Article

Key Trends in Workers' Compensation Networks

… Watch our insightful video below with Kate Farley-Agee, VP of Network Product Management for an in-depth analysis. …
Author

Saundra Knight

… As Director of Corporate Communications for Enlyte, Ms. Knight is an expert in mobile consumer behavior and the impact of emerging technology trends. For more than …
Author

Nate Raskin

… As Senior Manager of Analytics for Mitchell’s Auto Physical Damage division, Mr. Raskin is an expert in translating complex business analytics into strategic workflow visioning and SaaS …
Author

MG Kristian

… MG Kristian is the executive vice president of Human Resources at Enlyte. An award-winning authority on talent and change management, Ms. Kristian’s passion is helping …
Podcast

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

… at a much lower cost can average about $2,100 per prescription, which can give you an idea of the impact they have on cost trends. So, I’ll dive into the definitions of each of … or so-called convenience packs, is one we’ve seen enter the market recently that contains an over-the-counter topical gel combined with a 100-count box of alcohol wipes packaged together … one product and build under one NDC. When dispensed separately, the individual products carry an average wholesale price or AWP of about $15 combined or total for the product. However, as a …
Article

Reflections, Predictions and Gratitude from Enlyte Experts as 2021 Comes to a Close

… As the holidays approach and 2021 winds to an end, it’s natural that we each reflect upon the events of the past year and take stock of … shortages and turnover and return to offices around the country.  Each new challenge created an opportunity to explore unique and innovative ways to solve problems we had never encountered … are never going back to just the same as they were. Mostly that is a good thing and represents an opportunity for us all to take stock of what really matters and what is important in our …
Blog

How QA Can Make or Break Your IME

… are some states that require physical capability forms. There are some states that require an affidavit of recovery. So, I think those forms need to be included. I also believe that it’s … : What type of things do QA professionals look for when assessing an IME? … : You know, when you’re assessing an IME report, there are several items that you need to focus in on, and we like to refer to them … scope. So, if the exam focuses on a fractured leg, you want to make sure you’re staying with an orthopedic surgeon. The QA professional also is going to confirm that each report is free of …
Blog

As robots come to work, our tasks will include safety and quality

… of course, without breaks, weekends, or holidays. It’s easy to see why managers would want an indefatigable, injury-proof dynamo capable of lifting heavy equipment or shuttling materials … sensors indicate the meat is cooked. Beyond Flippy’s prodigious flipping ­– 150 to 300 burgers an hour! – there are more prosaic yet impactful examples of automation at work. Robots have been … loads or plying aisles in search of merchandise. At the same time, the presence of robots at an employer could mean some workers end up spending more time essentially stationary in their …
Article

Looking Ahead: 2020 Workers’ Compensation Predictions

… In its most recent report, the Health Care Cost Institute reported that the average charge for an ER visit increased 176 percent in 2017. Emergency room charges have continued to increase over … will affect the workers’ compensation market. For example, we anticipate that 2020 will see an uptick in utilization review reform efforts. During 2019, California implemented new utilization review requirements, Tennessee created an advisory group to study utilization review process, New York implemented an electronic portal …
Article

2018 Recap and 2019 Predictions: P&C Regulatory and Legislative Changes

… to opioid prescribing limits. As the new year approaches, Mitchell takes a look back at 2018’s top trends and industry issues and projects what to watch for with 2019 predictions. … were associated with opioids. This increasing death number, however, correlates more with an increase in street opioids than with prescription opioids. In fact, opioid prescribing rates … for pain management. Illinois , in particular, passed a law in 2018 to allow patients with an opioid prescription to opt for medical marijuana instead. “Heading into 2019, we expect that …
News Release

North Carolina Opioid Rule Goes into Effect May 1, 2018

… the 12 week acute phase using a targeted medication Presumptive urine drug test means an initial urine drug test that identifies negative specimens and presumptive positive specimens, … A health care provider who is providing pain management treatment in the chronic phase to an employee may administer a presumptive urine drug test that is qualitative and interpreted or … (This section does not apply if injured worker had been treated with an opioid for 12 weeks immediately preceding the effective date of the rule.) Physician must …
Article

Understanding Predictive Analytics For Workers' Compensation Data Analysis

… analytics has specific and practical workflow applications today and continues to be an industry game changer. … that are not even part of our consideration set, such as a locker room pep talk, that have an impact on the outcome. … in a particular claim. The models relate similar data points to the current claim and provide an adjuster insight into what may happen over the lifecycle of that claim. … (e.g. prescriptions filled, treatment, fractures versus sprains), the model is able to provide an overall risk score. This score indicates the potential for future risk based on the data …
Article

Artificial Intelligence Gets Real: Three Ways AI Is Making Inroads in P&C Insurance Claims

… named AI a top strategic trend for 2017, and according to a recent study by … outcomes for both claimant and insurance company. The insurance industry itself is at an inflection point in terms of AI. There are so many AI-related technologies, they are all in … for a wide range of purposes, from clinical intervention to detecting fraud to just alerting an adjuster to review a file. Very simply put, machine learning is a field of computer science …
Article

WorkCompWire: Michael Valasek: Ensuring a Quality IME Result: Three Players in the Process

… medical examination (IME) process. Oftentimes, both the insurer and claimant will obtain an IME to substantiate their respective opinions on a case. Rather than bringing about …
Article

Average Length of Rental for Repairable Vehicles: Q4 2023

… Oklahoma, Rhode Island, New Mexico and Kentucky were the next highest, respectively, all with an LOR of 20 days or higher. Hawaii had the lowest LOR at 13.1 days, followed closely by North … with five other states (Vermont, Wisconsin, Maine, Illinois and California) all coming in with an LOR under 16 days. Only three states saw year-over-year LOR increases from Q4 2022: Wyoming, … overall LOR was often the highest in the nation. While Louisiana’s LOR is still in the top 10 overall, the state recorded a drop of 2.7 days, which is the largest decline in LOR in the …
Author

Nina Smith

… & Market Operations. As a passionate, customer-centric business executive, Ms. Smith oversees an organization dedicated to bringing process improvement, greater efficiencies, and lower costs …
Author

Monica Declercq

… service delivery models and partner management have earned Mrs. Declercq her reputation as an engaging speaker and thought leader. …
Author

Courtney Chandler

… business unit where she drives product vision from conception through launch. Ms. Chandler is an expert in technology, processes and industry regulations and is committed to delivering the …
Author

Mike Lawlor

… Mike Lawlor is an expert in auto and property claims practices and is Mitchell’s vice president of APD Strategy …
News Release

App Helps Keep Work Environments Safe From COVID-19

… Optis, a division of the managed care provider Genex Services, has developed Safe2Work, an app-enabled, web-based health screening program designed to help stop the spread of workplace …
News Release

Risk & Insurance: Treating Pain Without Drugs

… are out of favor. Once thought to be the solution to chronic pain, opioids opened the door to an even bigger and scarier addiction epidemic — one that menaces the workers' comp industry and …
Article

StateWatch Spring 2016

… an estimated 126.6 million Americans (one in two adults) are affected by a musculoskeletal condition, costing an estimated $213 billion in annual treatment, care and lost wages. Effective April 1, the … surgeries as part of a pilot program. Under the CMS plan, hospitals will coordinate an “episode of care” for joint-replacement patients including physicians, skilled nursing … to a growing body of evidence that workers’ compensation claims result in better outcomes when an injury is reported sooner. The …
CE Webinar

Case Management: Building Trust Through Advocacy

… seminar is designed to assist claims handlers, employers and case managers in developing an understanding of the importance of establishing trust with injured employees. The instructor …
Author

Ted Smith

… Solutions. With more than 10 years of experience in the workers’ compensation industry, Ted is an expert on managing specialty services, including diagnostics, durable medical equipment (DME), …
News Release

Workerscompensation.com: Sikorsky Sees 'Dramatic Results' with Onsite RTW Program

… Martin Company, saw a 48 percent reduction in lost workdays within 9 months of implementing an onsite return-to-work program. “That's absolutely huge,” said Maria Bayne, president of …
Article

How Personalized Care Leads to Faster Recovery Times

… approach” have gained much attention within workers’ compensation—for good reason. Helping an injured employee on the road to recovery can be complicated and a “one-size- fits-all” … to what they are observing. Case managers get to know injured employees and their families on an intimate level. They can help ensure clinical programs avoid the pitfalls of only treating the …
News Release

CDC Updates and Replaces Guidelines for Prescribing Opioids

… The Centers for Disease Control and Prevention (CDC) released an updated and expanded recommendation for clinicians prescribing opioids for outpatients over 18 … changes in our clinical programs at this time, we will continue to review and reach out on an individual basis. A copy of the guideline can be found HERE . If you have any questions about …
Virtual Event

2020 mPower Virtual Conference

… of the industry. Beyond Mitchell | Genex executive leadership, you’ll also hear from an array of top experts who’ll share insights on surviving and thriving in the current landscape, as well as … The mPower Conference will be an important virtual experience for members of your organization’s senior management team such as …