Article

Using Telematics to Prevent Distracted Driving

… more insurance claims than others in the risk pool. “Distracted driving is more predictive of an eventual loss claim than virtually any other behavior, including speeding and braking,” writes … feeling comfortable engaging in other tasks while driving.” 10 Consumers have always played an active role in preventing distracted driving crashes, and telematics now acts as a virtual … practice safer driving,” states Insurance Innovation Reporter. 6 “Consumers have always played an active role in preventing distracted driving crashes, and telematics now acts as a virtual …
Article

Insurers Lead in AI Investment

… were asked to rank what they thought the biggest risk was to successful AI implementations—an interesting question when posed to an industry built on evaluating risk. The number one answer: developing a system that makes good, … decisions. 3 To me, this is also the area of greatest potential reward. Our greater purpose as an industry is to restore people’s lives after an unforeseen, and often challenging, event. In …
Virtual Event

Drug Trends Analysis Webinar

… Evaluating an ever-changing pharmacy landscape in workers’ compensation … new levels of analysis and understanding. Join this webinar to: Get deeper perspectives on the top pharmacy trends Learn how to best equip your pharmacy program for success Prepare to navigate …
Conference

SEMA 2022

… and to develop various skills by attending any of the 70+ free educational sessions hosted by top industry professionals! Be sure to check out Mitchell, an Enlyte company, and all our latest repair solutions at booth #32245!   Learn More …
Article

WorkCompWire: When Red Flags Appear, IMEs Provide Insight to Take the Next Step on a Claim

… Even in midst of the COVID-19 pandemic, independent medical examinations (IMEs) remain an important part in moving claims forward and making sure the injured worker is on the right …
Blog

Navigating the Landscape of Drug Formularies and Prescribing and Treatment Guidelines

… and more jurisdictions to move towards adoption of legislative and/or regulatory measures as an effort to combat the nation’s opioid crisis and to control prescription utilization and cost. …
Article

Supporting Safer, Smarter Workplaces with Physical Demands Analysis

… carry out those functions. This information is crucial for several use cases: Matching an employee’s physical capacity with the demands of a specific role. Supporting better outcomes … risk factors for injury or reinjury All reports are delivered digitally and cataloged in an employer-specific job bank, making it easy to retrieve information when needed. Ready to make …
Article

Ask The Pharmacist: Preventing Tetanus in Workers’ Compensation

… Prompt medical evaluation and treatment, including a booster shot if necessary, may prevent an infection from developing. Staying informed about the risk of tetanus and its prevention can … 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

Managing Crisis Events at the Workplace

… —When an affected employee returns to work, have a clear plan in place. This can include flexible … sixcore Prevention is Key While it may not be possible to prevent all workplace crises, an initiative-taking approach can significantly reduce their impact. Encourage open …
News Release

White House Issues Executive Order on Drug Pricing

… On September 13, 2020, President Trump signed an executive order intended to lower drug prices in the United States. This order is a follow up to an order issued in July that would have given Medicare Part B patients access to medications at …
Blog

WHY USE ANTICONVULSANTS TO TREAT PAIN?

… a measure of effective analgesia (without craving, tolerance, and addiction) is taking on an increased priority in discovery laboratories and across the ranks of practicing clinicians and … listed.  Off-label prescribing is a common practice. When off-label use is not supported by an expert guideline, such as the Official Disability Guidelines (ODG) or American College of …
Case Study

On the Road Again

… customer and patient feedback while being sensitive and respectful of cultural needs. Here is an example of how Ms. Novess helped an injured truck driver get back on the road despite a family emergency that could have steered …
Podcast

Pulsing Recovery: Bone Growth Stimulation's Impact on Comp

… complex injuries that are not healing as expected or if there's delayed healing, we've seen an increase in their use over the years as evidence continues to show the efficacy of bone growth … months of no progress in healing. The treatment team will usually evaluate to see if it's an appropriate course of action. They are also used immediately after certain spinal fusion … So, yes, these devices are placed externally on top of the fracture site. Then, electrical pulses or ultrasound signals are sent to the fracture …
Podcast

Rigorous vs. Permissive Utilization Review: Beyond the ‘Rubber Stamp’

… We see some process designs that just take too long. I think that's not an intent, but that is sometimes a consequence of programs in terms of how they're designed. We … UR systems would have that in them, so that's one way to ensure that the process is not an inhibitor or a delayer of return‑to‑work. When you have decisions that require more clinical … nurses. More and more typically, they're not US‑based, they are typically collaborating in an ad hoc, unstructured way with claims examiners. And then, of course, you've got escalation to …
Conference

CSN Collision Conference 2025

… The 2025 CSN Collision Conference is an engaging and informative gathering for industry professionals. Themed around “Charging …
Author

Nicole Usher

… quality service delivery, she instills these values within her team, partners, and clients. As an operational leader, Nicole promotes innovative ways to provide superior client experiences …
News Release

Risk & Insurance: How This Nurse Case Manager Is Using Her Skills to Help Health Care Workers Cope with Burnout

… ventilators. Some will luckily survive, but some will unfortunately pass away, making a death an everyday reality for the medical workers fighting the pandemic. Continue reading here. …
News Release

Risk & Insurance: Top 10 Lessons Learned in Helping Workers Move Past COVID-19

… Here are the top lessons workers' comp pros have learned about COVID-19, its impact on the workplace and on how to help employees get back to work after illness. There's no doubt COVID-19 has had an impact on the workplace. Not the least of which is the mental and physical struggles that …
Podcast

Combatting New Jersey Auto Casualty Challenges

… When an auto injury occurs, insurers often face challenges in coordinating with multiple vendors to … policies for auto insurance to have coverage for medical expenses should someone be injured in an automobile accident. Under the AICRA regulation, it specifically says that those medical … the clinical aspects of these claims, which is a big and important component. But there’s also an administrative aspect of the claims process around billing. So, one of the big challenges is …
Podcast

Personalized Comp-the Starbucks Way

… : Going back to 2010 when we did an RFP both for claims management services and also bill review and managed care, we ended up at that time selecting an unbundled approach. And then, four years later in 2014, another significant shift that we made … around trying to figure out the best way to meet our injured partners’ needs. It was just an overall program standpoint to better serve the needs of our partners, our employees who are …
Article

WorkCompWire: Ron Skrocki: Medication Management: A Growing Problem Requiring a Collaborative Effort

… addresses the persistent issue of opioid misuse in workers' compensation. He advocates for an integrated approach to medication management, emphasizing the need for collaboration among …
Conference

Workers’ Compensation Institute (WCI) 2024 Conference

… professionals from across the country for networking, information sharing and provides an opportunity for vendors to display their products and services. Enlyte will have a dynamic …
CE Webinar

Ethics in Claims and Medical Case Management

… CE credit is not available for previously recorded sessions. In an increasingly cost-conscious environment, in which ethical standards have taken on heightened …
Author

Tom Kerr

… With more than 25 years of experience in medical management media, Tom Kerr is an award-winning writer and editor with a demonstrated history in the workers’ compensation …
White Paper

Tipping Points: When Good Claims Go Bad

… and, more importantly, the employee’s health and well-being. This whitepaper will take an in-depth look at high-cost claims, including: Implementing a scientific approach to preventing …
Article

2021 CPT Code Changes: Evaluation and Management Updates

… 99202, as the organization outlined in the CPT 2021 changes, "Code 99201 previously described an office or other outpatient evaluation and management visit of a new patient required a … of a test performed by another provider and/or discussion of test interpretation with an external physician/QHP) instead of merely adding up tasks. … the final diagnosis for a condition does not in itself determine the complexity or risk, as an extensive evaluation may infer that the signs or symptoms do not represent a highly morbid …
Article

Uncertainty clouds the outlook for some workers this fall: home or office?

… vaccination. And Delta Air Lines says it will charge unvaccinated workers on its health plan an extra $200 a month; the carrier points to an average cost of $50,000 for a hospitalizations relating to COVID-19. Vaccines for all could … from home have grown too enticing. Some workers who require little more than a laptop and an internet connection to do their jobs can’t stomach a return to workdays bookended by …
Podcast

Using the ODG’s Treatment Analyzer on Outcomes to Improve RTW

… and the New Role of Analytics: Introducing the TAO Index from ODG,” it states that “TAO is an advanced new metric leveraging claims analytics to bolster traditional literature review. TAO … Society of America, the underlying premise of case management is based on the fact that when an individual reaches the optimum level of wellness and functional capability, everyone benefits: … process providing critical data and tools to drive better outcomes. The TAO Index brings an additional level of data driven tools to our case managers. Unity, our Genex case management …