Article

2020 Vision: A Look at Proper and Safe Glass Repair

… challenges facing glass businesses today that are not addressed in legacy systems, and which do not address rising vehicle and repair complexity. … is needed from any device—whether it is running iOS, Android, or Windows. You also do not want to worry about data loss, so having cloud storage is far superior to data stored …
Article

Humanizing the Collision Claims Experience in the Digital Age

… any business process. “This means understanding the customer journey, what they need to do and how they feel at each stage of the journey.” 1 To do this, you must begin by understanding the customer journey and the customer’s pain points. … amounts of data, extract meaning and learn from it, without explicitly being programmed to do so. Companies throughout the insurance ecosystem are turning to artificial intelligence to …
Podcast

On the Border - State Regulations & Comp Costs

… those areas and assist. That was, basically, their original intent. However, as they start to do more investigation into each state nurse practice act, they realize that basically the duties … Yes, what you had to do was actually apply to that state board of nursing to get another license, which if you're a … nursing practice act — which may have been in place for 50 years, 75 years — and some of them do not want to go through that process. Some states see the benefit of it. So, it has to be more …
Virtual Event

High Impact Pharmacy: Key Trends for Your Pharmacy Program
News Release

New York Workers' Comp Board Hosting Drug Formulary Webinars
Article

The New CDC Opioid Guidelines

… Of those that become addicted or abuse opioids, a certain number will overdose. Of those that do overdose, a certain number will die. … therapy, including opioid use disorder and overdose. The guidelines apply only to adults and do not apply to patients experiencing cancer related pain, palliative care, or end of life care. … Start low and go slow When opioids are needed for acute pain, prescribe no more than needed Do not prescribe ER/LA opioids for acute pain Follow-up and re-evaluate risk of harm; reduce dose …
Podcast

How Top Claims Teams Catch Risk Before Costs Escalate

… intervention and getting that full picture of the claim. So, once we've got that picture, how do we communicate this information to the clinical staff so that they can turn the data into … So, you know, we live in an era where we just have an overabundance of data. How do we mine for that data and then share it with the clinical staff?  … treatment types that are, you know, causing your costs to go up?  So being able to do that pharmacy again is another great real-time data piece where injured employees are filling …
Podcast

Winter's Impact on Work Comp Claims

… of injuries is trying to prevent them in the first place. And so, what are employers able to do in terms of taking specific actions to help stave off these claims before they begin? … before they occur. And, of course, this is something that we strongly encourage employers to do. Education and training are key. That is the biggest thing here, providing thorough training … fully remember what to expect. Having that refresher course would be beneficial. For those who do work outside and have a higher risk for severe-type injuries, having clothing guidelines set …
Article

After a Difficult Couple of Years, Making Workers’ Comp ‘Easy’ is Good for Everyone

… customization allows payers flexibility with their network design and the opportunity to do this themselves is seen as an added perk. Nomination tools serve all participants: Payers can … to make sense of the various and often-changing aspects of a claim enables adjusters to do more for injured workers and to intervene where it’s possible to make the biggest impact. Good … providing simple technology an adjuster can use at the start of a claim, he is able to see the top in-network doctors who can help an injured worker. The adjuster, newly notified of an injury, …
Article

Artificial Intelligence Gets Real: Three Ways AI Is Making Inroads in P&C Insurance Claims

… named AI a top strategic trend for 2017, and according to a recent study by … they are all in different stages of development, and there are many things they can and can’t do—yet. The first step is to understand what each of these technologies is and where they have … concept of machines carrying out activities that would normally require human intelligence to do. There are many different technologies that are considered AI. In this article, the general …
Blog

Clinical Cannabis Considerations

… effects, to name a few. The full effects on the human body remain largely unknown, but we do know that cannabinoids can exhibit clinically-meaningful drug-drug and/or drug-food … general wellness. However, these products, with the exception of prescription CBD Epidiolex®, do not follow the traditional drug approval process under the U.S. Food and Drug Administration …
Blog

Introducing Networks 2.0: Part One

… 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, … 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 daily …
Podcast

2022 Midterm Elections – Takeaways That Will Impact Comp and Auto in 2023

… the governor will get more done on her agenda. Property and casualty is probably not at the top of the list. There are other concerns internally in the state of Michigan, but we will … Now that we know the Republicans have taken the house by a slim 10-person majority, do you still see it that way? … I do. And, since we brought up the cannabis topic, I’d like to talk about what’s going on now, and … 16 is the cutoff date for funding for the federal government. So, they’ve got a lot of work to do between now and then. And I think if this starts hamstringing their efforts to get a deal …
White Paper

Strategies for Combating Mental Health Challenges in Injured Employees

… Are your employees struggling with mental health challenges? Do you lack the tools to support injured employees as they return fully to the workforce? Our new …
News Release

Washington State Updates Workers' Compensation Drug Formulary

… adding several new drug classes—D7K, G0A, S26, V11, W9O and Z6B. The new drug classes added do not include any preferred drugs. In the existing class B6W, generic levetiracetam was added to …
Conference

Guidewire Connections 2019

… the Guidewire platform, and Guidewire collaboration tools to inspire their teams to do new and amazing things that bring success to their organizations. Guidewire Connections takes …
Conference

Guidewire Connections 2017

… the Guidewire platform, and Guidewire collaboration tools to inspire their teams to do new and amazing things that bring success to their organizations. Guidewire Connections takes …
Virtual Event

Beyond Opioids: Current Alternatives for Pain Management [Podcast]

… Since it is so subjective, how do we measure pain? … a lot in the industry as a potential future alternative. Freeman points out that we still do not know enough about medical marijuana to know for certain that it will be an effective … How do you make sure the injured worker is receiving the best care when dealing with pain? … How do you identify whether someone’s “4” pain rating is different from another person’s “4”? …
Podcast

New Trends in Opioids and Pain Management

… So, looking at our aggregate trends among our top five opioid medications by cost, across, both retail and mail order channels, as well as our … we’re continuing to really focus in on the opioid class. The oxycodone products holding the top spots overall for cost are OxyContin, which is a controlled‑release or long‑acting version of … combination product or immediate‑release oxycodone and acetaminophen products which took the top spots, both tied at about 21.8% of total opioid cost. Oxycodone/acetaminophen’s cost …
Podcast

Demystifying the Nuances of Specialty Bill Review Regulations

… What states do you consider hot areas for regulation change in specialty bill review and what are the issues … And, how do regulatory professionals like yourself and lobbyists work to educate legislators on these … members, also, from the Coventry side who handle network issues. But, the main things that we do is work with trade associations. Enlyte is a member of AAPAN — American Association of Payers, …
Podcast

A Network of Support for Mental Health in Comp

… How do delays in behavioral health referrals affect outcomes? … Do you think the growing remote workforce will have an impact on mental health claims in comp? …
Article

Technology & tools for employee wellness

… such as adoption or guardianship, or mental health assistance when health insurance doesn’t do enough—these gestures can make a huge difference in their lives and ultimately the employer’s … and their own bottom lines, a whole-body approach is best. And there are many ways they can do this: - Offering wearable tracking devices such as smartwatches and pedometers - Organizing …
News Release

Serving the Customer and the Community Builds Trust in Randy’s Body Shop

… for most makes and models, completing the training for additional certifications is still a top priority at Randy's. In the meantime, they remain committed to restoring all vehicles to the same standards held by the manufacturer by using OEM-certified parts. Do you have a story about proper and safe repairs as part of the GM Collision Repair Network? …
Blog

For Coventry NT24 and Nurse Educators: It Takes a Village

… comfort to the injured worker over the phone. Sometimes they’re scared and not sure what to do. She said in-person visits allows for physical touch and eye contact to reassure someone. … exposure. Thanks again to our wonderful nurses for sharing their stories and doing what they do to help others and keep us safe. Happy Nurses Month! …
Article

Improving Outcomes in the Face of Natural Disasters

… “Bad things do happen in the world, like war, natural disasters, disease. But out of those situations always … few years is that the world of workers’ compensation is filled with ordinary people who daily do extraordinary things to help injured workers and their families deal with the devastating …
CE Webinar

High Impact Pharmaceuticals
Virtual Event

Webinar: Keeping Claims on Track During COVID-19

… COVID-19 restrictions present new challenges in claims management, payers are asking what to do and how to ensure injured employees stay on track with their care protocol and meet their …
White Paper

Reducing Human Error in Utilization Review Decision Making

… explores how human error can influence utilization review (UR) decisions and what you can do to reduce those risks. You'll learn: How human error impacts injured worker care and claims …