Article

After a Difficult Couple of Years, Making Workers’ Comp ‘Easy’ is Good for Everyone

… After nearly two years of pandemic-induced hardship, making things easy feels more important than ever. This desire for … extends to how we treat injured workers. One way to remove barriers from the process of getting people back on the job after an injury is through greater use of technology. Robust technological tools can help payers, … stronger—and providers gain access to new patients while injured workers reap the benefits of even better care. Payers, injured workers and providers benefit from behind-the-scenes …
Article

Using Data Analytics to Optimize Insurance Claims Management

… For insurance carriers, finding ways to capitalize on the growing volume and velocity of information being generated and collected in their claims systems and operational databases is a critical challenge. Today’s overabundance of data can be an asset. However, without the professional expertise to turn this disparate data into actionable … The Stress Created by the Explosion of Information Into Big Datasets …
Podcast

Why High-Impact Drugs Are Taking a Bigger Piece of Pharm Spend

… Welcome to the fourth and final installment of the Enlyte Drug Trends review . Today we’ll be discussing aggregate trends and specifically … so called high-impact drug classes. Joining me, as always, is Nikki Wilson, Senior Director of Clinical Pharmacy Services. Nikki, good to talk with you again. Let’s start with the broad definition of what is included in the report. What categories make up the high-impact drug classes? …
News Release

The Key to Crash Champions’ Success—Delivering Peace of Mind

… Champions technician is highly trained in collision repair," explained Natalie Zajc, director of marketing. "We work very hard to provide the team with the best equipment available to help … from nearly a dozen automobile manufacturers, Crash Champions understands the importance of dedicating time, training and resources to OEM repairs . The MSO also realizes that continual … and measuring certifications, training is absolutely necessary," said Peter Callaway, director of process and training. "Every single car line and manufacturer has different requirements. Both …
Blog

Navigating the Landscape of Drug Formularies and Prescribing and Treatment Guidelines

… Over the course of the next several years we can expect more and more jurisdictions to move towards adoption of legislative and/or regulatory measures as an effort to combat the nation’s opioid crisis and to control prescription utilization and cost. …
Article

Five Questions with Shahin Hatamian About the Future of Claims Automation

… We sit down with Shahin Hatamian, SVP of Product Management and Strategy at Mitchell International, to discuss five ways that … impacting the Property & Casualty industry, and what is on the horizon for the future of claims management. … Automation has existed in the casualty space for many years. It’s the foundation of much of what we do here at Mitchell . Rules and workflow engines can do quite a bit in terms …
Article

Ask The Pharmacist: The Hidden Risks of Gabapentin in Workers’ Compensation

… Food and Drug Administration (FDA) decades ago for seizures and nerve pain. Today, it is one of the most commonly prescribed drugs in the United States. In workers’ compensation, you’ll … uses.  You may see it prescribed for chronic pain, anxiety, migraines, insomnia, altered sense of smell and menopausal hot flashes. It may also be positioned as a way to reduce opioid use.  … at least 5,000 overdose deaths each year for the past five years that involved gabapentin. An overdose that involved gabapentin is not always the same as an overdose caused by gabapentin, …
Article

Advanced Driver-Assistance System Trends and Challenges

… in the 1950s. Today's advanced driver-assistance systems (ADAS) do more than reduce the risk of injuries during a crash; some features are designed to help avoid accidents altogether. At least one ADAS feature is available on 92.7 percent of new vehicles available in the U.S. ADAS features first debuted as options on high-end luxury … 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, …
Article

Automate the Chaos: AI, Dashboards, and the Future of Claims

… Get a deep dive into how automation, AI, and dynamic dashboards are shaping the future of claims management. Learn how these advanced technologies are accelerating insights, enhancing … We talked about it a little bit earlier and it's just absolutely critical and booming in terms of our ability to leverage it. The potential is enormous here.   So how are we leveraging it … on them and when is something going off the rails that we need a human to intervene? That's an excellent use case for AI as well.   Highlighting relevant data for claims professionals, …
Podcast

Purveyors of Hope: Case Management Award Winners Help Injured Employees Defy Odds

… A few weeks ago, we introduced you to two of Enlyte’s Heart of Case Management Award winners, Sharon Murphy-Potts and Angela Higdon, whose outstanding work … employees return to work despite overcoming serious injuries. In our second installment of our Heart of Case Management series, we welcome disability case management award winner Kate … — getting them the treatment that they needed once they were released from the facility. Some of our inmates were released daily to work in our community. And having them work in the …
Article

The Art of Creating a Physician Peer Review Panel: Contracting and Training

… a physician peer review panel. Click here to read the first article in the series, The Art of Creating a Physician Peer Review Panel, Part I. In part I of the series, we discussed the first steps of developing a physician peer review panel including … the validity of the qualifications of the reviewer can include a curriculum vitae–or CV; an application showing experience, training, education; copies of licenses (which are then …
Article

Regulatory Hot Topics Impacting Property & Casualty

… compliance management and governmental affairs teams got together to talk about some of the topics impacting workers’ compensation and auto casualty. Here are just a few of the key topics and takeaways included in their discussion. People at Enlyte Conference … The Impact of Skilled Labor Shortages … and customer safety, all while accommodating supply issues, labor shortages and inflation. On top of all of those issues, the United States is also dealing with “The Great Resignation,” with …
Article

ICW Group Reduces the Pain of Recovery with Surgery Concierge Service

… ICW Group Insurance Companies is the largest group of privately held insurance companies headquartered in California. Quoting more than $3 billion annually, ICW Group represents a group of carriers offering property, auto and workers’ compensation insurance. The company is recognized nationally as an industry leader in helping policyholders achieve fewer and less costly claims. It is also a … that warranted additional clinical oversight. “Ensuring positive patient outcomes is our top priority, and that means giving patients the freedom and space to heal,” says Granger. “It is …
Article

Liability and Injury Evaluations: Understanding the Two Types of Recommendation Models

… Third party bodily injury teams use a number of different approaches and tools to settle claims, but they do share a similar set of goals—settling claims efficiently and accurately. With so many factors at play in the third … including adjuster turnover , workload, aligning adjusters with management’s objectives, lack of reporting and more, many carriers struggle to achieve these goals consistently across their …
Blog

What moved the state of Ohio to drop OxyContin® from their formulary?

… The state of Ohio, among the hardest hit in the nation for opioid overdose deaths, has undertaken a number of measures to meet the crisis as it has evolved. A review of opioid use in the injured worker population, completed in 2011, revealed an alarming number (73%) were filling opioid prescriptions. 1 A closed formulary, expanded access …
Article

Most Common Characteristics of High-Performing Third Party Claim Workflows

… in mind—settle claims accurately, efficiently and consistently. But sometimes, the complexity of third party claim processing can cloud these seemingly simple objectives. By using a combination of data, technology and expertise—and putting a special focus on the foundations of third party claims processing—third party carriers can overcome a myriad of barriers that can … possible set of tools at their disposal and leave them to process claims their way, the top-performing third party carriers take the time to focus on setting up their foundations in a …
Article

WorkCompWire: How Outdated Imaging Equipment is Impacting Quality of Care and Claim Costs

… In workers’ compensation, diagnostic imaging – such as an MRI, CT, or PET scan – is often the first critical step to assess the severity of an injury and to develop a treatment plan for prompt recovery and return to work. It’s imperative that the use of a reliable facility that produces a quality image is utilized from the onset to ensure the …
Article

Claims Automation: Separating Fact From Fiction

… Claims automation. Touchless estimating. Straight-through processing (STP). These topics are top of mind for auto insurers looking to improve efficiency, reduce settlement time and enhance … door to STP, there is still work to be done to deliver on the promise of a no-touch claim. As an industry, we are just beginning to reconcile initial expectations with the current state of … Just a few years ago, AI was at the top of the technology trends list, giving the auto insurance sector high hopes in its ability to …
Article

The Future of Technology in Work Comp: 2020 Survey Results

… in 2017 , when Mitchell conducted a similar survey? To find out, we conducted a survey of about 100 workers’ compensation industry professionals. Download the Full Results … Summary of Results … The results of the 2020 survey demonstrated that the adoption of technology is now, more than ever, at the … to the COVID-19 pandemic, we anticipate that these trends are still applicable today, with an additional growing emphasis on telemedicine, which is playing a large part in getting injured …
News Release

Enlyte Names Steve Laudermilch EVP of Mitchell Casualty Solutions Group

… Enlyte, the parent brand of Mitchell, Genex and Coventry, has announced today that Steve Laudermilch has joined the company to serve as executive vice president and general manager of Mitchell’s casualty solutions group (CSG). With 25 years of senior leadership experience in … a leading property and casualty insurance company, and Deloitte Consulting. Laudermilch holds an MBA from Saint Joseph’s University, Philadelphia, and a BA in economics from Ursinus College, …
News Release

Enlyte Names Steve Laudermilch EVP of Mitchell Casualty Solutions Group

… Enlyte, the parent brand of Mitchell, Genex and Coventry, has announced today that Steve Laudermilch has joined the company to serve as executive vice president and general manager of Mitchell’s casualty solutions group (CSG). With 25 years of senior leadership experience in … a leading property and casualty insurance company, and Deloitte Consulting. Laudermilch holds an MBA from Saint Joseph’s University, Philadelphia, and a BA in economics from Ursinus College, …
Article

Average Length of Rental for Repairable Vehicles: Q1 2017

… As mentioned in previous updates, regardless of how the market is defined, there remains a significant delta between average and best in class. The rate of average Length of Rental (LOR) growth declined in Q1 of 2017 for the first time in multiple quarters increasing … U.S. Average Length of Rental (LOR) by State Q1 2017 … and within regions, therefore there doesn’t appear to be a true U.S. trend. While the rate of increase slowed, the core drivers of LOR (miles driven, claims frequency and repair …
News Release

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

… On October 7, 2020, GSK Consumer Healthcare requested retailers halt sales of certain Excedrin lots. According to GSK , the request was made “due to the possibility of holes in the bottles that have been supplied by the bottle manufacturer.” The following … Strength Caplets (24-count bottle) Excedrin Migraine Caplets/Geltabs (24-count bottle) As most of these products are sold as over-the-counter medications, Mitchell Pharmacy Solutions does not …
Article

Celebrating 70 Years of (m)Powering Better Outcomes in the P&C Claims Process

… the company, he used his technical knowledge, repair expertise, and ability to connect pieces of information in order to simplify complex processes. Ultimately, he created a better way of doing business and better outcomes for his customers. Glenn Mitchell 1940 – Glenn Mitchell, … that was available in the marketplace at that time. He was one of the fathers of creating an entire industry. Since that time, we’ve leveraged that core value of expertise by bringing it …
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2024 Heart of Case Management Awards
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Practical Application of Behavioral Coaching Techniques
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Genex of Canada Short-Term Disability
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Genex of Canada Long-Term Disability