White Paper

Unlocking the DME “Black Box”

… to this definition, Durable Medical Equipment (DME) has traditionally operated as a black box of sorts for claims adjusters in the workers’ compensation space—and with justified reason. As a specialized area, DME’s inner workings are complex. There is a wide range of equipment. Within each category, there’s a significant number of products that vary in nuanced ways, with many products offering slightly different functions. …
CE Webinar

High Impact Pharmaceuticals

… How are drugs priced? What drugs are the leading cause of price increases? What matters more - the drug or the utilization? And what should you be doing … says, “If you’re controlling appropriate utilization, you also control price in a number of ways. Through valuable data analytics, enhanced technology applications, and various clinical programs that drive patient safety, we’re starting to get to this future state of really managing total claims cost and really driving outcomes through clinical management in …
Virtual Event

Webinar: Keeping Claims on Track During COVID-19

… best practices and real-life case strategies to help you move claims forward in the face of COVID-19 restrictions, challenges, and possible exposure. Download a copy of the slides  and watch the on-demand webinar below.     … RN, CCM National Director of Case Management Services …
News Release

Claims Journal: Interview with Michele Hibbert-Iacobacci on COVID-19

… Mitchell Senior Vice President of Regulatory Compliance Management Michele Hibbert-Iacobacci shared her thoughts and expertise … how the industry has adapted to working from home. She also addresses the increased use of telemedicine that we are seeing in the market today and discusses the various regulatory changes that have come about as a result of COVID-19. “We live after every word those regulators write,” she said. “We are being very …
Author

Melissa Martinez

… Melissa Martinez serves as the clinical operations manager at ClinicalCare24, bringing 15 years of experience and a bachelor's degree in nursing from the University of Texas Health Science Center in San Antonio to her role. Starting as a triage clinician, she … skills in triage, critical thinking and customer service, while emphasizing the importance of professionalism and empathy in health care delivery. …
News Release

Utah Broadens Physician Dispensing with Exceptions

… passed HB 301 during the 2022 General Legislative Session. HB 301 broadens the scope of practice law to allow physicians to dispense medications. Due to the work of the Mitchell Pharmacy Solutions government affairs team, the legislation includes language … payor.”  The legislation was signed by Governor Cox and took effect on May 5, 2022. A copy of the legislation can be found HERE . If you have any questions about this alert, please contact …
Article

Washington State Formulary Update

… announced updates to its drug formulary, effective January 1, 2022.  The following is a list of updated drugs and therapeutic classes (or class codes) and their status on the Washington State Department of Labor and Industries outpatient formulary. washington state formulary   … fumarate (Symbicort) now require authorization with coverage based on acceptance of pulmonary condition  antiretrovirals now require prior authorization except for the following …
Article

Washington State Formulary Update

… announced updates to its drug formulary, effective January 1, 2022.  The following is a list of updated drugs and therapeutic classes (or class codes) and their status on the Washington State Department of Labor and Industries outpatient formulary. washington state formulary   … fumarate (Symbicort) now require authorization with coverage based on acceptance of pulmonary condition  antiretrovirals now require prior authorization except for the following …
Virtual Event

AASCIF Connection Series: The Changing Insurance Workforce—How to Maintain Knowledge & Set New Employees Up for Success

… The insurance industry workforce is changing. Within the past seven years, the number of workers aged 55 and older has increased by 74 percent. In the next few years, 400,000 … and innovative technologies, to keep their operations up-to-date in the digital age. As a part of the AASCIF Connection Webinar Series, for AASCIF Members only, Mitchell Senior Director of Product Management, Rebecca Morgan, will share best practices for retaining information as …
Article

Mindfulness: What Is It?

… you might slow down to focus on how your food tastes and smells. Another important part of mindfulness is to accept your thoughts and feelings as they enter your mind. That's because … about) unwanted situations, feelings, or thoughts. Mindfulness teaches you to be in control of your mind so that your mind doesn't control you. By training your mind to focus only on the … you're learning how to not get lost in regrets or worries about the future. Letting go of such thoughts may help you accept things that you can't control. Does mindfulness work? …
News Release

Business Insurance: Creams cut pain, but price is the rub

… Topical creams are becoming part of the mix of pain treatment options as doctors look for alternatives to addictive opioids. Continue reading. …
Virtual Event

Coventry Webinar: Long COVID and the Enduring Challenges for Workers

… Just like the novel coronavirus itself, the emergence of so-called long COVID has surprised both the patients who couldn’t shake their symptoms and the … from muscle and nerve pain to breathing difficulties to anxiety and depression. The scope of the challenge will require providers and employers to better understand the nature of the conditions, their origins, and the best paths for treatment. Watch this on-demand webinar …
White Paper

A Prescription for Fighting Opioid Use Disorder

… misuse sooner, prescribers have a greater ability to intervene and perhaps prevent another of the more than 183,000 fatal opioid overdoses that occurred from 1999 through 2015. Earlier … help to avoid the many other poor outcomes that can result from misusing opioids. The number of fatalities, as alarming as it is, veils the full scope of the problem. For every fatal overdose there are 11 treatment admissions for abuse, 28 …
Article

Insurtech Innovations in Tech with EvolutionIQ, CoTé, Genex Services, Kinetic Insurance

… Shahin Hatamian, senior vice president of product management at Mitchell, believes the use of data and analytics have seen major innovation in the industry. …
Article

Insurtech Innovations in Tech with EvolutionIQ, CoTé, Genex Services, Kinetic Insurance

… Shahin Hatamian, senior vice president of product management at Mitchell, believes the use of data and analytics have seen major innovation in the industry. …
Article

Reduce In-Person Interactions and Improve Efficiency with Virtual Claims

… In March, Ryan Mandell, director of Claims Performance for Mitchell’s Auto Physical Damage business unit, identified the market drivers converging to make the concept of claims virtualization a reality. …
Article

StateWatch: Bill Review March 2018

… Corrections to the Hospital Outpatient Departments/Ambulatory Surgical Centers portion of the fee schedule have been made by the … Division of Workers’ Compensation … The state has posted a list of services that are not reimbursable by …
Article

StateWatch: Bill Review March 2018

… Corrections to the Hospital Outpatient Departments/Ambulatory Surgical Centers portion of the fee schedule have been made by the … Division of Workers’ Compensation … The state has posted a list of services that are not reimbursable by …
CE Webinar

Navigating Home Health Services

… In this webinar, we will educate adjusters and claims professionals on the various types of services provided in-home, the benefits of home health care and the challenges and distinctions between licensed and non-licensed …
CE Webinar

Workers' Compensation & Auto Networks 101

… During this session we review the ins and outs of workers' compensation and auto networks. Our discussion focuses on the evolution of networks, what to look for in a network, as well as compliance and credentialing best …
Article

IBIS Partner in the Spotlight Interview [Webcast]

… Industry Symposium (IBIS) interviewed Debbie Day, executive vice president and general manager of Mitchell's Auto Physical Damage division, and Olivier Baudoux, senior vice president of global product strategy and artificial intelligence. …
Author

Susan Doering

… Susan Doering is the director of clinical operations, Utilization Review at Enlyte, overseeing utilization review clinical operations and quality assurance. With a deep understanding of state-level regulations and a proactive approach to tracking industry changes, Susan ensures …
Author

Jackie Payne

… Jackie Payne is vice president of the CSG Office of the GM. As a former adjuster, SIU investigator and claims manager, Ms. Payne has helped …
CE Webinar

Knee Injuries: Trends and Advances [Recording]

… Knee injuries make up a large percentage of medical insurance and health care claims in the orthopedic field. This course will cover common injuries in workers’ compensation, methods of prevention while giving clear instruction and research on assessment, screening, and treatment …
White Paper

ePay The Smart Way to Pay

… Technology continues to be on the forefront of executives minds in the auto casualty and workers’ compensation industries. As the workforce transformation evolves, remote work, increased rates of retirement, younger individuals entering the workforce, inflation and supply chain issues, … paper payments. Not too long ago, banks charged extra fees for online payment processing. Many of those same institutions now charge extra to process paper payments. A claims organization …
Article

Communication is Key to Ending Disparity

… managers to determine the common claims pitfalls they avoid to keep claims on track. Among the top five factors were two that seemed relatively easy to remedy: communication issues and patient … to the job. One population that has experienced discrimination among caregivers are members of the LGBTQ community. Statistics show that these individuals are more likely to put off medical treatment because of it; and mistrust can lead to litigation if one feels he or she isn’t receiving the care they …
Blog

Top 5 Opioid Medication Trends in 2019

… 2019 yielded another year of declines in both opioid utilization and cost. The top 5 opioid medications comprise the majority of all opioid scripts and cost, and their activity can offer further insight into the favorable …
Blog

Top Therapeutic Classes by Cost and Utilization

… Therapeutic classes falling within the top 10 most utilized and costly categories had some interesting, although not altogether unsurprising, movement. View out our latest video blog which addresses some of the changes and trends seen for the top ten drug classes both in- and out-of-network. …