White Paper

Networks 2.0

… Networks 2.0 It’s an Evolution Most discussions about the state of U.S. health care quickly lead to a simple but … between caregiver and patient. Data analytics, including artificial intelligence, is making an impact on priorities and decisions in the system. There is another element of care delivery … prioritize both efficacy and efficiency. The best clinicians can more easily rise to the top of the stack thanks to deeper insights into patient trajectories. In the emerging scenarios, …
Case Study

A Better Plan

… An experienced workers’ comp case manager who has developed strong relationships with the best … the local providers in the area, Meyer-Gaede was able to quickly assign the appointments with an interpreter present at every meeting. She identified the treatment time frames for the injury …
Blog

Investigating the Top Therapeutic Classes

… opioid utilization, increased public awareness on the dangers of this therapeutic class, and an increase in the number of states placing restrictions on how these medications can be … prescribed. Decreases in opioid utilization have led to a larger class share for five of the top six therapeutic classes. Non-steroidal anti-inflammatory (NSAID) utilization increased 1.3% and is the largest increase of the top 10 therapeutic classes. This non-addictive class of drugs can be used alone to treat pain and …
Article

North Carolina Utilization Rules for Opioid and Other Pharmacological Pain Management Treatment

… in “ acute phase ” Prescriptions in “ chronic phase” Requirement to “consider” prescribing an opioid antagonist in certain scenarios. Suggestions to “consider” non-pharmacological … – Treatment within 12 weeks of: a compensable injury, an aggravation of a compensable injury , or a surgery for a compensable injury (Note that there …
Podcast

How Top Claims Teams Catch Risk Before Costs Escalate

… all of the alerts are coming into one place for them to manage.  So, whether that again is an early intervention, new claim type alert, case moves from medical only to lost time. Maybe … So, you know, we live in an era where we just have an overabundance of data. How do we mine for that data and then share it with the clinical staff?  … are filling prescriptions and having that ability to jump on those cases right away. If an opioid prescription medication is ordered, it allows us to make sure that it doesn't …
Article

Average Length of Rental for Repairable Vehicles: Q3 2022

… easing a bit in the second quarter, the backlog of scheduled work at shops nationwide rose to an average of 4.8 weeks in July, up from 4.3 weeks in the second quarter, and a new record high. … have no backlog and can schedule new work in immediately; only two regions in the country had an average backlog of less than a month.” We asked Greg Horn, Chief Innovation Officer at … 2021. The District of Columbia had the lowest non-drivable LOR at 22.2 days, which was still an increase of 5.1 days from Q3 2021. New York (23.2 days) and Iowa (23.6) had the next-lowest …
Article

Michigan No-Fault Auto Fee Schedule Frequently Asked Questions

… of service. The draft administrative rules for the fee schedule are attempting to implement an annual March 1 cutoff date that would apply to the preceding dates of service after July 2 … have specific codes and be subject to the normal fee schedule. We have been told there isn't an attendant care fee schedule, but there is an arbitrary reduction. Where is the fee schedule coming from or where can it be found? The …
Article

Physician Dispensing and Opioid Abuse: Drug Dilemma Prevention Strategies

… kickbacks, new state opioid prescribing limit laws and the federal government’s approval of an omnibus bill aimed at treatment and prevention of opioid abuse illustrate that these important … practice and may be more sensitive to reimbursement changes, it makes office dispensing an attractive source of revenue to offset those declining rates. Physician dispensing, when … depending on the strength and quantity.” Medications may also be overprescribed. For example, an opioid may be prescribed when ibuprofen would help the patient manage their pain without the …
Article

Getting Into Insurance? The Insurance Industry Outlook is Brighter than Ever

… of the American workforce as it compares to how our industry is positioned to attract the top tech and service-driven talent in the country. While the toll of COVID-19 has been tremendous … changes have helped our industry become even more appealing to American workers—including top talent in the graduating class of 2020. Although many organizations are carefully considering … While it’s true we’re not Google or Apple, we are an industry that is adopting and implementing the latest technology. We’ve been talking for years …
Virtual Event

Changing Consumer Expectations: What Workers' Compensation Can Learn from the Healthcare Industry

… As consumers continue to change with an increasingly technological world, the workers’ compensation industry has opportunities to … workers’ compensation patients are able to connect with their doctors remotely, which is an advantage for rural patients in particular. ( Learn how video chat is enabling new … would ultimately lead to a safer, more seamless experience for the patient. It also could have an added benefit for those working on the claim to better understand risk factors and support …
Article

Changing Consumer Expectations: What Workers' Compensation Can Learn from the Healthcare Industry

… As consumers continue to change with an increasingly technological world, the workers’ compensation industry has opportunities to … workers’ compensation patients are able to connect with their doctors remotely, which is an advantage for rural patients in particular. ( Learn how video chat is enabling new … would ultimately lead to a safer, more seamless experience for the patient. It also could have an added benefit for those working on the claim to better understand risk factors and support …
News Release

Congress Considers a Flurry of Opioid Bills

… that all of the bill will be considered by the full house before the week is out. This is an unprecedented level of activity on this issue by Congress in a single session. The draft bills … Act, will call on the Department of Health and Human Service (HHS) and stakeholders to develop an action plan that will include studies and reports to Congress on the best ways to address the … telehealth services to expand access to treatment for the millions currently struggling with an addiction to opioids. …
News Release

Mitchell, Genex and Coventry Unite Under a Single, New Brand: Meet Enlyte

… industry with technology innovation, clinical services and network solutions, all backed by an unrivaled collection of expertise across the entire claims continuum. The Mitchell, Genex and … make it easier for us to help customers manage costs while delivering quality service with an expansive collection of Mitchell, Genex and Coventry solutions from first-notice-of-loss to … with the same collaboration and quality they trust.” The changes were shared yesterday with an invite-only audience of Mitchell, Genex and Coventry customers at the 2021 Virtual mPower …
News Release

Mitchell, Genex and Coventry Unite Under a Single, New Brand: Meet Enlyte

… industry with technology innovation, clinical services and network solutions, all backed by an unrivaled collection of expertise across the entire claims continuum. The Mitchell, Genex and … make it easier for us to help customers manage costs while delivering quality service with an expansive collection of Mitchell, Genex and Coventry solutions from first-notice-of-loss to … with the same collaboration and quality they trust.” The changes were shared yesterday with an invite-only audience of Mitchell, Genex and Coventry customers at the 2021 Virtual mPower …
Virtual Event

The Changing Insurance Workforce: Trends and Tips for Adapting [Podcast]

… the younger generation will rely on technology to help tell them what needs to be done. As an industry, we now have access to an unprecedented amount of data, which can be used to analyze countless aspects of a claim and … that is extending past expected recovery date or severe and complex claims that require an extra level of clinical intervention. In many ways, the role of an adjuster will be more important than ever because their time will be spent focused on the …
Blog

The new guy at work might soon be a robot

… We’ve all seen those fascinating videos of robots on an assembly line – long, articulated arms whipping from task to task. That’s what many of us … Occupations where an injection of automation could supercharge humans’ skills are ripe for use of cobots. These … have been rising as the economy barrels toward becoming the world’s largest, automation is an easy choice. The country is the largest market for robots and, by one estimate , the ROI for …
Article

Computer Vision: From Diagnosing Cancer to Transforming the Collision Claims Process

… imagination. Just six years later, AI has gone from game show gimmick to one of Gartner’s 2017 Top Ten Strategic Technology Trends . Every day brings more news about the latest advancements, … consumer with a mobile device—like a claimant who uses their phone to take photos or video of an accident. Those images, when submitted as part of the first notice of loss, could provide an enormous amount of information for a given claim, perhaps even determining total loss without …
Article

Specialty Solutions Spotlight: Cut Delays and Rework With Early DME Coordination

… training and support. You keep the claim on schedule and reduce the back-and-forth.  Here’s an example of how coordinator involvement streamlines challenging orders: A brand-only  TENS unit … Choose flexible rental or purchase options tailored to the injured employee’s needs Save an average of 35% below fee schedule or usual and customary fees Rely on clinical appropriateness … medical equipment, diagnostics and other services, call us today at 877.203.9899 or send an email to  apricus.referrals@enlyte.com . …
Article

Specialty Solutions Spotlight: Why Prosthetic Claims Are Among the Most Complex in Workers’ Compensation

… device fitting. These claims are about more than the device itself since they represent an injured employee’s path to regaining mobility and rebuilding their life. With the right … feelings of grief and finality. Prosthetic care   supports the full recovery journey. Helping an injured employee see themselves using a prosthetic and resuming familiar routines can ease the … and prosthetics, physical therapy, and other services, call us today at 877.203.9899 or send an email to apricus.referrals@enlyte.com .  …
Article

Ask The Pharmacist: Adult Vaccination and Its Role in Workplace Health

… and return-to-work planning. Staying current with recommended adult vaccinations represents an essential aspect of preventive health care with important implications for overall well-being … without evidence of immunity. COVID-19 vaccination and recommended boosters have also become an essential part of the adult immunization schedule, helping protect against severe disease and … pharmacist. Do you have a workers’ compensation or auto-related pharmacy question? Send us an email at AskThePharmacist@enlyte.com . To read more Ask The Pharmacist articles, please visit …
Article

Plugged-In: EV Collision Insights 2024 Year in Review

… 3%, and $7,241 (CAD) in Canada, a year-over-year increase of 2%. Mild hybrids (which combine an internal combustion engine, or ICE, with a small electric battery) and plug-in hybrids (which … secondary ICE but rely on a larger, high-voltage battery as the primary propulsion source) had an average severity of $4,726 and $5,583 respectively in the U.S. and $6,104 (CAD) and $6,261 … interconnectivity. This level of electrical complexity and digital communication results in an increased likelihood of disruption to sensitive components, potentially away from the primary …
Article

Ask The Pharmacist: The Role of Ketamine in Workers’ Compensation

… ketamine play in pain management for workers' compensation cases? Developed in the 1960s as an anesthetic, ketamine quickly became a staple in emergency and battlefield medicine. Its … mental health treatment is likely to grow. This shift may lead to increased use of ketamine as an alternative to opioids in workers' compensation programs. With its potential to manage chronic … pharmacist. Do you have a workers’ compensation or auto related pharmacy question? Send us an email at AskThePharmacist@enlyte.com . To read more Ask The Pharmacist articles, please visit …
Article

Seven Technology Features in Utilization Review Software to Control Medical Costs

… of utilization reviews increases, the medical management software you select can give you an edge in managing claims. The best platform for your program will capitalize on efficiencies … medical management software can yield savings that otherwise might be missed. To help you make an informed decision, these are seven key features to look for when evaluating a medical … rules. Even if your state doesn't have mandated turnaround times for reviews, having an automated but configurable due date within your workflow drives timely decisions. …
Article

Ask The Pharmacist: Marijuana and Controlled Substance Classifications

… Office of Legal Counsel (OLC). The rulemaking process will include public notice, comments and an administrative hearing before any final decision is made. … Here's an Overview of the Five Schedules: … pharmacist. Do you have a workers’ compensation or auto related pharmacy question? Send us an email at AskThePharmacist@enlyte.com . To read more Ask The Pharmacist articles, please visit …
Article

Enlyte Quarterly Medical Price Index

… on by the increase in fee schedule payments. Florida has seen a 7% increase, California an 8% increase and Texas a 3% increase.   chart Auto First-Party Medical Price Index at the … Level Taking a national view of provider charge data from Q1 2017 through Q3 2023 we observed an … demonstrated a 16% increase in charge per unit, while Florida saw a 5% increase, New Jersey an 8% increase and Michigan a 12% increase. Third-Party Medical Price Index Medical Price at the …
Article

Ask The Pharmacist: Emerging Opioid Overdose Reversal Medications

… analogy is to compare a rescue medication to a fire extinguisher: having one doesn’t imply an imminent fire threat but serves as a precautionary measure, with the hope that it remains … and Kloxxado utilize naloxone, Opvee contains nalmefene, a drug introduced in the 1990s as an injection that was discontinued due to limited sales. Initial information suggests that … pharmacist. Do you have a workers’ compensation or auto-related pharmacy question? Send us an email at AskThePharmacist@enlyte.com . To read more Ask The Pharmacist articles, please visit …
Article

Ask The Pharmacist: Pharmacokinetic Changes that Occur in Older Adults

… and neurologic systems doesn’t affect us all identically. Aging can be thought of as an accumulation of function loss in organs and tissues, as well as disruptions in the physiologic … “Start low and go slow” is a popular axiom in drug dosing for older patients that follows an appreciation that drug clearance may be less efficient, creating the potential for overdose … pharmacist. Do you have a workers’ compensation or auto related pharmacy question? Send us an email at AskThePharmacist@enlyte.com .  To read more Ask The Pharmacist articles, please …
Article

Reducing Disability Durations and Improving Claim Outcomes Through the Use of Transitional Duty

… the goal of returning to full duty upon recovery. Transitional duty is about identifying what an employee can do and matching their capabilities to a work assignment. … benefits to creating transitional duty programs to temporarily accommodate employees following an injury or illness at the worksite; however, some employers find it difficult to do so. When … employee and employer. For the employee, it can help to restore their self-esteem and create an avenue for socialization vs isolation. They begin earning a wage and typically have benefits …