News Release

Arizona Senate Committee Gives Qualified Approval to SB 1111

… to medications dispensed by a licensed pharmacist in a retail pharmacy setting. This includes an online setting that is publicly accessible. The legislation contains an exception for … door” pharmacy. Reimbursement is allowed if the medication is dispensed within 72 hours of the injured worker seeking medical treatment for the first time. The medications would also be … for non-opioid medications. The original bill contained language limiting the prescribing of opioids, but that section was amended in committee to conform with the opioid limits contained …
Article

10 Ways Field Case Management Can Make a Difference

… Navigating the complexities of an injured employee’s recovery can be daunting. That’s where Enlyte’s field case management … in—designed to support injured employees, their families and health care providers every step of the way. Our approach isn’t just comprehensive—it’s empathetic, innovative and tailored to … of the information their doctors give them without prompting … and delays in care delivery. The field case manager provides oversight across every stage of the injured employee’s journey from injury to recovery, preventing a disruption of care during …
Article

Need a Work Comp Boost? Head to San Diego

… It doesn’t take much to entice an Easterner to visit San Diego. In fact, I can count at least three friends who left our coast … feeling the positive vibes emanating from this unique workers’ comp conference. The brainchild of the late WorkCompCentral founder David DePaulo, Comp Laude was designed to herald the many positives of our industry that often go untold. Organizers for this year’s event have taken DePaulo’s …
Article

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

… An y NC claim unless the patient has been receiving a “ targeted controlled substance ” for … 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 …
News Release

Illinois Piloting Opioid Alternative Cannabis Program

… 2018, Illinois Governor Bruce Rauner signed into law SB336, the Alternatives to Opioids Act of 2018. The act would allow a treating physician to refer a patient to the Opioid Alternative Pilot Program for conditions where an opioid might otherwise be prescribed. The Opioid Alternative Pilot Program would allow patients to use medical cannabis to treat their condition instead of an opioid. To be eligible for the program, the patient must be qualified by their physician to …
Case Study

No Place Like Home

… she helps injured workers return to their highest functional level, no matter the severity of injury. Below is an example of how Ms. McCall helped a young man regain his independence after surviving a devastating … rehabilitation center and Mr. C was beginning to decline both physically and mentally because of it. He was then moved to a Georgia facility that could provide the advanced care he needed. It …
Virtual Event

Real-Life Robocop Webinar: Meeting 'Impossible' RTW Goals in Catastrophic Cases

… advances are making inroads in allowing people with disabilities to regain a high level of functioning. In this can’t-miss webinar, you will meet Jeremy “Robocop” Romero, a New Mexico police officer who sustained an on-duty spinal cord injury, yet returned to policework six months after his incident. Genex’s … presenting his remarkable case study. Through Jeremy’s own words, you will witness the triumph of the human spirit as he explains the details of his accident, fight for survival, physical and …
Article

Strengthening Return-to-Work Outcomes: A Guide to Vocational Case Management for Claims Professionals

… When a workplace injury disrupts an employee’s ability to work, the path back to productivity can be complex. Vocational case … facilitating a structured return to the workforce. For claims professionals, early involvement of a vocational case manager can make the difference between a prolonged, costly claim and a … Vocational referrals are commonly triggered when: An employee cannot return to their pre-injury employer. Physical restrictions prevent full-duty …
Case Study

Ensuring Precision and Agility in Settlements

… feat. The carrier mentioned in this story emphasized closing claims earlier by implementing an early settlement program but struggled with payment accuracy on medical bills. This was time consuming for adjusters and made the economics of early settlement more challenging. However, this success came with an interesting revelation. … with institutional knowledge. Claim processors now assisted adjusters in the handoff of settled claims, ensuring that costs were contained with no tolerance for back-billing. This …
Case Study

On the Right Track

… With more than 30 years of experience as a Genex case manager, Mary Aydt, RN, MS, CRRN, is a renowned professional who is … when a catastrophic injury occurs. She is known to answer calls no matter the hour to ensure an injured worker gets on the right track to functional restoration.   … had his initial outpatient PT evaluation, he was deemed to be at a 9 percent functional level of his lower extremities.   …
Case Study

Through the Fire

… to optimal outcomes. This background would come in handy when faced with a case involving an injured worker with significant burns.   … An injured worker sustained serious 2nd and 3rd degree burns to his right arm, face and head. Attentive care for this type of injury is crucial for healing and infection prevention, so Schilk referenced guidelines such … and efficient healing process, the worker was initially reluctant to go back to work because of reinjury concerns. Schilk worked with him to ensure that the employer had developed a modified …
Conference

AASP Northeast Trade Show

… Northeast is an event that has been designed to specifically fit the needs of today’s automotive professionals representing all aspects of the repair industry. Located just minutes from New York City, Northeast provides attendees …
Article

Unlocking Value Across Market Segments Using a Holistic View

… One of the biggest highlights of 2021 for the Mitchell, Genex and Coventry family of businesses was uniting under one unified brand – Enlyte. While our three companies have worked … Enlyte: If someone is injured in an auto accident, or in an accident at work, how does the connectivity of technology, clinical services and networks make the process easier to navigate and get the … “When a person is injured, whether in an auto accident or a work-related accident, the severity of injury itself is only one piece of the puzzle that impacts recovery and overall outcomes. …
Virtual Event

Webinar: The Whole Person Approach

… Identifying social determinants of health to assist in recovery and return to work … Case managers have long known the importance of getting to know an injured employee and their family on a more intimate level. They understand that observing the … stability, home life, and access to healthy food. And they are keenly aware that these aspects of a person’s life, also known as social determinants of health, have a significant influence on …
News Release

State Legislatures Looking at Opioid Bills

… opioid prescribing limits and are looking at more ways to control the prescribing and use of opioids through physician education, patient education, safer packaging and unused medication … would require health insurance companies to provide coverage for opioids, prevent any type of prior-authorization for opioids and prohibit an insurance carrier from charging a different rate for drugs in the opioid class. Fortunately, …
Article

Top 10 Trends from the Mitchell 2016 P&C Conference

… with one another and do business. From augmented reality to information security, here are 10 of the many trends that were top of mind at the conference. … that uses inexpensive virtual reality headsets to ease patient pain. Early results suggest an average 24 percent decrease—similar to the pain reduction they see when administering … Consumer Self Service Is the Way of the Future … Driven by the ubiquity of mobile devices and a growing preference among consumers, particularly Gen Y and Gen Xers, to …
News Release

Mitchell Announces Partnership with Drew Technologies to Deliver OEM Scanning and Remote Diagnostic Support

… Mitchell, a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) claims and Collision Repair industries, today announced a partnership with Drew Technologies, an Opus IVS Company, under which Drew Technologies scanning and diagnostic technology and … the collision repair and automotive claims processes. The partnership links the technologies of the two companies to include coverage to nearly all vehicles in the US. This is particularly …
Podcast

Independence Through Home Modification

…   When an employee sustains a significant injury which requires inpatient care and rehabilitation, going home is often the first major goal of recovery. But the comforts of home may not be so comforting if the person requires a wheelchair or other assistive devices … So let’s start with the basics. What is the purpose of home modifications in a workers’ comp case? … : So, the purpose of home modifications, in general, is really support the health and safety of injured employees …
Conference

IBIS Summit 2020

… IBIS has built up an enviable reputation as a source of high-level information and market analysis; a forum for high-level debate; a melting pot of innovative approaches to industry problems and, of course, incomparable networking …
Article

Ask The Pharmacist: Cosentyx and Its Place in Workers’ Comp

… Could Cosentyx serve as an effective treatment option for chronic autoimmune conditions within workers’ compensation?  … you seeing requests for Cosentyx for your injured employee but are unclear on the application of this medication? Cosentyx, a biologic medication developed by Novartis, is increasingly … and improve physical function, which can aid in faster recovery and potentially lower the risk of permanent work restrictions or total disability claims. However, while effective, it is …
Case Study

Return to Duty

… With over 19 years of experience as a registered nurse including five as a workers’ compensation case manager, Sandy … A 40-year-old male police officer was shot in the hand by a motorist he pulled over on an interstate. The injury required surgery for tendon repair and debridement of his left middle finger. Though the procedure was deemed successful, days later the officer … Sandy’s experience and interaction with the officer, she was quick to note this was not a case of malingering. Instead, Sandy advocated for the injured officer through frequent communication …
Article

A Fresh Look at Automotive Refinishing: Data, Trends and What to Look for in 2020

… While the complexity of vehicle technology continues to explode, automotive paint processes seem to have remained relatively stagnant since the advent of waterborne base coats and the introduction of three-stage coatings on some luxury vehicles. … disruption. Refinish operations are integrally tied to repair vs. replace decisions made on an estimate, and it follows that as more parts are being replaced, more refinish labor hours will …
Case Study

How to Save a Life

… Beverley Brown, RN, CRRN, CCM, has enjoyed an extensive career in health care that spans more than 30 years — the last 15 as a case manager. She employed her excellent critical thinking skills to uncover an undiagnosed condition that could have resulted in deadly consequences for an injured worker.   … a police department aide who had been diagnosed with reflex sympathetic dystrophy (RSD) of the ankle five weeks earlier. Despite staying compliant with her treatment, the worker’s …
Article

What does tesla have to do with healthcare?

… When most people hear the word “tesla,” they probably think of an electric car or maybe its brilliant namesake, Nikola Tesla, who invented alternating current and designed the hydroelectric power plant at Niagara Falls. But in the world of imaging technology, a “tesla” (T) is a unit of magnetic flux density, which is responsible for …
News Release

Montana Publishes Adopted Drug Formulary Rule

… After an extensive and inclusive rulemaking process involving multiple stakeholder meetings and comment periods, the Montana Department of Labor and Industry posted their adopted drug formulary rule in the Montana Administrative … on December 21, 2018. The rule is effective on January 1, 2019, with the actual application of the drug formulary coming in stages after that date. The following are the highlights from the …
Article

Ask The Pharmacist: Drug Allergies Versus Side Effects in Workers’ Comp

… allergies are rarer than side effects, but are potentially more dangerous, and are a result of the activation and response of the body’s immune system to an “insult” or “foreign body.” Allergies occur across a range of severities, from mild to …
Article

Mitchell Canadian Collision Summary: Q2 2017

… Editor's Note At the request of our customers and friends in Canada, we are pleased to provide the following Canada-specific … This data is the product of upload activity from body shops, independent appraisers, and insurance personnel, more … in Q2 2017, was $3,790 - a $190 increase from Q2 2016. Factoring for development yields an anticipated increase to $3,915. Average Appraisal Values Severity Overall …
Article

The Aging Workforce and What It Means for Claim Adjusters

… longer recovery times. According to a recent study, injured workers aged 60 and older were out of work an average of 97 days, nearly three weeks longer than the overall average. Another report showed that claims …