Article

Care Management: Cultural Competence and the Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) Patient

… This article originally appeared  CareManagement , and is reprinted here with permission. An ethical challenge faced by case managers and others working in health care is to respect the rights and inherent dignity of all clients and to treat each patient with dignity, maintain objectivity in their …
Conference

IAIABC 112th Convention

… The International Association of Industrial Accident Boards and Commissions (IAIABC) is an association of workers' compensation jurisdictional regulators and industry professionals that finds …
Conference

IAIABC 111th Convention

… The International Association of Industrial Accident Boards and Commissions (IAIABC) is an association of workers' compensation jurisdictional regulators and industry professionals that finds … Enlyte is proud to be a returning sponsor of this year's IAIABC 111th Convention. …
CE Webinar

Back and Neck Injuries: Treatment Options

… available for previously recorded sessions. Neck and Back injuries make up a large percentage of the WC and Healthcare related claims treated in the orthopedic field. There are several common … for each group: neck and back, as well as common indicators that suggest who might suffer an injury. This course will review the common sources of neck and back pain through injury. The instructor will discuss diagnosing common neck and back …
Podcast

Ancillary provider's role in catastrophic claims

… In workers’ compensation, catastrophic claims often require a lot of ancillary services which are extremely vital to an injured employee’s recovery. This includes durable medical equipment, transportation and home health care, to name a few. In today’s Inside Workers’ Comp, Carlos Cordova, director of operations at Priority Care Solutions, takes us through the process of what good ancillary …
Blog

Prescription and Private Label Topical Trends in 2018

… Topicals represent 5.1% of total prescriptions and 14% of total drug cost, and are being prescribed as an alternative to some oral medications. Within this class, cost drivers including prescription …
Blog

Morphine Equivalent Dose (MED) Trends in 2018

… Morphine Equivalent Dose (MED) remains a valuable indicator of risk when it comes to opioids, and we continue to see downward trends through 2018 that align … best practice recommendations. In particular, declines in long-term high MED opioid claims and an increase in the presence of opioid overdose reversal agents when MED is over 50 represent two areas that impact patient …
News Release

Genex's Patricia McFall Wins Case in Point Platinum Award

… Case management prize is one of industry's highest honors … , has been recognized as one of her profession's finest after recently winning the … Program is designed to recognize leaders in case management who are improving the delivery of care in the areas they serve. Processes such as transition of care, disease management, … male who sustained a significant workplace injury when a ladder he was positioning hit an electrical line, sending …
Blog

Introducing Networks 2.0: Part One

… This is part one of a four-part blog series on Networks in workers’ comp. Introducing Networks 2.0 Most … between caregiver and patient. Data analytics, including artificial intelligence, is making an impact on priorities and decisions in the system. There is another element of care delivery … prioritize both efficacy and efficiency. The best clinicians can more easily rise to the top of the stack thanks to deeper insights into patient trajectories. In the emerging scenarios, …
Article

As Your Workforce Evolves, Trust Our Solutions To Drive Better Outcomes 

… claims departments are buried in work with no lifeline in sight. One the biggest challenges of settling a claim is organizing it. At Enlyte, our demand package processing and management … this manual workload can help lessen the pressure on your employees, leading to a higher rate of employee satisfaction, lower rate of human errors and improving consistency in settlement … support adjusters’ decision-making processes by providing organized, fully coded documents in an easy-to-digest format, providing confidence when settling cases. Outsource manual tasks with …
Virtual Event

2021 mPower Virtual Conference

… you at the 2021 mPower Conference, taking place virtually October 12–14, 2021. With plenty of exciting updates and interactive content that lets you connect with industry experts, this … suits your need. Enjoy exclusive content, leading industry insights and plenty of opportunities for networking during this dynamic digital event. To be invited to this event, … Conference speakers include President and CEO, Alex Sun and an array of industry thought leaders who will share meaningful and timely industry insights, and will give …
Conference

AASCIF Annual Conference

… The  AASCIF 2020 Annual Conference will bring together state funds from across the country for an event full of insights, education and networking. Mitchell | Genex will be exhibiting at the event and is … to be a returning sponsor for this year’s conference. Visit the booth to discuss a variety of topics and trends with our experts, including: End-to-End Workers’ Compensation Claims …
News Release

Mitchell Publishes Electric Vehicle Collision Insights Report

… Mitchell, an Enlyte company and leading technology and information provider for the  Property & Casualty (P&C) claims and  Collision Repair industries, today announced the availability of its latest trends publication: Plugged-In: EV Collision Insights. The new quarterly report … vehicle claims and market data. In 2022, EV sales hit a tipping point , representing 5.6% of all new vehicles sold according to Kelley Blue Book. As consumer adoption increases, vehicle …
Article

Specialty Solutions Spotlight: Emerging Workers' Comp Technology Trends

… step should be ensuring the technology is developed by experts who understand the intricacies of claims management. … valued at $61.3 billion in 2022 and was expected to expand at a compound annual growth rate of 14.6% from 2023 to 2030. Wearable devices such as smartwatches, fitness trackers, smart … in real-time. For example, a smart helmet equipped with sensors can detect a fall and send an alert to a supervisor or emergency responders. Wearable technology not only reduces risk of …
Article

Catastrophic Claims Often Require Nuanced Solutions

… injuries transpire with relatively low frequency. When they do occur, however, payers demand an all-hands-on-deck approach that calls upon specialized experts to manage specific aspects of these complicated claims. Many payers have established their own internal catastrophic claims team, so their most seasoned claims professionals manage these types of injuries. These adjusters are highly experienced in managing catastrophic claims. However, …
News Release

Enlyte Announces Customer and Market Operations Leadership Transition

… Enlyte, a P&C industry leader, has announced Keith Higdon, an accomplished industry leader with three decades of P&C experience, has assumed the role of Customer and Market Operations (CMO) president. Higdon replaces Nina Smith who has decided to …
News Release

Mitchell’s 17th Annual AutocheX™ Premier Achiever Awards Honors Industry's Best Repair Facilities

… — Mitchell International, Inc. (Mitchell), a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) claims and … industries, today announced the winners of the 2017 AutocheX Premier Achiever Awards, honoring top performing collision repair facilities throughout the United States for their superior … the collision repair facilities that achieve extraordinary customer satisfaction due to an unwavering commitment to excellence in all aspects of collision repair operations.” Mitchell's …
White Paper

Navigating Workers’ Comp Pharmacy: Opioids Are Not the Only Challenge When It Comes to Navigating Workers’ Comp Pharmacy

… Addressing the Complexities of Issues Facing Pharmacy Programs When we think about issues facing pharmacy programs, the first … on Compensation Insurance (NCCI), prescription drug costs make up 13% to 14% on average of an overall workers’ compensation claim. There are many factors that come into play when …
CE Webinar

Knee and Shoulder Injuries: Treatment Options

… for previously recorded sessions. Knee and Shoulder injuries make up a large percentage of the medical insurance and healthcare related claims treated in the orthopedic field. There are … for each group: knee and shoulder, as well as common indicators that suggest who might suffer an injury. This course will review the common sources of knee and shoulder pain through injury. The instructor will discuss diagnosing common knee and …
Article

10 Questions Every Injured Employee Should Ask When Taking Opioids

… the most important things you need to know about your medicines? Make sure you know about each of the medications you take. This includes why you take it, how to take it, what you can expect … doctor. #1 Why are opioids used? In the past, opioids were prescribed only for short periods of time for short-term pain or for cancer pain. Many providers now prescribe them for longer … pain. They don’t cure a health problem, but they help you manage the pain. If you take a lot of short-acting medicine, your doctor may prescribe long-acting opioids to help you avoid the ups …
Podcast

Managing the Labor Challenge: Clinical Services

… In part two of our podcast series on integrating new adjusters to the industry, Tammy Bradly, senior director of clinical product marketing at Enlyte, joins us to discuss clinical solutions for proper … I think it’s important to look at some key stats here. According to a survey by the Bureau of Labor and Statistics, the overall median tenure for workers in the insurance business today is … 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 …
News Release

New York Publishes Formal Draft Drug Formulary Rule

… a formal draft rule to establish a drug formulary. The proposed rule is the culmination of a multi-year effort involving two previously proposed drafts and public comment periods. The … examined comments from stakeholders on the previous drafts and posted their assessment of those comments with this rule. This latest draft is a significant improvement over the previous proposals and more closely aligns with the best practices of drug formularies that a handful of other states have adopted. We appreciate the time and …
Podcast

Five Initial Evaluation Issues That May Delay Return to Work

… a return to work delay, practitioners often look for problems that occurred during the course of treatment. However, as Mariellen Blue , Genex’s National Director of Case Management Services, tells us in today’s Inside Workers’ Comp, you may have to go back a … at the relationship between a patient and the physician that's going to be treating them. When an individual is injured on the job, they don't know what to expect. They want answers. They want …
Author

Mike Cwynar

… Mike Cwynar is Enlyte’s senior vice president of product management, where he leads the software engineering, QA, product support, customer … and auto casualty divisions.  Cwynar plays a major role in developing Enlyte’s state-of-the art software programs for major payers in the P&C industries. Integrating descriptive and … With nearly 25 years of product and engineering experience focused on P&C, Cwynar holds an MBA from the University of Redlands, California. …
Case Study

Medication Safety Program Case Study

… years and ended up taking 17 medications. A peer-to-peer review revealed three major issues: An underlying overuse injury that caused pain to both hands and wrists Significant psychiatric … behavioral therapy A clear need for inpatient detox or a similar program that included an outpatient program with a strong psychological/psychiatric follow-up plan   … Based on the review, 17 medications were reduced to seven. The injured employee signed an opioid treatment agreement and underwent random urine drug monitoring at least twice a year. …
Virtual Event

Drug Trends Analysis Webinar

… Evaluating an ever-changing pharmacy landscape in workers’ compensation … drug classes, and dispensing channels, and high-impact pharmaceuticals all require 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 …
Article

6 Considerations for Medical Transportation Arrangements for Injured Employees

… arranged transportation contributes significantly to the recovery and overall well-being of injured employees. … 2. Understand the Limitations of Traditional Transportation Services … Traditional transportation options often fall short of meeting the specialized needs of injured employees. Accessibility concerns and the requirement for specialized care (like … Selecting a transportation provider who understands the unique challenges of transporting injured employees is crucial. Providers should offer not only clean and safe …
White Paper

Going Beyond Algorithms With Clinician & AI Collaboration

…   When your team is handling a high volume of disorganized documents and working with limited medical expertise, resolving claims can quickly become difficult to manage. These challenges not only increase the risk of missing key information but also make it harder to accurately interpret medical records, … file 100% clinician-reviewed Reduce time spent on record review with summaries organized in an easy-to-read format Eliminate workflow disruptions with a fully integrated document management …