Blog

Not all victims of workplace trauma sustain physical injuries

… experience violence in the workplace annually. 1 According to the National Center for Victims of Crime, workplace violence is the second-leading cause of occupational injury each year. 2 Crisis intervention mitigates the harmful effects of … so is not only the right thing to do, but it can also prevent losses to productivity at both an individual and organizational level. Besides outward physical violence, mental trauma should …
Case Study

On the Road Again

… and often receives positive 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 … the injured worker and used her clinical expertise to help him better understand the anatomy of the injury and hematoma. She also discussed with him the surgeon’s treatment plan and provided …
Article

Current Used Vehicle Market Conditions: Q1 2020

… produced monthly by Tom Kontos, Chief Economist, KAR Global. KAR Global is a leading provider of wholesale used vehicle auctions and ancillary remarketing services. 1 … According to KAR Global Analytical Services’ monthly analysis of wholesale used vehicle prices by vehicle model class, wholesale prices in March averaged … 38.2% month-over-month and down 40.5% year-over-year in March (April data unavailable at time of this report). March CPO sales were down 32.5% from the prior month and down 39.5% …
News Release

Mitchell Expands Canadian Alternate Parts Network with the Addition of New Suppliers

… Live pricing and inventory data from seven of the country’s leading recycled parts providers is now available from within Mitchell Cloud … — Mitchell , a leader in the development of innovative auto physical damage technology solutions, today announced the expansion of its … access up-to-date information on vehicle parts availability, pricing and delivery from top suppliers Carcone’s Auto Recycling , JS Truckmart , Keystone Automotive Industries, Inc. , …
Article

Ask The Pharmacist: The Role of a Pharmacy and Therapeutics (P&T) Committee

… program? A Pharmacy and Therapeutics (P&T) committee plays a crucial role in the realm of health care, particularly in the context of a workers’ compensation pharmacy benefit manager … This involves reviewing clinical guidelines (including the Official Disability Guidelines or American College of Occupational and Environmental Medicine) , state workers’ compensation … 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 …
Blog

Overview of the 2020 Texas Department of Insurance Workers’ Compensation Network Report Card

… The Texas Department of Insurance recently released its annual Workers’ Compensation Network Report Card . The 2020 … on injuries occurring between June 1, 2018 and May 31, 2019.You can review the analysis of the 2019 Network Report Card on our blog as well. Specific results for the Coventry HCN make … of the overall network claims; while the First Health HCN (managed by Coventry) makes up 3% … several other HCNs supported by Coventry are included in the State’s results. Employer use of networks has settled into a consistent pattern over the past several years. On average, …
Article

CMS to Accept Electronic Payments for Conditional Payments

… will interface with website Pay.gov, a secure payment system that is run by the Department of Treasury. There is no fee to use Pay.gov. The site will accept the following forms of payment: Checking or Savings Account Debit card PayPal (accounts must be linked to a bank account and not a credit card) For … Partial payment will be accepted. If payment is not made in full CMS will assume that there is an appeal. An appeal, defense or rationale for not making the full payment must be submitted to …
Article

CMS to Accept Electronic Payments for Conditional Payments

… will interface with website Pay.gov, a secure payment system that is run by the Department of Treasury. There is no fee to use Pay.gov. The site will accept the following forms of payment: Checking or Savings Account Debit card PayPal (accounts must be linked to a bank account and not a credit card) For … Partial payment will be accepted. If payment is not made in full CMS will assume that there is an appeal. An appeal, defense or rationale for not making the full payment must be submitted to …
Article

The Power of User Experience: How to Simplify the Claims Decision-Making Process

… outcomes. Click to read the first and second articles in the series. Humans make thousands of decisions every day , from small choices like what to eat, what to watch on TV, or what to wear, to larger decisions like purchasing a home or changing careers. Some of us even suffer from decision fatigue , which can make it more difficult to make the right … Jobs , have chosen to wear the same outfit every day in order to help minimize the number of decisions they have to make. Property and Casualty insurance adjusters who make critical …
News Release

Bebrick Collision Care Center—Three Generations of Quality OEM Repairs

… was old enough to drive, Dennis was taking—and passing—I-CAR certification tests. Regardless of how the industry evolves, Dennis Smith II remains true to his personal motto, which is a … father and now grandson Dennis—have owned the business. With over a half-century of continuous operation, the family has seen firsthand how much vehicles and their repair have changed. "The only thing constant is change," explained Dennis. Regardless of how cars and the industry evolve, however, Dennis remains true to his personal motto: …
News Release

Holding the Frontline During COVID-19: 2020 Heart of Case Management Awards

… Winners of preeminent case management award show resilience during an unprecedented year … injured employees regain function and return to work in a timely manner. Such successful acts of perseverance resonated in each nomination received for the 5th annual Heart of Case Management … off the streets so she could recover and avoid contracting COVID, another who advocated for an amputee to receive a highly functional hand prosthetic to return to full duty and a bilingual …
Article

Changing Consumer Expectations: Lessons from Home Delivery Services

… This article is the second installment of a three-part series examining consumer expectations. To read the first article, click here . … Learning from Amazon and the Surge of Delivery Services … How can the workers' compensation industry learn from other industries in the age of automation and technology? In this article, we will explore the shift to home delivery … 95 million Amazon Prime subscribers in the United States representing approximately 60 percent of the platform’s U.S. customers. Amazon is a major example, but the entire e-commerce and mail …
Article

Ask The Pharmacist: Understanding the Different Types of Drug Recalls

… What are the different types of drug recalls? Drugs can be withdrawn from the market for a number of reasons, ranging from minor labeling errors to the potential risk of severe health consequences. The process behind these recalls are diverse but essential for … most critical recall level, designated for situations where a drug poses a significant risk of serious health issues or death. Class I recalls typically garner extensive media coverage. …
Podcast

Care Abroad: Assisting U.S. Employees Injured Overseas

… a care management solution for employers who have employees who are either working outside of the U.S. or foreign employees who are injured in the U.S. but opt to return to their country of origin for treatment and recovery and fall under a state or federal compensation program. … It’s probably easier to give an example. Think of a pilot or flight crew that fly international trips. They’re in another country while working, …
News Release

Top 5 Benefits of Having Repair Procedures in Mitchell Cloud Estimating

… The modern automobile is a sophisticated piece of equipment, incorporating advanced structural engineering designed for occupant safety along with an abundance of technology aimed at occupant convenience and driver assistance. These … creating a damage appraisal it is often times necessary to consult the repair procedures to account for all the necessary operations unique to the vehicle. In recognition of needs of this …
Article

Motor Vehicle Markets: Q1 2017

… As of April 2017   Source: WardsAuto InfoBank     … Tom Kontos, Executive Vice-President, ADESA Analytical Services. ADESA is a leading provider of wholesale used vehicle auctions and ancillary remarketing services. As part of the KAR Auction Services family, ADESA works in collaboration with its sister company, … The tale of two markets resumed in March, as wholesale prices were below year-ago levels for cars and …
Article

Functional Capacity Evaluation (FCE) Frequently Asked Questions

… What is a Functional Capacity Evaluation (FCE)? An FCE is a comprehensive assessment used to determine an individual's physical abilities and … measure the patient’s capacity to perform work-related tasks and activities through a series of tests and observations. The results of an FCE are used to determine the patient’s ability to return to work and may offer suggested … physical activities. This helps determine if the individual can meet the physical demands of their job. …
News Release

Strong Sales of New Battery Electric Vehicles Face Tariff Threat

… — Mitchell , a leader in the development of innovative auto physical damage technology solutions, today released its Plugged-In: EV Collision Insights report for Q1 2025. This edition of the quarterly publication examines how new U.S. tariffs are threatening consumer adoption and sales of battery electric vehicles (BEVs). It also explains why these automobiles are at a disadvantage … average severity for repairable BEVs was $5,927 in the U.S. and $7,026 in Canada, a decrease of 10% and 7% respectively compared to Q4 2024. …
News Release

Press Release - AAPAN Board of Directors to Appoint Kate Farley-Agee to AAPAN Executive Committee

… to announce Kate Farley-Agee has been elected as Co-Chair to the Board and Directors for The American Association of Payers, Administrators and Networks (AAPAN). As part of the Executive Committee, Ms. … patient access to appropriate, quality health care. In the roll of Co-Chairperson Kate will be an integral participant in AAPAN’s mission.  “Kate is highly regarded for her thought provoking …
Article

The Impact of Tariffs on the Automotive Claims Industry

… There has been a significant amount of press coverage surrounding the potential imposition of a 25 percent tariffs on automobiles and … 2 Recent developments point to the possibility of a renegotiated implementation of the North American Free Trade Agreement (NAFTA), that could potentially reduce the severity of changes … and Canada, as the imposition of retaliatory tariffs on imports from the United States are an expected result if a trilateral agreement between the US, Canada, and Mexico fails. 4 As new …
Podcast

Why Opioid Trends Are Changing in Workers’ Comp

… regarding changes in pharmacy spend and utilization. To discuss highlights from part 3 of the report, we welcome back Nikki Wilson, Senior Director, Clinical Pharmacy Services and … along with continued reductions in morphine equivalent dose (MED). Let’s talk about some of the medications behind those numbers that were driving the activity within the class. … : If we look at our top five opioid medications by cost, we see a list that includes oxycodone, hydrocodone, and …
Article

The New CDC Opioid Guidelines

… Study and Impact of Guidelines on the Workers’ Compensation Industry … opioid epidemic. Prolific prescribing, widespread abuse, and the highly addictive nature of these drugs have contributed to rapid increases in opioid overdose deaths from both … prescribing Review the impact on the health and well- being of the general public Provide an overview of the CDC Opioid Guidelines Through an in-depth data analysis, provide insight into …
Article

Average Length of Rental for Repairable Vehicles: Q4 2022

… LOR summary is produced by Enterprise Rent-A-Car . Through its ARMS® Automotive Suite of Products, Enterprise provides collision repair facilities with free cycle time reporting with … U.S. Length of Rental—Q4 2022 … As we have previously observed, historical trending of Length of Rental (LOR) has shown a fourth-quarter increase over the third quarter—usually … up one half-day from Q3 2022. When compared to Q4 2021 results, LOR is up 1.7 days. It is an increase, but not as high as Q3 2022’s results which showed a 3-day increase year over year, …
Article

Field Case Management in the Face of COVID-19

… As Americans practice social distancing to prevent further spread of COVID-19, it is important injured employees safely continue to receive the services they need … Genex continues to provide field case management services in a way that prevents the spread of COVID-19 and supports the health of your injured employees and our case managers alike. Our services, including case management, are considered an essential business as it relates to Insurance and Healthcare Services and meets criteria for …
Article

The Regulatory Rollercoaster: A High-Stakes Game of Collaboration and Adaptability

… detail will be the keys to succeeding at this high-stakes game. Collaboration: The Lifeblood of Success Ambiguity of rule and law language can make navigating regulations daunting. However, … for clear and consistent policies, we are helping to shape the regulatory changes that account for the needs of all stakeholders. Enlyte also provides subject matter expertise to … stronger than ever. The regulatory rollercoaster may be a test of resilience, but it is also an opportunity to redefine the future of managed care delivery. Buckle up—while the ride is just …
Article

When Do You Need an MSA?

… This article is authored by guest blogger, Deborah Robinson Stewart, National Manager of Medicare Set-Asides, Genex Services. In its simplest form, the Medicare Set-Aside (MSA) is a pool of funding reserved for future accident-related treatment once a workers’ compensation case is … believe a settlement agreement will cover these expenses and decide not to pursue. As an attorney who provides support on compliance issues involving disability, Medicare and workers’ …
News Release

Mitchell’s Debbie Day Wins 2024 Top Tech Executive of the Year Award

… Mitchell, an Enlyte company and leading technology and information provider for the  Property & Casualty … industries, today announced that Debbie Day, executive vice president and general manager of the organization’s Auto Physical Damage (APD) division, has received the Top Tech Executive of the Year Award. Day was recognized as a technology innovator who inspires …
Article

Ask The Pharmacist: The Role of Topical Medications in Workers’ Compensation

… and local anesthetics, such as lidocaine, which blocks pain signals. The effectiveness of topical medications can vary. Absorption may differ based on the individual’s skin type and … According to the Workers Compensation Research Institute (WCRI), these products now account for approximately 22% of total medication payments. Dermatological agents and NSAIDs continue to be top cost drivers, and both the number of injured employees using topical medications and the …