Blog

Exceeding Expectations…We Are All Consumers

… worker Cognitive Behavioral Therapy (CBT) techniques can also be critical to establishing an open relationship and helping to overcome an injured workers’ non-medical, psychosocial barriers to return-to-work. They use these …
Case Study

Rising from the Fall

… resulting in loss of consciousness, intracranial injury and bleeding. The man was rushed to an ICU where he received immediate care. Though the injured worker healed quickly from his … injured employee to function, but her efforts resulted in total cost savings at $222,295 for an ROI of more than 9:1.   View More Stories …
News Release

Press Release - AAPAN Board of Directors to Appoint Kate Farley-Agee to AAPAN Executive Committee

… patient access to appropriate, quality health care. In the roll of Co-Chairperson Kate will be an integral participant in AAPAN’s mission.  “Kate is highly regarded for her thought provoking … the workers' compensation and commercial/government health markets. The association serves as an advocate that respects and balances the unique business needs of its members so that both may …
Article

Premiums Written: Q1 2018 Casualty Must-Reads

… Performance Consulting Directors Edward Olsen and Ryan Mandell delve into how developing an analytics-driven culture from the outside in provides the opportunity for increased … Read Now Will Medical Marijuana Have a Place in Employee Health Plans? In an environment in which opiate addiction continues to escalate, there may be more openness to …
Case Study

Raise a Hand

… industry. Ms. Price-Benham consistently exceeds all business expectations at Genex. Below is an example of how Ms. Price-Benham’s case management skills changed the life of a worker with a … was requested by the employer. Once on the case, she quickly scheduled the patient for an appointment with the top hand specialist in the area and secured a diagnosis of reflex sympathetic dystrophy (RSD). …
Case Study

American Airlines: How Customization and Collaboration Resulted in Improved Return to Work and Significant Savings

… "Genex held an important role in the workers’ compensation program creation and directly contributed to … all American and US Airways pre-merger program partners. They helped direct the creation of an integrated program with milestones and performance metrics agreed upon by all parties. Genex’s …
Article

If Over-the-Counter Meds Are Prolonging Pain, What Does This Mean for Workers’ Comp?

… After an ankle sprain or back injury, most people riffle through their desk drawers or purses in search …
Article

Five Inevitable Technologies That Will Transform the Claims Process

… are available today, the only outstanding questions are when and how they will start to make an impact. Below, I’ve listed five predictions for how we might use these inevitable technologies … on the length and nature of the appointment. Now multiply that by the number of encounters an injured worker may have with a provider and this becomes a significant cost on the claim. This … daughter’s primary care physician where we begin to discuss questions about lab work. I open an app on my smart phone where I access her health records. I send those records which reside in …
Article

Home Health Cheat Sheet

… require specialized expertise to provide a seamless and customized transition of care. Whether an individual requires simple or complex home health, Apricus leverages a strong national network …
White Paper

A Day One Approach

… insight paper to learn more about how SAW/RTW programs can accelerate recovery and improve an employer’s bottom line. Download Now …
Article

Welcome from Alex Sun

… important trends, predictions about the future of technology and valuable recommendations for an industry still managing the impacts of COVID-19. Read the Q1 2020 Auto Physical Damage and …
Article

Care Management: Cultural Competence and the Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) Patient

… This article originally appeared  CareManagement , and is reprinted here with permission. An ethical challenge faced by case managers and others working in health care is to respect the …
Podcast

Exploring the Psych Effects of COVID and Emergence of PTSD in Comp

… : Tom, there’s an old English proverb that says, “There is no great loss without some small gain.” And, from my … are positives that have come out of the COVID‑19 pandemic, I believe one is most certainly an increased awareness of mental health issues in our society. Really, particularly in terms of … also make us feel isolated and lonely and it can increase stress and anxiety. There was also an interesting survey conducted by the U.S. Census Bureau in December 2020. The intent was to …
Article

Health Literacy’s Impact on Delayed Recovery

… Workers’ comp professionals are seeing delayed recovery as an increased challenge in claims – as injured employees may not be progressing along a medically …
Blog

Drops in MED Indicate We’re Making Important Progress

… Series reported the largest drop in Morphine Equivalent Dose (MED) in the last three years. As an indicator of increased chances for adverse outcomes, including death from overdose, these and …
Podcast

Why Telephonic Case Management Is Not One-Size-Fits-All

… that’s involved to be able to just maintain that operation. So, knowing that Genex is an organization that has the bandwidth, the structure, and the support and resources is often why … We have some customers where we may have an onsite presence and a work‑at‑home case manager. We may have some clients that are all … say the majority of our clients rely on case managers to get them to at least a full duty or an MMI or medical treatment conclusion. So, it’s really looking at what they have, how we …
Podcast

Trends in Third Party Claims and How to Address Them

… So let’s get started. What are the top trends you are seeing today impacting third party claims organizations and how have things … social inflation, “nuclear” settlements and increasing medical costs. We recently published an analysis of Mitchell’s third party medical bill review charge data for claims created in our … throughout the pandemic, physical medicine and chiropractic therapy actually have experienced an uptick starting in Q3 2021, which amounted to a 33% and 21% increase. And most significantly, …
Article

Ask The Pharmacist: How Drugs Are Administered for Pain Management in Workers’ Compensation

… How do drug delivery choices affect pain, side effects, and time away from work?  When an injured employee needs medication, choosing how to take it can be just as important as which … less invasive routes when appropriate. For chronic conditions like migraines that coexist with an injury, self-administered SC options can support independence during rehab.  Transdermal  … 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

Plugged-In: EV Collision Insights Q1 2024

… (EV) repairable claims frequency rose to 2.26% in the United States and 3.41% in Canada, an increase of approximately 40% and 38% respectively over Q1 2023. Tesla price reductions late … price drops throughout the EV segment. As a result, price parity between EVs and vehicles with an internal combustion engine (ICE) may be coming faster than previously predicted. For example, … $100 by year end. If prices at the pump continue to rise, more consumers may again consider an EV for their next vehicle purchase, especially now that exorbitant EV premiums are seemingly a …
Article

Ask The Pharmacist: Risk Assessment for Opioid Use Disorder (OUD)

… the first test ( AvertD ) that uses DNA in assessing whether certain individuals may have an elevated risk of developing opioid use disorder (OUD). The Diagnostic and Statistical Manual … practices, guidelines, and assessments for OUD will still be utilized and AvertD will provide an additional supplemental option to providers to further determine the potential risks of OUD in … 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: Are Skeletal Muscle Relaxants Useful in Management of Chronic Pain?

… “nearly 70 percent of patients prescribed muscles relaxants were simultaneously prescribed an opioid.” The study also found that older adults disproportionately received skeletal muscle … to those who received a short-term opioid prescription. However, the study also found that an increase in days’ supply of any of these drugs was associated with work disability, supporting … Skeletal muscle relaxants may be an effective second option in reducing pain and increasing mobility, when used in the short term. …
Article

Topical Medications in Workers' Compensation and Auto Casualty

… Drug Update series. View our last article on gabapentinoids . Topical medications are an important part of care in the workers’ compensation and auto casualty industries, providing … by 379%. The topical generic with the greatest price change increased by 2529%. Eight of the top 20 topical generic medications with the greatest increases in AWP also had an increase in the number of manufacturers.” The good news for patients and insurers is that …
News Release

Workers' Compensation Drug Formularies—Changes Afoot, Deadlines Loom

… Along with the drug formulary, the New York Workers' Compensation Board (WCB) implemented an electronic medical portal to handle the prior authorization process. There have been some … should work and the WCB has posted FAQs to help answer certain questions. The Board has an information page on the drug formulary that can be found here . As a reminder, … The California Division of Workers' Compensation has just posted an update to its MTUS drug formulary list. The changes are primarily focused on drugs related to …
Article

Case Management: Can Any Nurse Do it?

… Amidst an ongoing nursing shortage, workers' comp recruiters are tasked with finding nurses who can make … clinical work, and, believe it or not, a lot of them don't even know that case management is an option. So, we have to find those nurses. We have to get information in front of them that … being a great nurse, having empathy for patients, being a great communicator. It also requires an enormous amount of organizational skills and precision, because case management can be a …
White Paper

The Ultimate Guide to Case Management eBook

… passionate about advancing the field of case management. Over the years, we've accumulated an extensive amount of knowledge, insights, and best practices. We're eager to pass that …
Article

A virtual silver lining: the pandemic’s boost to telemedicine

… with its scrapes and sprains and burns and rashes. Telemedicine was pushed to the forefront as an alternative for many types of visits, where doctors and patients could confer safely. But for … brick-and-mortar offices are typically closed, and when they might have previously gone to an emergency room or urgent care clinic. Patients who live in rural or remote locations, or who … by various states might not be permanent in all instances. But telemedicine has arrived as an accessible and practical way to receive health and medical care. In treating injured workers, …
Blog

Putting the ‘longest year ever’ behind us and looking ahead

… especially for parents who must work outside the home. Although the effectiveness of an office-based versus home-based workforce has been studied for years, there is new competition … has not yet been felt. Many questions hang in the air. Among them: How can employers keep an eye on ergonomic claims when working remotely? What happens if an employee is injured at home? Will COVID-19 affect how soon an injured worker can get …
Article

Managing Third Party Auto Claim Trends During COVID-19

… Fewer cars on the road, increasing accident severity, an uncertain economy—these are just a few of the unprecedented challenges the auto insurance … claims. Additionally, pain management treatments are on the rise—which is a continuation of an ongoing trend in recent years—but like telemedicine, still contributes to less than 1% of … example, a rule around treatment duration or gaps could automatically notify adjusters when an in-person treatment was billed at a time when a certain jurisdiction was under COVID-19 …