Blog

AWP Trends — Understanding the Forces That Drive Drug Prices

… overall AWP increased 4.4%. This was less than the previous year’s AWP growth of 5.9%. An increase of 10.9% in the cost of brand drugs accounted for nearly all of the increase in … medication in our book of business. OxyContin® experienced a 10.5% increase in AWP. Lyrica®, an anticonvulsant used to treat neuropathic pain, was the most costly and utilized brand medication overall in our book of business. It saw an AWP increase of 15.2% in 2017. There were also noteworthy AWP increases for the short-acting …
Article

The Long, Winding Road of Drug Pricing

… Eli Lilly & Company, Sharpe & Dohme, and E. R. Squibb were indicted on charges of violating an anti-trust law by “unlawfully combin[ing] and conspir[ing] to bring about arbitrary, uniform … and insurance-design mechanisms that incentivize cost-effective treatments.” This is an important point to consider. In a state where an injured worker has the choice of pharmacy provider, there are no market forces at play since …
Article

The Heart of the Challenge: The Role of Direction of Care in Managing Workers' Compensation Costs

… employee can usually choose any pharmacy within the designated network. This contrasts with an "employee choice" model, where the injured employee has the freedom to select their own … comp claim for topical medications (which would include many dermatological agents) grew by an extraordinary 96% from 2012 to 2023. Embracing Direction of Care as a Solution Overcoming this …
News Release

Mitchell Automates Scan and Calibration Detection in Estimating Workflow

… —Mitchell, an Enlyte company and leading technology and information provider for the  Property & Casualty … integrating it with Mitchell Cloud Estimating, we can provide collision facilities with an end-to-end solution designed to efficiently manage repairs, documentation and billing.” … said Gabe Scognamiglio, president of Touch of Class Collision. “So it is critical that we account for that work on every estimate or supplement. This gives our customers peace of mind …
Article

How to Strategically Develop a Strong PBM Partnership

… strategically, a true PBM partnership is focused on better outcomes as a whole, not just on an individual transaction. For example, a proactive approach to management may include formulary exceptions on opioids and pre-ordered wheelchairs for an injured worker going into surgery. A holistic program may also include a risk monitoring to … their data and technology? What kind of implementation support do they provide? What kind of account management and partnership will you receive? What are their regulatory support programs? …
News Release

Risk & Insurance: How Bayne, Genex and Sikorsky Banded Together to Create an Optimal Return-to-Work Program

… a Lockheed Martin Company, shares their newly created program that significantly decreased an injured worker's disability duration period.  Continue reading here. …
Article

Average Length of Rental for Repairable Vehicles: Q4 2022

… 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, … states saw LOR above 20 days. The lowest LOR in the country was Hawaii at 13.7 days, still an increase of 0.8 over Q4 2021. Alaska (20.3) saw the highest year-over-year increase—4.5 days. … from $1,586 to $1,593. Again, important to keep in mind that as supplements are taken into account the Q4 2022 number will continue to rise.” …
News Release

Mitchell Announces New Provider Data Explorer to Help Combat Claims Fraud, Waste and Abuse

… vice president for product management. "This new visualization tool is the first step in an ongoing initiative to help Mitchell clients leverage provider data for improved … peers across multiple counties. "We were able to visually see just how much that provider was an outlier," the carrier said. "The ability to then see the actual claim-level detail and the … auto insurance medical benefits. "One of our adjusters had a claimant that was injured in an accident but couldn't find a doctor that would accept auto insurance," the carrier said. "With …
Article

Workers’ Comp Data: Restaurant and Hospitality, Educational Services Industries Still Experiencing Low Volume of Workers’ Comp Claims

… identify how claim trends have changed over the past year and a half.  Below, we’ve shared our top takeaways based on our analysis. This report includes claim data through June 30, 2021. … many industries across the country began recovering from the effects of the pandemic. Through an analysis of Mitchell’s workers’ compensation claims data, we’ve been able to identify how the … claims. Though claim volumes are still down, all three of these industries are experiencing an increase in claims compared to 2020 volumes, but are subject to pandemic-related regulations …
News Release

Coventry Receives URAC Re-Accreditation for Case Management
Article

The New CDC Opioid Guidelines

… 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 the state of opioid prescribing in workers’ … An Opioid Epidemic … adult in the U.S. their own prescription bottle. Opioids are highly addictive substances. An oversimplified way to view the rise of the opioid epidemic is in terms of numbers. Logically, …
Article

What is Ticket to Work?

… people with impairments and disabilities unable to work or limited capacity to work to have an opportunity to get back to work. … on SSDI or SSI, ages 18 through 64, and they are participating or willing to participate in an effort to get back to, we’ll call it, financial independence — meaning they will try to … are earning more than they ordinarily might be able to make, but still are able to continue to buy health care coverage under Medicare. Also, this support through an employment network, such …
Article

What is Ticket to Work?

… people with impairments and disabilities unable to work or limited capacity to work to have an opportunity to get back to work. … on SSDI or SSI, ages 18 through 64, and they are participating or willing to participate in an effort to get back to, we’ll call it, financial independence — meaning they will try to … are earning more than they ordinarily might be able to make, but still are able to continue to buy health care coverage under Medicare. Also, this support through an employment network, such …
Article

Ask The Pharmacist: What Adjusters Need to Know About Trubrexa, a High-Cost Topical Analgesic

… options. This pricing disparity creates significant cost concerns , particularly when: PLTAs account for only 3.9% of prescription volume but 20.5% of total pharmacy costs. Opportunistic … 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

Create Rules that Drive Accurate and Proper Repairs with Estimate Advisor

… What would be the impact of introducing a new rule or changing an existing rule threshold? With Estimate Advisor, users can test new or revised rules against …
Podcast

Exploring Use of GenAI in P&C

… most come in with a list of problems that they think that they can solve with this just given an understanding of their businesses the potential behind GenAI. As businesspeople, I don’t know … for answers that don’t make sense. For example, there’s a model that’s running that’s helping an adjuster make decisions that have some regulatory compliance background in them, and all of a … build it once, and then they just kind of work in perpetuity. You have to be regularly on top of this stuff, which then gets into good data hygiene, right? Same thing with data. It’s …
Article

Market Trends Continue to Show Signs of Increasing Acceptance of Electrification

… Global Automotive Consumer Study shows that of the US consumers surveyed, 41% would prefer an alternative energy (non-internal combustion engine or ICE) vehicle for their next purchase. 1 … from 29% in 2019 and 20% in 2018. In other words, Americans became twice as likely to prefer an alternative energy vehicle for their next purchase. This EV market trend in 2020 is … or electric variant of every model by the mid-2030s and for hybrid and electric vehicles to account for 40% of their new vehicle sales by the year 2040. Another aspect of rapid adoption to …
Podcast

Gauging the Impact of High-Impact Drugs in Workers’ Comp

… we’ll highlight the so-called high-impact drug classes with Cameron Hannum, senior clinical account pharmacist. Cameron, thanks for joining us today. … formulations at a much lower cost, average around $1,200 per prescription, which can give you an idea of the impact they have on cost trends. And this was a jump in cost per combo pack script … I said, well over $1,000 or more, when you can get the individual products just mentioned for an average wholesale price of a combined $20 or less. So, in 2023, for these compound kits and …
Article

Plugged-In: EV Collision Insights Q3 2024

… battery electric vehicles (BEVs) rose to 3.01% in the U.S. and 3.97% in Canada, an increase of 47% and 26% respectively year over year (YOY). While BEV sales have slowed, they … the U.S. year-to-date average for BEVs is 19.5 days versus 16.5 days for automobiles with an internal combustion engine (ICE)—an 18% difference. Similarly, cycle time in Canada is 20% longer for BEVs (17.2 days) in 2024 … , on average. An additional variable that contributes to differences in severity between BEVs and ICE-powered …
Article

Taking the Time to Listen Can Pay Off in the Long Run

… The goal of any workers' compensation case management program is to minimize the impact of an injury and assist injured employees in realizing their maximum functional abilities. However, to accomplish this goal, understanding that an individual's recovery is impacted by more than just the healthcare they receive is the first … environmental factors, genetics, and individual behavior. While case managers cannot change an individual's genetic make-up, they can address the social and environmental factors as well as …
Podcast

Unpacking Drug Trends: Costs, Care and What's Next

… part two of the 2025 Drug Trends Report we have Cameron Hannum, PharmD, senior clinical account pharmacist, here to unpack some fascinating trends he’s seeing across both in-network and … The report shows an astonishing 530% increase in migraine medication utilization and a 545% increase in cost. … down to it. So, I’m sure we will continue to see these when appropriate to the injury for an employee within the space. …
Article

High Dollar Claims Driving Workers’ Compensation COVID-19 Claims Costs

… have changed from the start of the pandemic through December 2021. Below, we’ve included our top takeaways based on this analysis. Please note that most likely, this dataset does not yet … claims had over $4,000 in indemnity paid, and 4% had over $10,000 in indemnity paid. When that top 4% of claims are excluded, the average indemnity cost per claim drops to $1,452. A … 2021, workers’ compensation claim trends have begun to return to pre-pandemic levels. Through an analysis of Mitchell claims data, we’ve identified that most of the industry sectors that make …
Article

High Dollar Claims Driving Workers’ Compensation COVID-19 Claims Costs

… have changed from the start of the pandemic through December 2021. Below, we’ve included our top takeaways based on this analysis. Please note that most likely, this dataset does not yet … claims had over $4,000 in indemnity paid, and 4% had over $10,000 in indemnity paid. When that top 4% of claims are excluded, the average indemnity cost per claim drops to $1,452. A … 2021, workers’ compensation claim trends have begun to return to pre-pandemic levels. Through an analysis of Mitchell claims data, we’ve identified that most of the industry sectors that make …
Virtual Event

Successfully Navigating Third Party Claims in the Wake of the Pandemic [Podcast]

… current trends and challenges in the third party market, as well as successful strategies that top-performing claims organizations are incorporating. They will also discuss the third party … What are some of the top challenges carriers face today in the third party space, especially considering the state of … that new adjusters are building their expertise from home?” What are some characteristics of top-performing carriers, and what strategies are they incorporating to help them succeed? In …
Article

EV vs. ICE: The Impact on Collision Repair

… In fact, Boston Consulting Group predicts that electric and plug-in hybrid (PHEV) models will account for a third of the market by 2025 and, by 2030, surpass ICE vehicle purchases entirely. … clearly not the case. For scans completed in 2020 using Mitchell Diagnostics , EVs produced an average of 12.58 fault codes per scan while ICE cars produced an average of 8.51. Even when focusing on model years 2015 and newer, fault codes for ICE-powered …
Article

Economic Trends Impacting the Collision Repair Industry in 2019

… the records of the previous couple of years, the strength of the US economy continues to have an impact on consumer behaviors, driving patterns, and thus, the trajectory of the auto claims … of the car parc has been predicted to decrease accident frequency, but Mitchell data shows an increase of 4.4% in non-comprehensive claims in the first half of 2019 compared to the … and light pickup trucks has been underway for several years, to the point where such vehicles account for over 70% of new vehicles sales in the first half of 2019. 6  This trend is reflected …
Article

Average Length of Rental for Repairable Vehicles: Q1 2022

… nearly five-day increase continues the trend of unprecedented industry increases, including an almost four (3.9) day increase in the fourth quarter of 2021. While January is a traditional … In the U.S., Q1 2022 LOR was up to 18.2 days, an increase of 4.9 days compared to 13.3 days in Q1 2021. This includes replacement rentals for … immediately. The average scheduling backlog jumped to more than a month in January, reaching an average of 4.5 weeks nationally. That is more than a week longer than the record-high Q4 2021 …
Blog

Brand and Generic Medication Trends

… or treatment of blood clots such as Xarelto®, Eliquis®, or Lovenox®, which represent the top 3 medications in the class by both use and spend in 2019. This class jumped from #14 in cost …