Podcast

Examining Opioid Utilization Drug Trends

… opioid medications out there have varying potencies, meaning different amounts or measures of each type of opioid might be required to achieve the same analgesic activity or desired pain relief … morphine‑equivalent dose unless otherwise indicated. I find it helpful to talk about this in an analogy using currency to help people understand or explain that concept of MED. If you think … Medical literature and clinical studies have shown that there is an increased risk of death from opioids associated with rising morphine‑equivalent dose or MED. For that reason, …
News Release

Enlyte Family of Companies Publish Inaugural Report Offering Trends and Predictions for Property & Casualty (P&C) and Collision Repair Industries

… markets. This first edition highlights trends and predictions for the continuing effects of COVID-19 on the collision and casualty markets due to regulations and shifts in the way we work and live. Almost two years after the pandemic era began, one of the only constants has been change – in consumer expectations, technology innovations, and the way businesses operate. Building on the Enlyte family of companies’ vast expertise and data across the entire continuum, Enlytened’s first issue shares …
News Release

Collision Claims for Battery Electric Vehicles Shrink for the First Time in the U.S. While Hybrid Claims Surge

… — Mitchell , a leader in the development of innovative auto physical damage technology solutions, today announced the release of its latest Plugged-In: EV Collision Insights report. The Q2 2025 edition examines the decrease … tested. To boost sales, auto manufacturers have expanded BEV pricing discounts, which reached an all-time high of nearly $8,500 per vehicle in the second quarter. Among the report’s other …
Article

Specialty Solutions Spotlight: Electrical Stimulation Devices in Workers’ Comp Recovery

… come in all shapes and sizes. They can range from minor to severe and can affect various parts of the body. One common denominator when individuals experience a work-related injury is pain. Electrical stimulation devices (ESDs) are often used as an alternative to traditional pain medication and can be an effective option for managing pain … cater to your needs. With discounted rates for each item, our bills for these units show the purchase or rental rate, the billed rate and savings. For example, if an individual received a …
News Release

Lemonade Selects Mitchell’s Solutions to Support Entry into the $300 Billion U.S. Auto Insurance Market

… Mitchell, an Enlyte company and leading technology and information provider for the Property & Casualty … It also provides 24/7 on-location roadside assistance, real-time crash detection, and dispatch of emergency services. After an extensive search, Lemonade chose Mitchell’s comprehensive claims management platform to assist in its delivery of an efficient, digital claims experience for consumers purchasing auto policies. Mitchell will …
Article

Workers' Compensation Pharmacy Legislative and Regulatory End of Year Recap

… compensation pharmacy programs. For pharmacy benefit management (PBM) roles, staying on top of these changes is critical for compliance and operational efficiency. Below is a recap of some … one public hearing.  The new rule, filed with the Secretary of State on December 19, 2024, has an effective date of July 1, 2025, granting employers and providers a little more than a … At this stage, final  rule changes are expected but there has been no indication of what changes we might see in the fee schedule. The Commission should make further …
Author

Craig Prince

… Committee functions and operating clinical programs focused on opioid mitigation. Prince is an accomplished healthcare business professional, broadly experienced over his career in enterprise market development, national account management and clinical roles in the pharmaceutical, medical device and managed care …
Podcast

Is Your Workplace Safe2Work?

… efficient ways to keep work environments safe from COVID-19, Optis has developed Safe2Work, an app-enabled, web-based health screening program designed to help stop the spread of workplace illness.       … In today’s Inside Workers’ Comp, we talk with Bryan Stonecipher, president of Optis, and Jacob Sipko, vice president, at Genex Services, about how this program works. … since 1997, and its primary deliverables are in the absence management space. We had a lot of customers starting to reach out to us as many were looking for options, as they were reopening …
Article

Six Key Concepts in Pharmacy Benefit Management

… Learning the basics of Pharmacy Benefit Management is key for success. Here are six important concepts to understand. … from keeping up with regulatory changes to understanding the roles and responsibilities of various key stakeholders. Whether you are just starting out in the industry or looking to … Pharmacy Benefit Management (PBM) is a third party administrator of prescription drug programs that is primarily responsible for processing and paying …
Article

Premiums Written - Q3 2019 Quarterly Must Read Round-Up

… Each quarter, I round up and highlight some of my favorite articles written by Mitchell experts and let you know where we have been published outside of our mPower thought leadership website. This quarter, I’m excited to highlight a Work Comp Pulse podcast interview with Rebecca Morgan, Senior Director of Product Management at Mitchell. Below I’ve included a link to the podcast and a list of my … The Power of User Experience: How to Simplify the Claims Decision-Making Process …
Author

Julie Black

… Julie Black is the director of clinical services for Pharmacy Solutions. In her role, she is responsible for PBM clinical … clinical program management, Drug Utilization Assessments and Provider Outreach, and clinical account management. Prior to joining Pharmacy Solutions, Julie served as a clinical liaison for a … management to clients including TPAs, insurers, and employers. Julie has over ten years of experience within the workers comp PBM industry having worked previously in the areas of …
Article

Frequently Asked Questions About Medicare Set-Aside

… An MSA can be prepared for both workers' compensation and liability claims. However, CMS only has … compensation MSAs. There is no current MSA review process for liability MSAs. In the absence of formal CMS guidance for liability MSAs parties can still create and fund the liability MSA to … Q: When, and how often, after submitting an original MSA, can we submit an updated MSA? … a determination letter the decision is final. CMS will permit a one-time request for review of the MSA decision known as Amended Review when supporting medical documentation is provided if …
Conference

Enlyte Envision 2024

… features the latest technology, service and claims advancements from Enlyte’s family of brands. This is an exclusive event focused on the most impactful innovations, insights and issues facing claims … management. Interested in learning more about the conference? Contact your Customer Success or Account Executive for more information. Registration opens in the summer of 2024. …
Article

Top 20 Reasons to Consider an Independent Medical Exam

… and cost-effective claim resolution. But how do you know if your claim could benefit from an Independent Medical Examination? Outlined below are 20 reasons you should consider an IME. … From clarification of diagnosis to return to work, an IME can bring clarity to your claim.  … IME Process 1. Provider is not addressing whether diagnosis is related to injury of record 2. Treatment plan appears outside of usual and customary guidelines 3. A second …
Blog

Post-traumatic Stress Disorder and Workers’ Comp

… PTSD typically starts with exposure to a critical incident. In order to meet the definition of PTSD, symptoms must last 30 days or more and disrupts normal life pursuits. It results from … and safe world. Post-traumatic stress disorder (PTSD) is a trauma-related disorder caused by an individual’s exposure to actual or threatened death, serious injury, or sexual violence in one … substance abuse, somatoform disorder, and pain disorder. PTSD now has its own category in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders , 5th …
Article

5 Steps to an Optimized Third Party Liability Claim Workflow

… to optimize their third party liability claim workflow for adjusters and claimants alike in an effort to build a competitive advantage and respond to the changing environment. Emerging … industry that time is now, as technology will fundamentally change virtually every part of the claims process–including the third party liability area. Applying technology to the third … services to sort, organize and provide first level coding for demands. By offloading some of these administrative tasks, experienced and well-paid adjusters will have more free time to …
News Release

Mitchell Releases Two New Offerings to Solve Repair Challenges

… Mitchell, a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) claims and Collision Repair industries, today announced the availability of two new offerings to the industry: the Diagnostics and Calibration Services Locator and … to procure partner products and services, as many organizations have decreased their hours of operation or in some cases completely closed down. As a provider of diagnostic scanning and …
Article

Leveraging Direction of Care in Workers' Comp to Address Drug Pricing

… Direction of care can have a profound influence on reducing the impacts of high drug prices in workers' compensation. In our latest interview with VP of Government Affairs, we dive into the latest on drug pricing and direction of care. … Shelley Callahan, Sr. Director of Marketing: … We're here with Brian Allen, VP of Government Affairs, talking a little bit about drug pricing. It's a hot topic in workers' …
Author

Randy McKinney

… Randy McKinney is senior vice president of IME and Specialty Services, where his duties include overseeing Genex’s nationwide independent … increasing responsibilities. His strong competencies exhibited as area sales manager, regional account executive, and regional manager serve as an excellent foundation. Prior to serving in his current position, McKinney was Genex’s southeast …
Article

Adapting to life in quarantine

… up everywhere. More people are turning to video chat to stay in touch and provide some of the social interaction that many are missing. Zoom emerged as a de facto choice, booming from … Although these services exist primarily for business right now, their foray into the American home won’t be far behind. We miss our loved ones Although we may have more people at … third-party apps. The pandemic has hit restaurants hard, but food delivery sales are at an all-time high. Other industries are turning to third-party delivery services too, such as the …
Blog

Brand and Generic Trends in Managed and Unmanaged Populations

… Costco know the Kirkland name well. The in-house brand offers a generic equivalent for a range of products the warehouse chain’s deal-seeking customers are after. Kirkland is such a force, in fact, that it brings in about a quarter of Costco’s sales. That’s well above the industry average for private-label revenue. So why do … they have come to rely on.” Luckily, we can see that same quality-value balance play out with an increasing number of the prescription medications clinicians are using to treat injured …
Blog

Managed vs. Unmanaged — A View Into All Pharmacy Transactions and the Differences Between Their Claim Populations

… stars consider this: For all the things you can see, there is far more you cannot. Most of our universe is filled with dark matter and dark energy. The stars, planets, and moons make up less than  5 percent  of what’s out there. It’s a reminder that what isn’t evident can still be important. The same … number that are meaningful even though they’re not always readily apparent. To consider all of the pharmacy transactions we can see and touch at First Script, we rely on what we call our …
CE Webinar

Vocational Rehabilitation, Re-Employment and Return to Work

… Millions of Americans currently live with a disability that requires workplace modifications. This course provides an overview of assessments designed to screen and assess employees’ vocational status based on the level of …
Article

StateWatch: Spring 2019

… Kaiser Health News  reported that doctors in a growing number of states are now required to offer a prescription for overdose antidote naloxone at the same … Washington, Vermont and Rhode Island have new laws or regulations regarding co-prescribing of naloxone to patients taking opioids. In some of those states, a doctor is required to at least offer a naloxone prescription to certain … naloxone co-prescribing for patients taking opioids. Naloxone is seen as a key component of preventing deaths due to the national opioid crisis. Last year, the …
Article

StateWatch: Spring 2019

… Kaiser Health News  reported that doctors in a growing number of states are now required to offer a prescription for overdose antidote naloxone at the same … Washington, Vermont and Rhode Island have new laws or regulations regarding co-prescribing of naloxone to patients taking opioids. In some of those states, a doctor is required to at least offer a naloxone prescription to certain … naloxone co-prescribing for patients taking opioids. Naloxone is seen as a key component of preventing deaths due to the national opioid crisis. Last year, the …
News Release

Latest Mitchell Report Details Collision Claim and Repair Differences Between Electric and Internal Combustion Engine Vehicles

… Mitchell, an Enlyte company and leading technology and information provider for the  Property & Casualty (P&C) claims and  Collision Repair industries, today announced the availability of its Q2 2023 report: Plugged-In: EV Collision Insights . The report highlights a continued … engine (ICE). “Not surprisingly, claims severity for repairable EVs is outpacing that of ICE alternatives,” said Ryan Mandell, director of claims performance at Mitchell. “However, …
Article

Plugged-In: EV Collision Insights Q1 2023

… 0.15% respectively. While Tesla remains the dominant player, the company’s U.S. market share of repairable vehicles fell in Q1 2023 to 75.8% of all EVs repaired, down from 76.78% in Q4 … time in Q1 2023 with the Rivian R1T slowly gaining ground as well but still well outside the top 10 most frequently repaired EVs.   EV Frequency of Repairable Claims Volume Q1 2023 EVs … labor hours on average than their ICE counterparts but also more refinish hours with an average of 8.33 compared to 7.4 for the rest of the market. A closer look at these numbers by …
Article

Safety Rules and Public Sentiment Impede Self-Driving Cars

… the assembly line. Believe it or not, the “driverless dream” began not long after the birth of automobiles. In 1925 inventor Francis Houdina demonstrated a radio controlled vehicle without anyone at the wheel down the streets of Manhattan. 1 Despite the strides that have been made towards autonomous operation over the … include advanced driver-assistance systems (ADAS). 2 However, ADAS are not a substitute for an attentive human driver. Moreover, while self-driving vehicles are being tested on public …