News Release

MGC Acquires QualCare Alliance Networks Inc.

… management (PBM), and disability management, announced it has finalized its acquisition of QualCare Alliance Networks Inc. (QANI), one of the largest managed care organizations serving the New Jersey, Pennsylvania and New York tri-state area. QANI was formerly a division of Cigna. The acquisition allows Mitchell | Genex |Coventry to strengthen its position as a … With roots in both clinical and network services, Coventry leverages more than 40 years of industry experience, knowledge, and data analytics. …
Article

New Workers' Compensation Review Contractor

… to introduce Capitol Bridge, LLC as the new contractor that will be taking over the review of MSA proposals effective March 19, 2018.  The Capitol Bridge team has over 25 years of CMS support experience and the review team is comprised of pharmacists, and   Medicare  Set-aside Consultant Certified  nurses and attorneys. Provider … review and decision-making process All established timeframes (20 business days from receipt of all documents to complete the review) WCMSA proposals will continue to be submitted through …
Article

New Workers' Compensation Review Contractor

… to introduce Capitol Bridge, LLC as the new contractor that will be taking over the review of MSA proposals effective March 19, 2018.  The Capitol Bridge team has over 25 years of CMS support experience and the review team is comprised of pharmacists, and   Medicare  Set-aside Consultant Certified  nurses and attorneys. Provider … review and decision-making process All established timeframes (20 business days from receipt of all documents to complete the review) WCMSA proposals will continue to be submitted through …
News Release

Pam Gore Receives 2018 Beverley Boesch Legacy Award

… Coventry, a leading provider of care and cost management solutions for workers' compensation, is pleased to announce that … IN TOUCH as a platform to recognize the outstanding commitment, care, and service performance of Nurse Case Managers working within the workers’ compensation industry.  This year Pam Gore was … to secure treatment plans for Maximum Medical Improvement (MMI). Pam is a two time recipient of the In Touch Making a Difference Award (2014 and 2017), and also received their Excellence …
Virtual Event

Michigan Fee Schedule Administrative Rules Draft: What You Need to Know [On-Demand Webinar]

… Ever since the state of Michigan released its new auto no-fault fee schedule legislation, insurance carriers and others in the industry have had a variety of questions to help clarify details of the new law. Recently, the Michigan Department of Financial Services answered many of those …
Author

Dan Zemel

… Dan Zemel is director of product management at Enlyte with a focus on third-party solutions. Zemel joined Enlyte in 2026 following nearly 20 years in claims leadership roles at two top-10 carriers. During that time, he directed large-scale casualty operations, redesigned … led strategic planning efforts.  With a strong focus across the third-party casualty spectrum of disciplines, Zemel brings passion and a pragmatic approach to claims innovation, continuously …
Blog

Jurisdictional Rules and Opioid Impacts in 2019

… With a continued focus on the harmful effects of the opioid epidemic, oversight of opioid prescribing and monitoring of use through state laws, regulations, guidance, and policies have become commonplace in …
News Release

Mitchell Introduces Mitchell Cloud Glass

… Mitchell, a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) claims and … cloud platform to create Mitchell Cloud Glass. This product ushers in a robust new point-of-sale glass solution for repair and replacement facilities, while modernizing Mitchell's claims platform for carriers. Mitchell's new point-of-sale solution, designed as a replacement for the Mitchell GlassMate solution, greatly enhances …
Author

Lee Haripko

… Lee Haripko is the vice president of strategy and planning for the Casualty Solutions Group. Strategic partnerships, market … management office are all within Lee’s organization. In his role, Lee oversees a variety of strategic initiatives that have direct impact on company growth and positioning, and leads a team comprised of individuals from a variety of backgrounds. …
News Release

Mitchell Launches Enhanced DecisionPoint Medical Bill Review Solution

… — Mitchell International , a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) insurance … bill review software for the first and third party auto casualty markets. The latest version of the DecisionPoint solution includes new and enhanced features designed to enable insurance … challenges,” said Nina L. Smith-Garmon, Executive Vice President and General Manager of Mitchell's Casualty Solutions Group. “Now, with the latest version of Mitchell's DecisionPoint …
Author

Jack Rozint

… Jack Rozint joined Mitchell in 2016 and serves as the senior vice president of repair sales for Auto Physical Damage, overseeing activities for the Collision, Glass and Automotive OEM industry segments. Outside of sales, he has more than 20 years of experience developing and marketing high-tech business solutions. Jack served as a founding …
Virtual Event

COVID-19: Effects on Auto Insurance Industry [Podcast]

… Mitchell Executive Vice President and General Manager Debbie Day and Senior Vice President of Regulatory Compliance Management Michele Hibbert-Iacobacci. Listen to the podcast to hear more. … both ourselves and our role in the industry. “I believe we’re going to continue down this road of innovation and come out further ahead than if we hadn’t been impacted by COVID-19,” Day said. “Collectively we’ll find new and better ways of doing business and meeting consumer needs. I believe that we’re going to continue on with …
Article

Improving Workers' Comp Through Data

… always been a potential sinkhole for workers compensation claims. As risk managers in charge of workers comp programs strive to optimize medical costs and improve outcomes for injured … formulate a medical management approach that will yield the best results for their unique set of injuries and work conditions. In today’s age of sophisticated technology, data analytics may hold the key. As information is gathered in the …
News Release

Mitchell Announces Simplified Implementation for ClaimIQ Liability and Injury Software

… liability and injury software, making the product more accessible to all types and sizes of insurance carriers. Making the implementation process more streamlined allows for additional … to utilize the ClaimIQ software, which is designed to improve the accuracy and consistency of liability and injury evaluations. … ClaimIQ solution to provide guidance so that each claim is evaluated using a consistent set of best practices established through the Knowledgebase. This approach promotes consistent …
News Release

Enlyte Announces Enhanced Casualty Solutions Accelerator for Guidewire ClaimCenter

… Enlyte has announced the launch of its enhanced Casualty Solutions Accelerator , a cloud-native, purpose-built integration that … solutions specifically designed for these environments,” said Rebecca Morgan, vice president of product management for Enlyte's Casualty Solutions. “Our enhanced Casualty Solutions … SmartAdvisor Real-time bill review data, including payment recommendations and explanations of benefits (EOBs), automatically flow from DecisionPoint and SmartAdvisor directly into …
News Release

Nebraska Legislature Studies Workers' Comp Drug Formulary

… a drug formulary for providing pharmacy care to injured workers. The hearing was part of a study mandated earlier in the year by LR383. Invited presenters included Brian Allen, Vice President of Government Affairs from Mitchell International, Ken Eichler from MCG, and Lucy Shannon from … Bob Hallstrom spoke about the concern employers have about unnecessarily prolonged cases of disability and lost productivity when workers do not receive proper care or become dependent …
News Release

General Motors and Mitchell Launch GM Collision Repair Network Enrollment Portal at NACE Automechanika Atlanta

… DIEGO, CA—August 8, 2018—General Motors and Mitchell International, Inc., a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) , claims and Collision Repair industries, today announced the launch of the enrollment portal for the GM Collison Repair Network, enabling collision repair facilities to apply to participate in the network. As of August 8, 2018, any collision repair facility in the U.S. may apply for inclusion in the GM …
Article

StateWatch: Bill Review October 2018

… Industrial Commission of Arizona … Department of Industrial Relations … Minnesota Department of Labor and Industry … Bureau of Workers’ Compensation … Department of Labor and Industry … Division of Workers' Compensation’s …
Article

StateWatch: Bill Review October 2018

… Industrial Commission of Arizona … Department of Industrial Relations … Minnesota Department of Labor and Industry … Bureau of Workers’ Compensation … Department of Labor and Industry … Division of Workers' Compensation’s …
Author

Chikita Mann, MSN, RN, CCM

… speaks at national workers’ compensation conferences on topics focusing on patient concerns of diverse populations, case management protocols and certification matters. Mann has served as a commissioner of the Commission for Case Management Certification and is a member of The Honor Society of Nursing, Sigma Theta Tau International and Georgia Nurses Association. …
Author

Melissa McGarry

… She has more than 30 years’ experience in the health care industry with deep knowledge of networks, network products, utilization management, and behavioral health. Melissa holds a B.A. in Psychology from The University of Texas at Austin and a Master’s in Educational Psychology from the University of North Texas. She also is a Licensed Professional Counselor in the state of Texas.  …
News Release

A Virtual Silver Lining: The Pandemic's Boost to Telemedicine

… While some of the pandemic-induced restrictions on everyday life will eventually recede along with the virus, some changes are likely to linger. More of us will keep working from home. We'll likely continue  … , and many of us expect to  … . For workers' compensation cases, it's reasonable to expect that the increased use of telemedicine for triage and speedy treatment will remain. Telemedicine has been around for …
News Release

Risk & Insurance: 10 Workers' Comp Podcasts You Really Don't Want to Miss

… When it comes to learning about the workers' compensation industry, there is a plethora of resources already at your fingertips. From earning designations to webinars and other one-time resources, there are plenty of ways for workers' comp professionals to increase their knowledge of the industry. One of the newer resources for those working in the industry are podcasts. Easy …
Article

Are You Thankful for Workers’ Comp? 2018

… Comp? This year, we pose the question to experts who serve three very different facets of the industry: Jim Harris, VP of Analytics and Reporting; Debbi Bromley, Senior VP of Human Resources; and Lisa Armstrong, BSN, CRRN, RN-BC, Catastrophic and Medical Case Manager. …
News Release

Mitchell to Demonstrate Cloud-Based, End-to-End Repair and Claims Management at January 17 Freedom Experience

… Mitchell International, Inc. (Mitchell), a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) claims and Collision Repair industries, will demonstrate new technology for attendees of its January 17, 2018 Program Freedom Experience in Palm Springs, Calif. Mitchell announced … to the industry, which is facing unprecedented challenges: increasing vehicle complexity, use of advanced technology, and the frequency and severity of accidents. Program Freedom is designed …
Blog

Keys to Building Relationships

… As Case Management Week comes to a close, we want to recognize all of our Coventry Case Managers for their dedication and commitment to helping injured workers return to work, to play, to life. We are proud of the expertise, integrity and care for injured workers that they display each and every day. Today we’re posting a special message from a few of our Case Managers who share the keys to building trusting relationships with injured workers, …
Blog

Compound Kit and Combo Pack Trends in 2018

… to take their place. In 2018, compound kits and combo packs each represented less than 1% of total prescriptions and drug costs. However, their presence is of growing concern due to the lack of evidence supporting their use and packaging strategies that are associated with exorbitant …
Virtual Event

The Pareto Principle: Applying the 80/20 Rule to the Connected Claim in Workers’ Comp

… Successfully managing workers’ compensation claims requires a delicate balance of connectivity, expertise and focus. Applying these key principles across your organization can help you to see the full picture of the claim to identify opportunities, understand data insights, apply automation and most … the claims that require extra attention. In this on-demand webinar, which was recorded as part of National Comp's 2020-21 Digital Session series , Mitchell | Genex | Coventry experts will …