Conference

IBIS Summit 2020

… IBIS has built up an enviable reputation as a source of high-level information and market analysis; a forum for … to give all delegates a competitive edge. Mitchell will once again be attending IBIS as an exhibitor, in addition to having a speaking engagement. We look forward to seeing you at IBIS! …
White Paper

Value-Based Contracting

… to case rates, pay-for performance, risk-based payments, risk-reward, bundled payments, and an outcomes based payment model. To some degree, each is correct. Think of value-based … process or fee-for-service. Value-based contracts would be more appropriately thought of as an umbrella term rather than a single idea. And there are several critical components to VBC. …
Article

The Aging Workforce and What It Means for Claim Adjusters

… times. According to a recent study, injured workers aged 60 and older were out of work an average of 97 days, nearly three weeks longer than the overall average. Another report showed … months of care and lead to additional complications. This is where case management becomes an important partner. Case managers can help identify and address comorbidities early, ensure … outcomes and support both injured employees and employers. Learn More About the Impacts of an Aging Workforce ❯ …
Article

Specialty Solutions Spotlight: Ensure Effective Care for Injured Employees Affected by Extreme Heat

… Seat: Political Uncertainty Clouds Heat-Related Work Injury Measures,” extreme heat has become an increasingly prevalent hazard in the workplace. Understanding the implications of heat-related … triage program ClinicalCare24. This includes quick diagnosis and treatment measures. When an injured employee needs immediate access to physical medicine , home health care or durable … physical medicine, home health care and other services, call us today at 877.203.9899 or send an email to apricus.referrals@enlyte.com .       …
Conference

2022 Enlyte Technology Executive Conference

… The Enlyte Technology Executive Conference (enlyteTEC) is an invite-only event featuring the most impactful innovations and insights from the experts at … The enlyteTEC is an exclusive two-day event targeted specifically for casualty and collision repair executives who … enlyteTEC is an invite-only conference designed for claims and technology executives in Auto Physical Damage, …
Case Study

Return to Duty

… A 40-year-old male police officer was shot in the hand by a motorist he pulled over on an interstate. The injury required surgery for tendon repair and debridement of his left middle … pain continued to worsen. The doctor claimed to be out of treatment options and recommended an independent medical examination (IME) and permanent work restrictions.   … The officer’s pain symptoms were atypical and might normally be flagged as malingering. An IME could have resulted in claim closure and permanent restrictions, which would have not been …
Case Study

Experience Matters in Restoring Lives

… Prior to becoming a case manager, Kayla Payne had worked as an emergency department (ED) nurse in one of the busiest EDs in her state. As a catastrophic care … A 45-year old man working on a conveyer accidentally had his hand get stuck in an augur. The immense trauma he experienced was intensified by the tenuous process of safely … miles to a larger city. When the specialist recommended the injured employee be fitted with an electrical hand and a gripper prosthesis, Payne became educated on the prosthesis, so she …
News Release

Illinois Piloting Opioid Alternative Cannabis Program

… physician to refer a patient to the Opioid Alternative Pilot Program for conditions where an opioid might otherwise be prescribed. The Opioid Alternative Pilot Program would allow patients to use medical cannabis to treat their condition instead of an opioid. To be eligible for the program, the patient must be qualified by their physician to … to participate in the pilot program can be granted for up to 90 days. Once approved, an eligible patient may receive up to 2.5 ounces of medical cannabis every 14 days. Dispensaries …
News Release

Arizona Senate Committee Gives Qualified Approval to SB 1111

… to medications dispensed by a licensed pharmacist in a retail pharmacy setting. This includes an online setting that is publicly accessible. The legislation contains an exception for medications dispensed by a physician or a “closed door” pharmacy. Reimbursement … opioid act related to the changes in SB 1111 is the five-day supply limit on the first fill of an opioid. Senator Fann is committed to reaching a workable solution that will achieve her goal …
Article

The More You Know: Health Care Literacy’s Impact on Return to Work

… own care means he or she needs to feel comfortable communicating with the physician in an environment that supports it. What can be done to improve health care literacy? … As an industry, we need to meet injured employees where they are and give them the tools to succeed. … first report of injury, ensuring injured employees are treated with a humanistic, rather than an administrative, approach. It’s important to step back and remember that health care, let alone …
Article

The Shift in Mobility Patterns

… $53.8 billion Sound Transit 3 plan that will expand the existing light rail network to include an extra 62 miles and 37 stations. What no one saw coming, though, was the massive shift to … to the pandemic. The reduction—and in some cases elimination—of daily commutes combined with an overwhelming desire to minimize individual risk of infection has led to significant declines … higher at 65.83% . The reduction—and in some cases elimination—of daily commutes combined with an overwhelming desire to minimize individual risk of infection has led to significant declines …
Article

Potential Drug Therapy Treatments for COVID-19: Impact on Workers’ Compensation

… showed early promise but soon proved questionable in their benefit. Shortly after issuing an Emergency Use Authorization (EUA) for the drugs, the Federal Drug Administration (FDA) issued … Drug Administration (FDA)-approved drugs for the treatment of COVID-19, although remdesivir, an investigational antiviral drug, is available through an FDA emergency use authorization.” The guidelines and recommendations from the NIH outline …
News Release

Celebrating the Life Changers - 2019 Heart of Case Management Awards

… - 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 … back to work. This was the challenge 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 … with orthopedic and pain management specialists. She secured approval to proceed with an extensive shoulder procedure. Wilcox worked closely with the surgeon, physical therapists, …
Article

Improving Date of Injury Outcomes with Pharmacy Management

… injuries to his neck and right arm and is currently being transported to the hospital for an evaluation. His wife and two young children are driving to meet him at the hospital. Much of … will be a whirlwind for Andrew and his family. The stress and pain of the situation will be top of mind as they receive doctors’ evaluations, medical equipment and prescriptions. As Andrew … and get back to work and his family. Insurers should be prepared in several ways before an injury like Andrew’s even occurs. …
Article

The Compliance Corner: New Physical Therapy Evaluation Codes for 2017: Moving Toward Value Based Payment

… A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1–2 elements … present problem with 1–2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 … body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of …
News Release

Collision Claims for Battery Electric Vehicles Shrink for the First Time in the U.S. While Hybrid Claims Surge

… tested. To boost sales, auto manufacturers have expanded BEV pricing discounts, which reached an all-time high of nearly $8,500 per vehicle in the second quarter. Among the report’s other … values were relatively stable, averaging $30,172 for BEVs and $13,850 for automobiles with an internal combustion engine (ICE). That represents a decrease of approximately 2% and less than … . For more information, follow Mitchell on Facebook or LinkedIn . About Mitchell, an Enlyte Company Mitchell International, Inc. is a leader in the development of innovative auto …
Article

Specialty Solutions Spotlight: Hospital Discharge Planning in Workers’ Comp

… involving complex injuries. Without a well-defined strategy for a seamless transition home, an injured employee may face difficulties in self-care, transportation issues for appointments, … of a hospital discharge planning program can result in substantial cost savings. An effective discharge planning program should encompass several essential features:  A proactive … planning, Apricus offers a single point of contact for all equipment and services that an injured employee may need to help facilitate their recovery. Apricus care coordinators …
Article

Specialty Solutions Spotlight: Optimal Levels of Service in Home Health Care

… completing medical treatments and medication administration. Notably, the cost associated with an LPN is usually significantly lower than care provided by an RN. Home Health Aide Care Instead of Nurses Home health aides assist with daily tasks such as … provided to the injured employee. Companions and Homemakers Instead of Medical Staff If an injured employee’s needs are primarily supervision or assistance with household chores, a …
Article

Specialty Solutions Spotlight: Electrical Stimulation Devices in Workers’ Comp Recovery

… a work-related injury is pain. Electrical stimulation devices (ESDs) are often used as an alternative to traditional pain medication and can be an effective option for managing pain and promoting healing without the negative side effects … for these units show the purchase or rental rate, the billed rate and savings. For example, if an individual received a prescription for a TENS unit, the bill would display the costs and …
News Release

Lemonade Selects Mitchell’s Solutions to Support Entry into the $300 Billion U.S. Auto Insurance Market

… Mitchell, an Enlyte company and leading technology and information provider for the Property & Casualty … roadside assistance, real-time crash detection, and dispatch of emergency services. After an extensive search, Lemonade chose Mitchell’s comprehensive claims management platform to assist in its delivery of an efficient, digital claims experience for consumers purchasing auto policies. Mitchell will …
Case Study

2021 Telephonic Heart of Case Management Award Winners

… was a late Friday afternoon when Caroline Sauve Rutledge, RN, BSN, CCN, received a call from an adjuster assigning her to a case. The adjuster was growing frustrated after desperately trying to schedule an injured employee for hernia repair and needed help. Sauve Rutledge immediately accessed the … claim assignment, the injured employee’s care could have been delayed and possibly deferred to an out-of-network provider, resulting in additional costs. By managing this file proactively and …
Article

How Managing Provider Data Can Make a Positive Impact on the Claims Process

… .” As we’ve established in the first two articles in this series, provider data quality is an issue in the Property & Casualty industry that can be challenging to manage and maintain. … making, which can in-turn lead to improved efficiencies and outcomes for claims organizations. An MIT study found that companies who engage in data-driven decisions improve outputs and … consistently associated with significantly longer treatment durations, and that could trigger an investigation into potential fraud or wasteful behaviors. …
News Release

Montana Publishes Adopted Drug Formulary Rule

… After an extensive and inclusive rulemaking process involving multiple stakeholder meetings and comment … guidelines Drugs with a “Y” status may be prescribed without prior authorization Drugs with an “N” status may be prescribed without prior authorization within the first seven days following … transition would work, and the medical justification for the transition from or maintenance of an “N” drug And develop and submit to the insurer/claims administrator a documented plan for …
Article

Unlocking Value Across Market Segments Using a Holistic View

… Enlyte: If someone is injured in an auto accident, or in an accident at work, how does the connectivity of technology, clinical services and networks make … “When a person is injured, whether in an auto accident or a work-related accident, the severity of injury itself is only one piece of … in achieving optimal outcomes. Having defined injury management resources in place prior to an injury, including technology, clinical, medical and specialty network partners and related …
Article

Advanced Driver-Assistance System Trends and Challenges

… crash." 3 To improve safety on the road, it’s essential that the automotive industry play an active role in education about technology which helps make our cars safer. In light of that, … to the NHTSA powered site safercar.gov , “Automatic emergency braking (AEB) systems detect an impending forward crash with another vehicle in time to avoid or mitigate the crash.” Since … equipped most of their vehicles with AEB, 5 including the Chevy Malibu which earned an IIHS Top Safety Pick + Award when equipped with the Low Speed Forward Automatic Braking system. With …
Conference

Auto Glass Week 2017

… Week 2017 conference features a dynamic group of speakers, panelists and keynotes, as well as an exhibition floor. Auto Glass Week takes place Wednesday, October 4, 2017 – Friday, October 6, … to announce that John Gilmartin, Vice President of Service Operations will be speaking at an educational seminar to discuss why Mitchell National Auto Glass Specifications (NAGS) and list …
Article

New Medical Price Index Reports Coming in 2019

… 2018 was a big year for us. New technologies, more data and an expanded set of solutions—it is clear that a lot has changed. As our industry continues to … we are taking this opportunity to re-envision our Medical Price Index reports to bring you an even higher level set of data solutions and expertise. For this reason, we will not be …
Podcast

Return-to-work strategies for LGBTQ+ Injured Employees

… So, they may not end up going to the doctor for those annual visits. And so, when they do have an issue that comes up, when they finally do go to the doctor, it's almost a plethora of things … be comfortable with going to a doctor for their work-related issues. They may not even report an injury because they may be having issues, say, with other coworkers that would cause them to … them to be able to interact with someone that they feel is at least making the effort to be an ally for them and also respect them as an individual. The case manager’s efforts here went a …