Article

Navigating AI and Claim Handling in 2026
Article

New York Workers' Compensation Board says NO to Medicare hold harmless language in Section 32 Waiver Agreements

… of the claimant’s failure to safeguard the funds in a self-administered Medicare set-aside account established pursuant to the agreement. The Board indicated that it believes these hold …
Article

New York Workers' Compensation Board says NO to Medicare hold harmless language in Section 32 Waiver Agreements

… of the claimant’s failure to safeguard the funds in a self-administered Medicare set-aside account established pursuant to the agreement. The Board indicated that it believes these hold …
Article

Supporting Our Clients for 70 Years with Insurance Technology

… having their claims handled, but also how companies themselves will operate. What trends are top-of-mind for you in auto physical damage? On the auto physical damage side, there are a number … collision repairers are looking to leverage technology to do things like streamline parts procurement and manage client scheduling. Lastly, consumers are driving another big trend that is … and severity continue to rise. Cost containment solutions that address these issues are top of mind both for us and for our clients. On the first party side, we continue to look for …
Article

Pharmacy Patterns as Predictors of Workers’ Compensation Claim Complexity

… falls, frailty, disability, and mortality, with preventable adverse drug events estimated to account for 5%-28% of acute medical admissions (Varghese et al., 2024) .   … . In out-of-network pharmacy channels, topicals represent only 13.9% of prescriptions but account for 40.2% of spending. … Topicals represent only 13.9% of OON prescriptions but account for 40.2% of OON spend, with some formulations costing 10-20 times more than …
Podcast

Quality Assurance in Case Management
Blog

Price Opportunists - Compound Kits and Combo Packs

… scripts per claim) in each of the last 5 years and overall use of both categories continues to account for less than 1% of total script volume and costs. However, this past year did see an …
News Release

Coventry Receives URAC Re-Accreditation for Case Management
Article

Workers’ Compensation Medical Claims

… treatment guidelines and clinical oversight. Enlyte Envision Trends 2026 Figure 7 Top Injury Types by 2025 Penetration Rate … rather than high unit cost. In contrast, inpatient, surgical, and intensive care services account for a disproportionate share of spend among a small subset of high-severity claims. This … targeted case management for complex, high-cost cases. Enlyte Envision Trends 2026 Figure 8 top service categories   …
Article

When Good Intentions Misfire in Workers’ Comp Pharmacy

… acquisition cost (NADAC) or similar acquisition-cost benchmarks. Out-of-network prescriptions account for 84% of abusive drug pricing in workers’ compensation, while in-network prescriptions … for the strategic direction of clinical products and programs and leads the division’s account management organization. Dr. Freeman has been recognized as a leader in innovative …
Article

Modernizing Claims Management: Streamlining Workflows With Integrated Negotiation Solutions
Article

Plugged In: EV Collision Insights Q4 2022

… a proper and safe repair. EV Q4 2022 Statistics EV Average Repairable Severity By the Numbers Top North America EV Markets Based on Repairable Claims Frequency Top EV Model Frequency by Region   Subscribe Now To subscribe to future issues of Mitchell's …
Article

Plugged-In: EV Collision Insights Q4 2022

… a proper and safe repair. EV Q4 2022 Statistics EV Average Repairable Severity By the Numbers Top North America EV Markets Based on Repairable Claims Frequency Top EV Model Frequency by Region …
Article

A Checklist of 8 Support Team Qualities to Look for When Choosing a Casualty Solutions Software Vendor
Article

Navigating Future Medical Costs: Forecast Claims Costs with Precision
News Release

Mitchell Announces Cloud-Based Glass Claims and Repair Management Solution
Blog

Brand and Generic Medication Trends

… or treatment of blood clots such as Xarelto®, Eliquis®, or Lovenox®, which represent the top 3 medications in the class by both use and spend in 2019. This class jumped from #14 in cost …
News Release

New York Adopts New Pharmacy Fee Schedule and Proposes New Draft of Drug Formulary Rule
Article

Auto Casualty Claims

… , comprising a smaller portion of claimants, require materially longer treatment episodes and account for a disproportionately large share of total medical cost The implication is not … Emergency department and outpatient hospital settings account for an increasing share of allowed dollars in first-party auto claims. Since 2022: …   2025 Enlyte Data ~$400M in charges from new technologies 35% of charges ultimately allowed Top 5 represent 90% of total 0101T – ECSWT – Extracorporeal Shockwave Therapy 0232T – PRP – …
Podcast

Getting OnBoard With New York's Regulatory Changes

… of what it's going to look like and, based on that, we are crafting some materials for our account managers, clinical reviewers, and operational staff. And, as we learn more about the … be tricky when there's regulatory timeframes. But I think that the board takes this all into account. We work through these aches and pains with them. We give them feedback, and I think over …
Article

Moving claims forward during COVID-19 - Guidelines

… For further questions on how Genex is moving your claims forward, contact your account manager. …
News Release

Genex Earns URAC Reaccreditation for WCUM and CM

… employees and 47 service locations throughout North America.  The company serves 381 of the top Fortune 500 companies in the U.S. today. In addition, Genex is the only company that delivers …
Article

The Regulatory Rollercoaster: A High-Stakes Game of Collaboration and Adaptability

… for clear and consistent policies, we are helping to shape the regulatory changes that account for the needs of all stakeholders. Enlyte also provides subject matter expertise to …
Article

Ask The Pharmacist: Understanding the Different Types of Drug Recalls

… If you have questions or concerns regarding drug recall information, please contact your Account Manager. Do you have a workers’ compensation or auto related pharmacy question? Send us …
News Release

Enlyte Drug Trends Report Indicates Significant Drop of Opioid Use in Comp

… in workers’ comp among therapeutic classes ranked by cost in 2023. Though eight of the top 10 therapeutic classes experienced increased costs per script — with two classes rising by … migraine medication classes at 14.7% and 10.2%, respectively, and both classes were among the top five therapeutic classes to experience brand average wholesale price increases in 2023, which … cost per script, said Wilson. “Basically, what’s driving these trends are the costs of the top three medications in their respective classes,” she said. “For instance, for migraine …
News Release

Purdue Pharma and DOJ Reach Opioid Settlement
Blog

2019 Recap

… shared 47 posts. We thought it fitting to cap off the end of the year, with a review of our top three most viewed posts. The Drug Trends Series posts were the big winners in 2019 with 82% … Egypt, France, Australia, Denmark, Ireland, and more. Read on to see some stats regarding our top three posts and our recommendations.  … 2nd most viewed post: Top 5 Opioid Medication Trends in 2018 … 3rd most viewed post: Investigating the Top Therapeutic Classes …
News Release

Overview of California Closed Formulary Draft Rules

… For additional information, please consult your Coventry Account Manager. About Coventry Coventry offers workers' compensation, auto and disability care- …