Article

Leveraging Direction of Care in Workers' Comp to Address Drug Pricing

… long diatribe about some of the problems that he's seeing in their system. And so it's really an issue that regulators are trying to grapple with. One of the things that [could help fix it] … to happen. They can allow it to happen voluntarily, whether they don't really make it so that an employer can really strive to direct care. So that's an area that we continue to work on regulatorily, but it is an issue and drug pricing is going to …
Article

Applications of Predictive Analytics in Workers’ Compensation

… the entire claims process. From enabling alerts and actions about claims that are approaching an unanticipated direction to redirecting claims to the right people at the right time, it’s no … and reserving and intelligent decisioning (35%) and adjuster guidance (23.5%) came out on top. applications predictive analytics The results convey that claim triage, severity or … touch. If the need for case management can be identified early, organizations can ensure that an injured employee has an advocate – someone who can help clear the way for speedy recovery. …
Article

Applications of Predictive Analytics in Workers’ Compensation

… the entire claims process. From enabling alerts and actions about claims that are approaching an unanticipated direction to redirecting claims to the right people at the right time, it’s no … and reserving and intelligent decisioning (35%) and adjuster guidance (23.5%) came out on top. applications predictive analytics The results convey that claim triage, severity or … touch. If the need for case management can be identified early, organizations can ensure that an injured employee has an advocate – someone who can help clear the way for speedy recovery. …
Article

The 5 Essentials Every Third Party Claim Workflow Needs

… accurate claim evaluations efficiently. Keeping up with the latest technologies or trends is an important way to stay relevant, remain competitive and enhance efficiencies, but if carriers … and for carriers to ensure accurate claim evaluations, which is especially problematic in an environment where claim costs are on the rise. Carriers should try to avoid focusing too much … essentials of third party claim handling right. Mitchell has worked with more than half of the top 20 auto insurance carriers to help build out their third party claim workflows. We’ve …
News Release

Industrial Commission of Arizona Adopts New Pharmacy and Physician Fee Schedules

… exclusive group of consumers who have access to services because they are treated by or have an affiliation with a specific provider or entity. Added a definition of “pharmacy not accessible … of consumers who have access to pharmaceutical services because they are treated by or have an affiliation with a specific entity or provider (not including a hospital pharmacy). Added a … fee schedule amount as determined by the original NDC. Components of a co-pack drug without an NDC are not reimbursable. …
Article

Average Length of Rental for Repairable Vehicles: Q4 2020

… any significant increases or decreases in Length of Rental (LOR). Historically, LOR starts an upward trend in October that peaks in January. “Our data shows that delivery quote days as … extensive property damage. Alabama was also affected by the same storms that hit Louisiana, so an increase there doesn’t surprise. Five other states saw increases between a half day and 0.9 of … states with LOR increases were in line with the country’s overall LOR results. Louisiana saw an increase of +2.2 days, Iowa +1.9 days, South Dakota +1.6 days, Alabama +1.4 days, Mississippi …
Article

Partnering to Transform the Claims Journey

… must move quickly to integrate digital technologies into their operations. Claims should be a top priority. To capture the value of digital, claims functions must embark on a transformation.” … to satisfy consumer preferences and surpass competitors. Instead, true transformation requires an organizational commitment to customer centricity . It also requires collaboration with the … An efficient, digital self-service journey requires software integration and hardware …
Virtual Event

Webcast: Workers’ Compensation Legislation Addressing Essential Workers Affected by COVID-19

… first responders and front-line health care workers, but Illinois has granted presumptions for an expansive list of essential workers. Minnesota, Utah, Alaska, Wisconsin, New York, California, … claims because of the current stay-at-home orders and job furloughs, while there could also be an increase in claims from what are currently deemed essential industries. It is too early to tell if this will create an offset in claims. Of course, this could all be impacted by rule or law changes as the pandemic …
Article

Four Essential Investments for Improved Collision Repair Efficiency

… of Auto Masters Fleet Services Inc., weighed-in on his operational secrets for efficiency in an article by Ratchet+Wrench . “No matter how strong the rest of your operations are, if your … can increase the percentage of estimates that convert to repair orders by ten percent. “An average estimator, with a 60 percent close ratio writing $900,000 per year in repairs, can … of software and estimating systems will save countless hours of negotiating and give your shop an edge in writing complete and accurate assessments. Arming your staff with the right skills, …
Article

The Power of User Experience: How to Simplify the Claims Decision-Making Process

… for accurate coding and reviews the bills. Even better, that service should connect with an adjuster portal that surfaces the key findings from the demand and the bill review process—for … environment that had information scattered across multiple pages versus tasks conducted in an optimized environment that had all of the information located on one page. Users completed … and adding comments to 16 of the states in the U.S. Users who worked from a single page saved an average of 88 percent of total time spent to complete the task, when compared to users who had …
Article

OEM Efforts to Promote Environmental Stewardship

… emissions in addition to other hydrocarbons and particulate matter. With the potential for an increase in Corporate Average Fuel Economy (CAFE) requirements looming on the horizon, … million pounds of aluminum, enough to build 37,000 F-150 truck bodies per month, and result in an opportunity cost savings of $11 million per month. 7 Recycling is taking place not only in … to reduce their carbon footprint and minimize their impact on the environment demonstrate an increasing awareness of the role corporations play in the overall health of the planet. It is …
News Release

Caliber Signs Enterprise Agreement to License Mitchell Cloud Estimating at All Locations

… —Mitchell, an Enlyte company and leading technology and information provider for the Property & Casualty … carriers with their direct repair programs.” “Transitioning from single-location contracts to an enterprise agreement represents a significant milestone in our longstanding relationship with … the only company of its kind to make the Forbes 2021 list of “America’s Best Large Employers”, an honor awarded to companies with high employee satisfaction. Caliber was also the only auto …
Article

How Technology and Data Can Enhance Medical Management

… Let’s take a look at an example that illustrates the need for automation in utilization review to ensure timely … the due date for issuing indemnity payments to injured workers. And while not all states have an established turnaround time for utilization review decisions, it is critical to have a ‘due … may not mandate a specific turnaround time for completing cases, one could consider setting an ‘automated due date’ within their workflow to align with URAC criteria. In this example, the …
News Release

Genex’s Catastrophic Injury Management and Crisis Response Program Brings Together Two Leading Programs in Case Management Excellence

… brand, Enlyte, to enable immediate response when critical events occur in the workplace. “An early advantage associated with the organizational alignment of Genex and Coventry is the … team with decades of clinical expertise. In addition, the Crisis Response program is an excellent complement to our catastrophic program.” When a critical workplace accident occurs, … a day, 365 days a year, to receive calls and deploy a catastrophic triage team to complete an onsite assessment and assign appropriate onsite catastrophic case managers to the scene. Genex …
News Release

Kentucky Legislature Passes Workers' Comp Reform Legislation

… For claims resulting in an award for permanent partial disability, benefits shall be paid for 780 weeks, with the ability … a request for extension demonstrating the medical need. Contested extensions can be heard by an Administrative Law Judge (ALJ). If the ALJ determines that there is a continuing medical need, the benefits continue. If the ALJ determines that this is not an on-going need or that the injured failed to file the extension request properly, benefits are …
Article

Mitchell Canadian Collision Summary: Q2 2017

… in Q2 2017, was $3,790 - a $190 increase from Q2 2016. Factoring for development yields an anticipated increase to $3,915. Average Appraisal Values Severity Overall … was $3,776, a $56 increase from the same period last year. Factoring for development yields an anticipated increase to $3,909, which represents a $189 increase from Q2 2016. Collision … compares the average appraisal make up as a percentage of dollars. These data points reflect an in- crease in parts, with slight decreases in labour and paint when comparing Q2 2017 to the …
Podcast

Veterans Day Salute

… get in until after I graduated nursing school so that I could go in and I was commissioned as an officer as a nurse. I wanted just a little bit more flexibility and with active duty you … much of a say on where you're going, so the reserves were a good fit for me. TK: Did you have an idea of the role you would be serving? Were there any surprises along the way? NH: I … to be a flight nurse. I wanted to work on the planes, but I was sent to a squadron which was an ASTS, which is an aeromedical staging squadron, which had a little bit different of a mission. …
News Release

Latest Mitchell Data Shows Continued Increase in Electric Vehicle Collision Claims

… —Mitchell, an Enlyte company and leading technology and information provider for the  Property & Casualty … addition to tracking 2023 claims volume, the Mitchell report compares EVs to automobiles with an internal combustion engine (ICE), highlighting differences in: … a difference of $1,322. This represents a year-over-year decrease of 5% for EVs and an increase of 3% for ICE vehicles. In Canada, severity was $6,795 for EVs versus $5,122 for …
Article

Ask The Pharmacist: Opioid Dependence vs Addiction

… disease involving complex interactions among brain circuits, genetics, the environment, and an individual’s life experiences. People with addiction use substances or engage in behaviors … person: a rapid dose reduction, a decreasing blood level of the drug, and/or administration of an antagonist (an antagonist blocks the action of another drug). Studies show that all chronic users of opioids …
Article

Ask The Pharmacist: Drug Allergies Versus Side Effects in Workers’ Comp

… more dangerous, and are a result of the activation and response of the body’s immune system to an “insult” or “foreign body.” Allergies occur across a range of severities, from mild to … may be used to treat anaphylaxis. Before starting a new medication, be sure to advise an injured employee to let their doctor know about any drug reactions they have had in the past … supplements or vitamins they may be taking. Medications, supplements and vitamins all have an expected range of physiologic effects when consumed. The desired therapeutic effect of a drug …
Case Study

2021 Catastrophic Heart of Case Management Award Winners

… to work. The officer and Gillespie were also heralded at the Comp Laude Awards and Gala, an annual event that honors the outstanding contributions of individuals and case managers in the … Coventry A boom truck slid off the road rolling over several times before landing in an embankment and catching fire. The unconscious driver was pulled from the flaming wreckage by a … his body, the man’s likelihood of survival was low. The injured employee continued to face an uphill battle, surviving two cardiac arrests, multiple surgeries for burns and grafting, as …
Article

What does tesla have to do with healthcare?

… When most people hear the word “tesla,” they probably think of an electric car or maybe its brilliant namesake, Nikola Tesla, who invented alternating current … 1.5T scans sometimes must be retaken at extra cost, not to mention the time wasted, to capture an image that a machine with a higher rating would have picked up the first time. Imaging makes up an important part of the specialty network pie. MRIs can be costly due to the powerful magnets …
News Release

Mitchell Releases Two New Offerings to Solve Repair Challenges

… the only mobile platform to provide estimating and basic shop management functionality in an easy-to-use cloud-based application. The solution offers repair facilities the following: … Submit an electronic purchase order directly to OE dealers via an OEC CollisionLink integration with a single click. … Convert an opportunity to a repair order, manage a list of repair orders and close repair orders. …
Article

A Fresh Look at Automotive Refinishing: Data, Trends and What to Look for in 2020

… disruption. Refinish operations are integrally tied to repair vs. replace decisions made on an estimate, and it follows that as more parts are being replaced, more refinish labor hours will … paint and materials has risen by 4.79% (from $310.04 to $324.91; Figure 1). 1 In addition to an increase in the percentage of parts being replaced, a wider array of manufacturers are … next-generation Acura NSX called the Andaro treatment that goes beyond three-stage and adds an additional step to the process in the form of a tinted clearcoat. 2 The full process on a new …
Article

Mitchell Canadian Collision Summary: Q3 2017

… in Q3 2017, was $4,003 - a $178 decrease from Q3 2016. Factoring for development yields an anticipated increase to $4,042. Average Appraisal Values Severity Overall Collision Losses The … systems in Q3 2017 was $3,931, a $97 increase from Q3 2016. Factoring for development yields an anticipated increase to $3,972, which represents a $138 increase from Q3 2016. Collision … compares the average appraisal make up as a percentage of dollars. These data points reflect an increase in parts and decrease in labor when comparing Q3 2017 results to the same period last …
News Release

Mitchell Launches Cloud-Native Guidewire Integration to Help Insurers Expedite Claims Processing

… are committed to providing our customers with industry-leading, cloud-first solutions built on an open platform,” said Olivier Baudoux, Senior Vice President of Global Product Strategy and … Mitchell is a Guidewire PartnerConnect Premier Technology partner. About Mitchell, an Enlyte Company Mitchell International, Inc. is a leader in the development of innovative auto physical damage technology solutions. Combining decades of experience with an open platform, proprietary data and intelligent, cloud-first applications, we help insurance …
News Release

GSK Consumer Healthcare Requests Halt of Excedrin Sale & Teva Pharmaceuticals Releases Generic Truvada

… the first generic for Truvada . Truvada, a combination of emtricitabine and tenofovir, is an antiretroviral drug that is used to manage HIV1 infections and for HIV1 pre-exposure … other anti-HIV drugs for post-exposure prophylaxis (PEP) shortly after possible exposure to an HIV infection. In workers' compensation, the Official Disability Guidelines (ODG) recommends … laboratory, public sanitation and emergency response settings. Teva Pharmaceuticals has an exclusive right to market the generic product for six months until the brand patent expires, …
News Release

Colorado Governor Signs Opioid Prescribing Limits Legislation

… and veterinarians. For all listed practitioners the bill does the following:   Limits an initial opioid prescription to 7 days if the patient has not received an opioid prescription in the last 12 months. A second 7-day fill is allowed at the discretion of … limits policy based on the findings of the aforementioned study. The legislature included an urgency clause in the bill so it became effective upon the signature of the Governor. Complete …