News Release

Mitchell and Genex sign merger agreement that brings together leaders in medical compliance, cost containment and clinical solutions

… said Peter Madeja, CEO of Genex. “Moreover, through our combined strength, we now have an even greater ability to simplify processes, optimize workflows, and integrate rich data sets to better serve our customers. Collectively our companies have an over 100 year history committed to serving our valued clients. I speak for the entire … than 2,900 employees and 41 service locations throughout North America. The company serves the top underwriters of workers' compensation, automobile, disability insurance, third-party …
Article

What’s BIG Diversity?

… to understand the traditions, values, and beliefs of a specific population. And it’s really an ongoing process that begins with communication. … Can you give me an example of how communication impacts  claims outcomes for this community? Communication has …
News Release

Taking Heart in Workers' Comp

… was having trouble with post-op recovery from a hand injury, Price-Benham worked with a top hand specialist to secure a diagnosis of reflex sympathetic dystrophy (RSD). They then … When a workplace explosion blasted an employee down an elevator shaft causing life-threatening injuries, cataracts, and a traumatic brain injury, … throughout North America. The company serves 381 of the Fortune 500 companies as well as the top workers' compensation and disability carriers and third-party administrators in the U.S. In …
News Release

New York State Workers’ Compensation Board Restores Previous Requirements

… and insurance carriers are not required to pay any bill or reimbursement request from an out-of-network pharmacy that is deemed to have received the notification required by this …
Article

A Day One Approach

… and Return to Work Programs Each year, millions of workers in the United States experience an injury or a serious medical problem or disability that results in absence from work to receive …
Article

FDA Approves Combination NSAID/Opioid Seglentis

… and is indicated for adults in the management of acute pain that is severe enough to require an opioid analgesic and for which alternative treatments are inadequate. Seglentis was approved …
Article

FDA Approves Combination NSAID/Opioid Seglentis

… and is indicated for adults in the management of acute pain that is severe enough to require an opioid analgesic and for which alternative treatments are inadequate. Seglentis was approved …
Case Study

Walking Toward Function

… The thought of losing a lower extremity was devastating to the young man, who lived an active lifestyle and was engaged to be married.   …
Podcast

The Truth About Mental Health and Claim Costs

… that's a really important point to make. There's so much that can be done pre‑claim, but from an employer preventive perspective, I think we have to get beyond the misconception that mental … aware that worker health influences worker productivity and that productivity obviously has an impact on the organization's performance and competitiveness in the market. Smoking, sedentary … claim durations and increased indemnity costs as well as medical payment. Let's take a look at an example. If you look at three views of the same person, a 50‑year‑old with a low back strain, …
Podcast

Understanding Mental Health Misconceptions in Workers’ Comp

… society becoming more open to understanding the importance of mental health as a component of an individual's overall well‑being, I really feel the stigma of mental health and its impact on … particularly if not acknowledged and addressed early on in that claim. Really, when an injured worker feels supported in managing both the physical and psychosocial aspects of their … I think there are different ways to look at mental health issues. first, can they, predispose an injury? Absolutely, but that preexisting condition can be exacerbated, as a result of the …
News Release

COVID-19 Affects Treatment in Kentucky and Texas

… 24, 2020, Commissioner Robert Swisher of the Kentucky Department of Workers' Claims issued an administrative order delaying the implementation of the ODG Medical Treatment Guidelines until …
Blog

What Will Opioid Legislation do for Pharmacy and Opioid Risk Management?

… in electronic health records, when requested by the patient. These legislative advances are an encouraging step forward in the effort to combat the opioid epidemic, and we will continue to …
News Release

Indiana Legislature Passes Drug Formulary Bill

… by a URAC accredited entity with a final decision issued within five business days. There is an appeal process if the URAC entity affirms the denial of the medication. Formulary requirements …
Article

ADAS Calibration: The New Profit Center

… In an industry presentation, Mike Anderson of  Collision Advice  highlighted the importance of … the equipment needed depends on the type of calibration performed: dynamic, static or both. An  all-in-one diagnostic scanning tool  that accesses OEM procedures, resolves Diagnostic … the delivery of proper, safe repairs will continue to grow. However, with the right training, an auto diagnostic tool, the latest equipment and OEM procedures, collision repairers can safely …
Article

Average Length of Rental for Repairable Vehicles: Q1 2021

… Overall U.S. LOR for Q1 2021 remained stable compared to Q1 2020, with an increase of only 0.1 days. Since COVID’s impact on 2020 LOR was most evident in April’s … and the number of quotes per part. Average delivery time quoted was 2.1 days, which was an increase of only 0.1 days from Q1 2020—identical to the increase Enterprise saw in overall … impact on new vehicle production, the impact has been minimal on collision repair. That said, an upcoming shortage of raw natural rubber products—mainly the product of a rubber plant leaf …
Article

Quarterly Drug Update: Evaluating Combination Medications

… Why do combination medications create an issue in workers’ compensation? … inexpensive. Famotidine is taken with ibuprofen to lessen stomach upset, since famotidine is an H2 receptor blocker and reduces stomach acid. As stated earlier, Duexis® can cost nearly … Why might some prescribers opt for an expensive combination medication over its generic ingredients? …
Podcast

Making Change Happen in WC: What’s Holding You Back?

… of the risk or of the claims or of the injured workers. I think the incentives are somewhat of an obstacle. What are the incentives of each of constituents? What is the incentive of a claim shop of an insurance company versus a TPA versus an employer? And, their incentives may align differently, relative to how much they want to …
Article

The Opioid Epidemic: Using Opioid UDS to Empower Better Outcomes

… class method (e.g. Immunoassay, enzyme assay) each drug class” and excludes chromatography. 6 An example of reimbursement by CMS for CPT code G0431 at POC is $160. This may vary for state fee … for Prescribing Opioids for Chronic Pain. CDC includes a recommendation for UDS but with an evidence grade 4, the lowest level. Furthermore, the CDC guideline notes that UDS “does not … so that they can rationally employ patient-centered UDS in clinical practice. UDS can be an e ective tool for clinicians in the assessment and ongoing management of patients who: Will …
News Release

California Utilization Review Public Comment May 2025

… Senate Bill 110 that extends the time period that a physical therapist may treat an individual without a referral from 30 days to 90 days; after 90 days, the physical therapist … Drug Formulary Update May 1, 2025 The Tennessee Bureau of Workers' Compensation announced an update to its Drug Formulary April 8, 2025. The updated Drug Formulary includes additions, …
Article

Physical Therapy Frequently Asked Questions

… clinical oversight and effectively manage costs. When you contact us, you’ll gain access to an extensive provider network that facilitates easy access to therapy. Our centralized services … Specialty Solutions offer a one-stop-shop experience to make sure those recovering from an injury get what they need, when they need it. Contact Us Today   Download the Flyer …
Article

Plugged-In: EV Collision Insights Q2 2024

… up 2% and 27% respectively over Q2 2023. Mild hybrid electric vehicles (MHEVs), which combine an internal combustion engine (ICE) with a small electric battery, saw claims frequency of 3.8% … appraisal , they are less likely than their ICE counterparts to have frame labor present on an estimate (5.21% for EVs versus 8.18% for ICE options). Frame labor is typically flagged when … Top North America EV Markets Based on Repairable Claims Frequency Q2 2024 …
Article

Specialty Solutions Spotlight: Common Work-From-Home Injuries

… results and injured employee satisfaction. We’re here to make sure those recovering from an injury get what they need, when they need it. This information is meant to serve as a general … diagnostic imaging or another specialty solution, call us today at 877.203.9899 or send an email to referrals@apricusinc.com .   Resources: …
Article

Enlyte Lobbying Outlooks for 2024

… as we enter the 2024 Presidential Election and legislative year, we feel confident it will be an interesting one! In order to successfully navigate these regulatory complexities, Enlyte works … from the plaintiffs’ bar and we are doing what we can to work around it. We look forward to an exciting 2024 legislative year! As shared, while we can’t predict the future, Enlyte, along …
Article

Ask The Pharmacist: Exploring Drug Market Exclusivity and Generic Availability

… first know the process behind bringing a new drug to market. When a drug manufacturer develops an idea for a new drug, one of the first steps they take is to file a patent for the compound or … 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 …
News Release

Mitchell Q2 Industry Trends Report Examines Shifting Claims Technology and Mobility Patterns

… Intelligence for Mitchell's Auto Physical Damage division, Olivier Baudoux, shares insights in an article “AI and Its Impact on Automotive Claims.” COVID-19 has fast-tracked the adoption of … In addition to insights into the state of imaging equipment, these experts provide an update on the latest industry and technology trends related to predictive analytics, …
News Release

Mitchell Issues 1st Quarter 2020 Industry Trends Report

… has more than doubled in the last five years, making the market more attractive to consumers. An analysis of Mitchell's industry data shows that electric vehicle claim frequency has doubled over the past two years and the average cost of repair for an electric vehicle remains approximately 50 percent higher than the average cost for internal …
Article

StateWatch: Bill Review July 2019

… the medical component of the Consumer Price Index (CPI) . Effective July 1, the rule reflects an increase of 3.3%. … new rule restricts prescribing of opioids. The opioid dosage restriction to a 30-day supply of an opioid with a dosage that does not exceed a total of 1,200 morphine milligram equivalent does …
Article

StateWatch: Bill Review July 2019

… the medical component of the Consumer Price Index (CPI) . Effective July 1, the rule reflects an increase of 3.3%. … new rule restricts prescribing of opioids. The opioid dosage restriction to a 30-day supply of an opioid with a dosage that does not exceed a total of 1,200 morphine milligram equivalent does …