Article

Using Data Analytics to Optimize Insurance Claims Management
Podcast

Why Opioid Trends Are Changing in Workers’ Comp

… : If we look at our top five opioid medications by cost, we see a list that includes oxycodone, hydrocodone, and … drug trends, report and highlights that we come out with. So, oxycodone products held the top spots for cost in 2022. In particular, OxyContin, which is a controlled‑release or long‑acting version of oxycodone, took the top spot for cost at 23 percent, followed closely by the combination product of oxycodone with …
Article

StateWatch Summer 2017

… Evaluation of the Utilization and Cost Patterns of Compounded Drugs” also determined the top five dispensing pharmacies based on number of prescriptions accounted for 86 percent of all …
Article

StateWatch Summer 2017

… Evaluation of the Utilization and Cost Patterns of Compounded Drugs” also determined the top five dispensing pharmacies based on number of prescriptions accounted for 86 percent of all …
Article

Claims Automation: Separating Fact From Fiction

… Claims automation. Touchless estimating. Straight-through processing (STP). These topics are top of mind for auto insurers looking to improve efficiency, reduce settlement time and enhance … Just a few years ago, AI was at the top of the technology trends list, giving the auto insurance sector high hopes in its ability to …
News Release

August 2022 Utilization Review Compliance Update

… about any of the information presented, please do not hesitate to contact your client account manager. Or you may reach out to a member of the Genex UR Compliance team whose …
Podcast

When Life Gets in the Way of RTW
Podcast

Using Risk Prediction Technology to Move Claims Forward

… be helpful for other services such as utilization review because it provides a more detailed account of the case? …
Podcast

Work Comp Guidelines for COVID-19

… expanded this so much more and we were very grateful that we reworked our plans and got on top of this as quickly as we did. … our other guidelines as well. And, any customer that’s interested should contact their Genex account manager. …
Virtual Event

Beyond Opioids: Current Alternatives for Pain Management [Podcast]

… People react to medications differently—do you take that into account when assessing risk? …
Podcast

Turning Retrospective Review Into a Competitive Advantage

… our models in a place where they’re always looking at live data and always taking that into account to enable people like Roland to always be optimizing in the future. …
Article

How COVID-19 Presumption Laws Might Affect the Workers' Compensation Industry
Article

State-Mandated Formulary Implementation: Four Key Considerations

… this is six months or further in the future. There are many considerations to take into account during this period between publication and go-live, including: What is the implementation …
Article

StateWatch Winter 2015
Article

Using Integrated Solutions to Help Improve The Workers Compensation Claim Process
Article

StateWatch: Spring 2019
Article

StateWatch: Spring 2019
Podcast

Do You Need a Medicare Set-Aside?
Article

Out-of-Network Dispensing Channels and Their Unique Challenges

… series to the retail. We see a shift in the trends where topicals actually bubble up to the top spot by cost. They made up about 19% of the cost in 2023, but the and so they were in that … managed data that we covered in part 1 of our drug trend analysis, it has opioids in that top spot by cost ranking. Topicals as a percentage of total script volume was up slightly in 2023 …
News Release

September 2022 Utilization Review Compliance Update

… about any of the information presented, please do not hesitate to contact your client account manager. Or you may reach out to a member of the Genex UR Compliance team whose …
Podcast

The Other Drug Issue - When Addiction is a Pre-Work Injury Problem
Article

StateWatch Winter 2016
Podcast

The PAID Act is Coming to Medicare—Are You Ready?

… add a large number of new fields. So, the software that CMS uses is going to be updated to account for the increase in the size of the data, and CMS is planning to hold a testing webinar … I think the top thing is to know that they will have to access this new information through the query …
Podcast

Selecting the Right MSA and Regs to Know for 2025
Article

2020 in Hindsight: Clinical Trends and Predictions

… topicals increased an average of 379%. The largest price increase for a topical within the top 20 topical medications was for a combination cream of nystatin and triamcinolone, which …
Article

Macro Signals: Workers’ Compensation and Personal Auto

… policy, they are more likely to report that as a job injury. Sprains, strains, and tears account for around 1/3 of WC claims and costs. … shows that auto insurers are also on top of liability loss trends. Strong favorable reserve development at around 2% of earned premium …
Article

StateWatch: Winter 2018
Article

StateWatch: Winter 2018