News Release

Coventry and Acrometis Form Data-and-Technology Partnership to Drive Efficiency

… probability of requiring adjuster review. The technology also provides in-depth messages so an adjuster can make more timely and informed decisions on those bills that are brought forward. … bills than under legacy methods found in the market today. The more refined results allow an adjuster to reallocate time once devoted to validating non-value bills to instead helping … leverages more than 30 years of industry experience, knowledge, and data analytics. We offer an integrated suite of solutions, powered by technology to enhance network development, clinical …
Conference

The SEMA Show 2017

… events, networking opportunities and more. Mitchell will once again be attending SEMA as an exhibitor with an interactive exhibit booth, which can be found in the North Hall, #10771. Those visiting …
Podcast

Cool Tips for Beating the Heat at Work

… So let’s dive in. Are you seeing an increase in heat illness injury claims, and if so, what are some possible reasons behind this? … have the heat‑induced effects have been prolonged. The heat in terms of temperature has shown an increase as well. So all those factors contribute to injury or injury claims related to heat. … lawn and garden, those are the obvious industries that have direct heat exposure. And on top of being directly in the heat, they have a longer duration of exposure of the heat. Some may …
Article

2021 Workers’ Comp Predictions: COVID-19 Effects, Automation and More

… of challenges—treatment gaps, delays in elective surgeries, the shift to work-from-home, an onslaught of emergency regulations and more. Now, as we look ahead to the new year, Mitchell, … elective surgeries that were delayed due to the pandemic. Our experts believe this will have an effect on getting injured employees back to work and may lead to an increase in claim costs. “One care trend that we’ll be watching closely this year is what …
News Release

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 …
Article

How Pharmacy Management Drives Better Claims Outcomes

… his workers’ compensation story. When last we discussed Andrew , he was back at home following an injury earlier in the day. He visited the ER, where he was prescribed a non-steroidal … for short-term injuries. With the proper controls in place, the adjustor on this case receives an alert when Andrew tries to fill this prescription. This prescription requires … developed by the insurance company and its PBM partner, and the adjuster is able to suggest an alternative course of action. The adjuster has many options when a claim needs intervention. …
Article

The Future of Humane Automation in Property & Casualty Claims and Collision Repair: Emotion AI

… could be used to identify when call center employees are growing tired or struggling to manage an upset customer, then offer support or interventions. According to the Coalition Against … insurance losses. When added to existing voice analysis tools, emotion AI may one day be an asset to claims organization in minimizing this impact. Of course, this possibility brings … & Casualty and collision repair is restoring people’s lives by returning people injured in an automotive or vehicle accident and ensuring their vehicles are properly and safely repaired, …
Article

Mitchell Collision Repair Industry Data: Q3 2017

… development suggests a final Q3 2017 average appraisal value of $3,043, which represents an increase over the same quarter last year. Average Appraisal Values Comprehensive Losses In Q3 … our servers was $3,104, compared to $3,387 in Q3 2016. Factoring for development produces an increase in the adjusted value to $3,134. Average Appraisal Values Mitchell Solution: Mitchell … a $24 initial increase between these respective periods. Factoring for development yields an anticipated Q3 2017 adjusted appraisal value of $ 2,821, a $42 increase in average severity …
Article

The CDC and P&C: New Opioid Guidelines a Powerful Step in the Right Direction

… In the WC market, it is estimated that well over $6 billion is spent on prescription drugs on an annual basis, representing approximately 19% of overall medical cost. … opioids representing almost a third of overall prescriptions. Individuals using opioids over an extended time may experience tolerance, meaning a higher does is needed to obtain the same … higher rates of addiction, poor health outcomes, and significantly higher claims cost. An opioid addicted person will experience withdrawal symptoms when the prescribed dose is …
Article

Property & Casualty in the Age of (Humane) Automation

… these tasks faster, more efficiently, more accurately and with greater consistency across an organization. By assuming these responsibilities, advanced automation enhances productivity … might not be able to see—or potentially even conceive of—and present that information in an actionable way that supports decision making. As a result, claims organizations can make … more strategic tasks, imagine the productivity gains a company would see if each employee had an intelligent personal assistant. In essence, using a combination of simple and advanced …
News Release

Mitchell Issues Third Quarter 2018 Industry Trends Report

… changing nature of insurance risk in the Age of Automation, the importance of creating an outstanding blueprint for a proper and safe automotive repair, and how having a comprehensive … into the Age of Automation, the exponential evolution of technology continues proliferating at an unprecedented pace. These technology-driven advancements present limitless opportunity, and … brings technical advancements, vehicles get more complex and difficult to repair. Creating an outstanding blueprint to automotive repair is an integral part of performing a proper and safe …
Article

Specialty Solutions Spotlight: What to Look for in a Home Health Program

… to improve health and function, but prolonged home health services beyond necessity may hinder an injured employee’s motivation for self-care, leading to increased dependency instead of … The services given to an injured employee should come from care professionals with strong moral and ethical standards. … discharge planning or another specialty solution, call us today at 877.203.9899 or send an email to referrals@apricusinc.com . …
News Release

New York Workers' Compensation Board Releases Formulary Emergency Rule

… The New York Workers' Compensation Board released an emergency rule the week of November 4, 2019, making changes to some drugs associated with body … update several weeks ago while soliciting stakeholder input. The Board released the rule as an emergency rule to allow enough time for stakeholders to program for the changes. Nearly 40 … drug would be in accordance with prudent medical treatment. While the rule has been adopted as an emergency measure, formal publication of the rule in the New York Register will occur on …
News Release

Press Release - ECC Speaking Announcement

… The ECC is an educational conference devoted to Life, Disability, Accidental Death and Dismemberment and … entry-level associate personnel to senior management. The ECC's only function is to present an annual conference for the benefit of those who serve the insurance industry in the claims … leverages more than 30 years of industry experience, knowledge, and data analytics. We offer an integrated suite of solutions, powered by technology to enhance network development, clinical …
Article

2020 CPT Code Changes: What You Need to Know

… Code Changes Here How will these CPT code changes for 2020 impact the casualty industry? After an intensive review of the new CPT code book, this article will discuss the most relevant 2020 … they are considered inherent to Evaluation and Management Services. The confusion stops now. An AMA/RVS RUC RAW review confirms that manual muscle testing is indeed typically performed as a part of an Evaluation and Management service. As a result, a new parenthetical note directs users to the …
Case Study

Starbucks Coffee Company

… Genex Services: A Key Service Provider in an Award-winning Strategy … the company recognizes as “partners” within its operations. Starbucks is known for creating an exceptional experience for customers, and its nine-member workers’ comp team took this … With a desire to improve results year over year, Starbucks works with Genex to apply an intelligent approach to medical management—one that uses advanced analytics, including case …
Article

Learn More About What It Takes To Achieve URAC Accreditation

… Genex Services is a leader in utilization review (UR) and has an advanced position to meet the requirements of California Senate Bill 1160, particularly the … Utilization Management since 1996. To obtain this accreditation, Genex went through an in-depth and rigorous evaluation process that consisted of: … An examination of core standards related to organizational structure. … and management, as well as other factors that confirm the strength and stability of an organization. …
Article

Regulatory Hot Topics Impacting Property & Casualty

… 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 … the Bureau of Labor Statistics . Due to the Great Resignation, hiring skilled labor has become an issue for the P&C industry—especially when it comes to finding experienced claim adjusters. … Prior to the start of the pandemic, the industry was already experiencing high turnover due to an aging and retiring adjuster population, which has only been made worse by the Great …
Article

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

… 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 … is this desire to remain relevant to the success of our customers. We define success as an ability to find other ways to continue to add value in the process of handling an auto physical damage claim, a worker’s compensation claim, or an auto injury claim. Over the …
Article

Getting Started as a Work Comp Adjuster: Practical Tips and Advice

… As a new adjuster, you might find yourself dealing with an overwhelming volume of claims, handling extensive documentation and complying with constantly … Whether it’s a physical calculator or an app on your smartphone, having the ability to quickly crunch numbers will allow you to … up to date.  Each claim you handle isn’t just a case—it’s a responsibility towards an individual’s well-being. By equipping yourself with the right tools, embracing continuous …
Article

Ask The Pharmacist: GLP-1 Drugs in Workers’ Compensation

… Information Tirzepatide (Zepbound, Mounjaro) is a GLP-1/GIP-1 receptor agonist approved as an adjunct to diet and exercise in adults with a BMI of > /= 30 or > /= 27 with at least one … Acquisition Cost (AWP) = $13,778 Semaglutide (Wegovy) is a GLP-1 receptor agonist approved as an adjunct to diet and exercise in adults with a BMI of > /= 30 or > /= 27 with at least one … drugs will be prescribed in workers’ compensation in the future, it’s likely that we’ll see an increase in the prescribing, and therefore, the cost of paying for these drugs in the coming …
News Release

Enlyte’s 2024 Trends Report Addresses Top Challenges in the P&C Industry

… subject matter experts at Enlyte, the parent company of Mitchell, Genex and Coventry. In an extensive report covering a wide array of today’s most pressing issues, industry leaders … an increasing aging population and decreasing provider pool has created a health care shortage … claims frequency and severity were on the rise in 2023. Combined with an already stressed parts supply chain and an unprecedented autoworkers’ strike, it created a …
Article

P&C Industry Claims Severity: Trends, Drivers and Mitigators

… Claim severity has always been top of mind for the P&C industry. While the pandemic has certainly had an impact on claims costs, there are several drivers behind claim severity trends varying by … affect a claim’s development,” Mariellen Blue and Jim Harris (Genex Services) explain in an article for Workers’ Compensation magazine on claim severity scoring. Preventative services, … blame—driving higher parts prices as a result of government spending, supply chain imbalances, an increase in the cost of raw materials and other factors,” explains Ryan Mandell (Director, …
Article

Average Length of Rental for Repairable Vehicles: Q2 2019

… Average Length of Rental (LOR) for Q2 2019 landed at 11.8 days in the United States, an increase of 0.2 days compared to Q2 2018 . Once again, there was very little consistency … Because of its relative proximity to major Canadian population centres, the Northeast U.S. is an interesting data comparison. Its LOR landed at 12.6 days for Q2 2019. Consistent with past … Alberta and PEI both produced LOR decreases over Q2 2018. Meanwhile, five provinces posted an increase over last year, although three of those five provinces (Ontario, Newfoundland and …
Article

Five Guidelines for Provider Data Management

… of issues for claims organizations, notably workflow inefficiencies and suboptimal outcomes. An accurate provider database can help to improve efficiencies, but managing provider information … source of truth. From a myriad of perspectives, chief among them being compliance, this is an important acceptance criteria for the program. … the span of data elements but that actually represent the same provider. In order to have an accurate and “clean” provider database, it’s important to resolve both types of duplicate data …
Article

Back to the Basics: Cost Control and the Role of Precertification and Utilization Review in Workers’ Compensation

… averaging well over 60 percent of average claims costs, 1 represent a significant impact on an employer’s workers’ compensation total cost of risk. This trend isn’t going away soon, as this … years. Contributing to the climb are expenses incurred for treatment that are unrelated to an injured workers’ injury. While unnecessary medical treatment could occur for a number of … to treat their condition. Utilization review, starting with the precertifcation, presents an effective method in the defense against rising medical costs. …
News Release

Mitchell Pharmacy Solutions Responds to COVID-19 National Emergency

… The country is facing an unprecedented emergency related to the COVID-19 virus and it is disrupting many facets of our daily lives. Most states have declared an emergency and the CDC and the White House have issued strong recommendations to limit public …
Article

A Deeper Look at Utilizing Generic Drugs in Workers’ Comp

… with satisfactory results from preclinical research, the first step taken is typically to file an Investigational New Drug (IND) application with the Food and Drug Administration (FDA) to set … can extend their market exclusivity. With brand medications in mind, we’re keeping an eye on the migraine therapeutic class at present. There is a new category of migraine … report these brand only migraine medications are driving this treatment category into the top ten therapeutic classes by spend for the first time. These drugs have an average wholesale …