Article

Property Casualty 360: 6 best practices for case managers

… Cutting costs no matter what is not the way to do the job. Read here.  …
Podcast

On the Hot Seat: Political Uncertainty Clouds Heat-Related Work Injury Measures

… Florida, that’s really what it has boiled down to. It’s giving employers the flexibility to do what they can afford to do, what makes sense for that employer type. And so, they’ve been able to successfully lobby that … that and prevent them from using employees the way that they had intended or were hired to do. So that’s the big deal really. It’s the economics and the flexibility of the employer in … evolving over time. It gave the commissioner of Labor and Industry, basically, permission to do rulemaking. So, the commissioner can write heat‑related illness prevention plans, including …
Podcast

Clinical and Pharmaceutical Best Practices for PTSD

… will be making the annual trek to Orlando, FL, for the WCI conference. A topic that will be top of mind for attendees is how to best treat employee mental health issues resulting from … Tammy and Nikki join us today to talk more about this topic. Tammy, let’s start with you. Why do you feel it’s important that WCI attendees learn more about PTSD in comp? … problems tend to have poorer outcomes. And it’s also important to note that PTSD patients who do not improve also tend to have a protracted physical recovery when there’s physical injury as …
Podcast

Selecting the Right MSA and Regs to Know for 2025

… examinations or agreed medical evaluations to be medical treatment records.  So, what we do with the non‑submit MSA, again, can be more of an allocation. And usually, it’s a lower … : So, the limited MSA, again, it’s not going to be a full allocation. Usually what we do in this case is take the same information — medical treatment records, claim information, … it’s not for the full life expectancy. Some states have workers’ compensation statutes, which do not allow the work comp carrier to pay for future medical care after a certain period. A great …
Podcast

Managing the Labor Challenge: Clinical Services

… moving from one job to another. It’s new professionals coming into the industry. So now on top of the usual things you learn when you change jobs in similar professions, these new … and really only engage clinical resources when we can enhance the outcome. We’re not there to do their job, nor do we even have that expertise, but we are there to provide that additional … providing ongoing training and access to resources can truly help claims professionals stay on top of the changes within the industry, learn new skills, and handle complex cases more …
Podcast

Treating LGBTQ Injured Workers: Gaining Cultural Competence, Building Trust

… focus on the fact that this is an individual who wants to go back to work, and we need to do what we can to make sure that they are able to go back to work after they have received the … that they need. When it comes down to it, too, the company’s culture really has a lot to do with getting the LGBTQ individual back to work. Sometimes, there may have to be an assessment … is person‑centered, and we are letting them know that, "We're here for you. We're going to do our best to help you get the medical treatment that you need," and also it just goes to show …
Article

Five Questions with Assured Research President William Wilt on What’s Trending in Auto and Workers’ Comp Today

… 2. What predictions do you have for the workers’ compensation industry for the rest of 2019 and into 2020? … 4. What predictions do you have for the auto insurance industry for the rest of 2019 and into 2020? … 5. Of all of the challenges, trends and factors you’re seeing in the P&C industry today, which do you think claims organizations should be paying the most attention to? … gains we’ve seen at the intersection of science, medicine and the law. What does that have to do with property and casualty claims you might ask? We’re increasingly aware that advances in our …
Blog

How to Handle a Disaster in Workers’ Comp

… 250 parties go more smoothly than events that involve only 3 people. That has everything to do with their organization and planning. This is a direct result of having a plan of action, a … doing. The insurance carrier and the employer knew their risk and exposure. They knew what to do, and they had a firm and established understanding of what we were doing, so there was a trust …
Virtual Event

The Changing Insurance Workforce: Trends and Tips for Adapting [Podcast]

… the industrial revolution. Our workforce will be focused on helping to train the technology to do the work that humans used to do, and, instead of doing rote, repetitive tasks, will focus on dealing with exceptions that …
Blog

The new guy at work might soon be a robot

… work from the World Bank. A McKinsey Global Institute review of 2,000 activities that people do as part of their jobs found 45 percent of these efforts could be automated with existing … it couldn’t find sufficient numbers of workers in a tight labor market who were willing to do repetitive factory work. And many would-be job candidates were in poor health “because of …
Article

Ask The Pharmacist: Emerging Opioid Overdose Reversal Medications

… What are the different types of opioid overdose reversal agents, and how do they compare? Opioids continue to represent a decreasing portion of overall workers’ comp … with your health care professional such as the prescribing doctor or dispensing pharmacist. Do you have a workers’ compensation or auto-related pharmacy question? Send us an email at …
Article

Mindfulness: What Is It?

… your attention on your entire body, starting with your feet and ending at your head. As you do this "body scan," you might note places where you're tense or have pain. You might notice how … let them pass by as you watch. Now that you know what mindfulness is and how it can help, what do you think? If practicing mindfulness is something you'd like to try, what would be a good next …
Article

Reducing Disability Durations and Improving Claim Outcomes Through the Use of Transitional Duty

… to full duty upon recovery. Transitional duty is about identifying what an employee can do and matching their capabilities to a work assignment. … following an injury or illness at the worksite; however, some employers find it difficult to do so. When employers find themselves in this situation, there is another option for transitional … begin earning a wage and typically have benefits restored. Focusing on what the employee can do not only encourages them to keep working towards full recovery but also may lessen the focus …
News Release

Genex Services Becomes Ticket to Work Provider

… Ticket to Work holders also may continue to receive Medicare for more than seven years and do not need to undergo continuing disability reviews (CDR) while participating in the program and … their employment goals. “We are honored that Genex is involved in a program designed to do what we do best here, that is, helping change lives for the better,” said Jennie Gailey, Vice … and disabled workers. Genex, a clinical management leader throughout North America, serves the top underwriters of workers' compensation, automobile, disability insurance, third-party …
News Release

Risk & Insurance: The Power of a Job Description: Cut Claim Time and Prevent Reinjury
Article

Adapting to life in quarantine

… regularly don’t want to go back to the gym, at least not yet. They want to continue to do so at home, and gyms are scrambling to stay relevant (and solvent). Is the trend toward being … Some companies are famously agreeing to this kind of flexibility while others may also plan to do so. One thing seems certain: the pandemic is likely to bring lasting changes to how we live …
Blog

Unlocking the Benefits Behind Custom Networks

… certified network reports are available for compliance purposes. Implementing custom networks do far more than safeguard the bottom line. They focus on truly addressing the needs of injured … prioritize both efficacy and efficiency. The best clinicians can more easily rise to the top thanks to deeper insights into patient trajectories. In the emerging landscape, powerful … algorithms pull data to evaluate outcomes and push data to aid clinicians in doing what they do best — taking care of patients in supporting their return- to- work and a return to their …
Article

New Year Resolutions to Make With Your PBM

… What were your goals for 2017? Did you accomplish what you set out to do? … Do you have any plans for patients using opioids? … consider how you can be on the forefront of these developments and how your PBM can help you do so. …
Author

MG Kristian

… Ms. Kristian’s passion is helping companies create environments where employees can do their best work, and building the leadership capability to make that happen. …
Podcast

Measles and Its Impact on the U.S. Workforce

… Yes, that's exactly right. Our guidelines do support and move our clinicians in the appropriate direction in instructing employees who call … OK, got it. So, do you expect this outbreak to continue and be a concern for employee exposure over the next few … So, while it's challenging to predict the exact trajectory of any outbreak with certainty, we do anticipate that measles will remain a concern for employee exposure in the coming months. And …
Article

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

… that despite everything, we have been able to continue to deliver on the important work we do for our clients every day.” … can’t let a pandemic be the enemy of the possible! You have to press on, be bold and dare to do what others wouldn’t.  We did amazingly transformational work despite unthinkable … with colleagues from across the industry.” “You have to press on, be bold and dare to do what others wouldn’t.   Q: What are you looking forward to most in 2022? …
Article

Information is the Key to Proper & Safe Vehicle Repair

… with our customers and Mitchell Advisory Council members, I know proper and safe repairs are top of mind. And as a general manager of an organization that serves as an active participant in … we all play weighs heavily on my mind. It is my belief that one of the important things we can do as an industry to support collision repairers in delivering proper and safe repairs is to … spot detectors and occupant classification systems that use sensors to identify passengers who do not meet minimum weight requirements and prevent airbags from deploying. While sensors and …
News Release

Keeping Your Remote Teams Engaged in a Changing World

… suddenly required to work from home, and face-to-face communication is all but eliminated, how do you continue to engage your teams and ensure their success? View Article …
Podcast

Are All Electronic Provider Payment Solutions the Same?

… They chose to implement a solution with the vendor of their choice. They attempted to do this for a period of time, but they really couldn't go live for reasons that aren't … unsuccessfully, they came back to us and asked to implement with our preferred vendor that we do have all the payment as well as data integrations with. We were not only able to implement … base out there to receive their payments through a particular modality. And so, what we can do is day one, as soon as we put one of our payers on our ePay solution, we can start paying …
Article

Michigan No-Fault Auto Fee Schedule Frequently Asked Questions

… your thoughts on the implementation date of this fee schedule moving or being delayed? When do you expect to receive the final rules from the state? We have spoken to The Michigan … the "participating" amount. The “limiting” charge is the upper limit on how much providers who do not accept Medicare's approved amount (participating) can charge. Usually, the patient pays … it is finalized by JCAR, it really does not exist, which makes it difficult to implement. Do the draft administrative rules imply the usage of the participating Medicare rate? They can, …
Podcast

Understanding Mental Health Misconceptions in Workers’ Comp

… can escalate into the need for evaluation and potential treatment. And there are states that do recognize mental health diagnoses, whether they are with or without a physical injury as being … seeing for coverage for PTSD and other related mental health conditions, for first responders do think we're probably going to start seeing more of these claims, being accepted into workers' … a holistic perspective, looking beyond that primary physical injury. And you really have to do that and adopt this type of practice. Because if you do, it's likely that you may identify …
Article

Taking a look at blue light

… dramatically. LED light from phones and tablets usually emits quite a bit of blue light, as do computer monitors. This light allows us to see our screens more easily outdoors in sunlight, … shows. Many school-aged children are still in virtual classrooms too, at least part time. On top of all that, TVs are getting bigger and brighter, as are the screens of tablets and phones. … As a result, our eyes are getting weaker and less able to focus clearly on distant objects. On top of that, the rapidly refreshing images on LED screens can cause eye fatigue, especially in …
Podcast

Robocop Talks About Run for Sheriff and Upcoming NWCDC Session

… areas of  health care and workers’ compensation. And she used that knowledge to advocate, do extensive research and provide information to the insurance company on the benefits of the …