be made available once the original drug manufacturer’s brand name period of exclusivity has expired. According to the FDA, 9 out of 10 prescriptions filled in the United States are for generic drugs. Brand drugs with equivalent generic formulations are an essential category to monitor, as these drugs are by far the most expensive. Prescriber …
Podcast

Getting the Most Out of Claims Management Through Cloud Integration

… bill review claims can be a challenge for claims professionals. To get a better understanding of current solutions to address these issues, we welcome Rebecca Morgan back to the Enlyte … So, let’s start with the first question here, Rebecca. What are some of the main issues the industry faces when it comes to managing medical bill review, automated … level, integration with expert systems, like medical bill review and payments, and a host of other solutions, is critical to proper claims handling. Integrations can be complicated, …
Article

Looking Ahead: 2020 Workers’ Compensation Predictions

… In its most recent report, the Health Care Cost Institute reported that the average charge for an ER visit increased 176 percent in 2017. Emergency room charges have continued to increase over … Opioids continue to be at the forefront of concern for both the workers’ compensation industry and the United States as a whole. While the industry has made headway combating the overwhelming numbers of opioids prescribed to injured workers, we expect efforts to continue in 2020. Several states …