Article

An Overlooked Essential: Hospital Discharge Planning in Workers’ Compensation
Article

Drug of the Month: Insights Into COVID-19 Vaccines and Workers' Comp

… COVID-19 vaccination efforts continue to progress, after the Emergency Use Authorization (EUA) of two COVID-19 vaccines by the Food and Drug Administration (FDA) in late 2020. In late February … and restore normalcy to everyday life, what key information do you need to know? This Drug of the Month article will cover the following: Overview of the three COVID-19 vaccines authorized for use and distribution as of early 2021. How these …
News Release

Setting the Highest Standard: 2022 Heart of Case Management Awards

… WAYNE, PA – Oct. 11, 2022 – Keeping America’s workforce humming along is a critical component of the case manager’s role at Genex. Each year, these professionals are charged with ensuring thousands of American employees who sustain an injury on the job receive the care and resources they need to reach their highest level of … A police officer was hospitalized in the ICU with shortness of breath secondary to a COVID diagnosis. He required ICU care for several weeks including …
News Release

Genex Services Acquires Medical Bill Review Leader Alpha Review Corporation

… in medical cost containment and disability management services, has announced its acquisition of Alpha Review Corporation, a leading provider of medical bill review for the workers' compensation market. Financial terms were not disclosed. … to operate under its brand following the transaction. "Alpha Review is widely recognized as an outstanding bill review firm with excellent customer service and high-industry regard," said …
Article

The Compliance Corner: Opt-Out, an Alternative Workers' Compensation Model

… Opt-out in the workers’ compensation world is 2016’s buzzword for deregulation of payment for workers’ compensation claims at the state level. Opt-out is an alternate compensation model for the injured worker whereby employers choose to opt-out of state regulated systems. It has been promoted in some states like Oklahoma and Texas. Although …
Article

Enlyte Compliance Insights: Navigating the Maze of Regulatory Compliance and Governmental Affairs

… affairs and regulatory space. During a recent compliance webinar, Michele Hibbert , Sr. VP of Compliance shared, “We have over 65 people today that pay attention to the legislative and regulatory landscape on behalf of our customers across all 50 States and even outside the U.S.” Understanding the current … and viable solutions in this intricate sphere requires the knowledge and experience of seasoned professionals to help successfully navigate the maze of complexities.  These …
Article

Plugged-In: EV Collision Insights Q2 2023

… claims frequency rose to 1.49% in the US and 2.64% in Canada in Q2 2023, which is an increase of 0.36% and 0.23% respectively over Q1. Tesla, the largest EV manufacturer in the world, saw its … share actually increased to 70.67%, up from 67.87% in Q1, with the Model S reappearing in the top 5 list of most frequently repaired EVs in the country. EV Frequency of Repairable Claims … U.S. consumers (48% or nearly half) considering an EV or plug-in hybrid for their next vehicle purchase (up from 29% in 2022). GM reported that sales of the Chevy Bolt more than doubled in Q2 …
Article

The Compliance Corner: New Physical Therapy Evaluation Codes for 2017: Moving Toward Value Based Payment

… The American Medical Association (AMA) shook up the Property and Casualty industry by bringing a big … brought about because these codes were felt to provide minimal detail regarding the severity of a patient’s condition and the complexity of medical decision making that is required for evaluation. As a result, four new physical … these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1–2 …
Article

2021 mPower Award Winner — Liberty Mutual

… Each year Mitchell celebrates one of its partners through the "mPower Award" highlighting innovative and transformational … ultimately benefiting both Liberty employees and customers. Mitchell’s Executive VP and GM of Casualty Solutions, Nina Smith, sat down with Liberty’s Senior Vice President, Field … reduce cycle time, making the process better for both their adjusters and customers.” portrait of Jean Guan Jean Guan, Liberty’s Senior Vice President, Field Operations, Medical & Special …
Conference

AASCIF Annual Conference

… The AASCIF Annual Conference brings together state funds from across the country every year for an event full of insights, education and networking. Mitchell is the platinum sponsor for this year’s event. … success Industry trends, including formulary changes and other compliance issues. Contact your account manager or click here to schedule a meeting with Mitchell at AASCIF. …
News Release

Mitchell Issues 4th Quarter 2019 Industry Trends Report

… Mitchell International , a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) Claims and … Repair industries, today released its Industry Trends Report (ITR) for the fourth quarter of 2019. Mitchell executives share insights on challenges and opportunities with emotion AI and claims; the impact of the increasing complexity and risks associated with repairing car windshields; and the …
Article

AI and Ergonomics: Merging Technology with Human Expertise for Optimal Workplace Solution

… The rise of artificial intelligence (AI) is reshaping industries around the world, and the field of ergonomics is no exception. AI-driven tools are proving to be transformative in helping … mitigate ergonomic risks, leading to safer and more efficient workplaces. By automating many of the traditionally manual aspects of ergonomic evaluations, AI is enabling faster assessments … The Role of AI in Ergonomics …
Podcast

Demystifying the Nuances of Specialty Bill Review Regulations

… In the ever-changing world of workers’ comp, it’s difficult to keep up with regulatory changes that impact our industry. … management. To help us better understand these issues, we’ve invited Trevor Davis, director of regulatory affairs for Enlyte’s Casualty Solutions Group to discuss. Trevor, thanks for … I would have to say one of the main issues we face in specialty bill review is dispute management on behalf of our …
Article

The New Repair Network

… The repair network of today is not your grandfather’s or your father’s repair network; in fact it may not even be … with every new model that rolls off the production line. They’re no longer merely a mode of transportation—they’re complex computer networks on wheels. Bob Lutz, from General Motors … this trend : “there’s not a single product we use today that isn’t becoming sophisticated from an electronic perspective or a technology perspective.” Did you know that the average new car …
Article

Specialty Solutions Spotlight: Durable Medical Equipment (DME) Scheduling

… How can I simplify DME requests for workers’ comp injuries? Navigating the wide range of  durable medical equipment (DME) , which can include anything from medical equipment and … be complicated. DME referrals are mainly requested from treating physicians who may be unaware of the wide variety of equipment available. Physicians may inadvertently write a prescription for … is available. You often don’t have the time or bandwidth to research different products amid an injured employee being discharged or in the middle of managing a claim. Instead of trying to …
Article

Specialty Solutions Spotlight: Durable Medical Equipment (DME) Requests for Workers' Comp

… How can I simplify DME requests for workers’ comp injuries? Navigating the wide range of  durable medical equipment (DME) , which can include anything from medical equipment and … be complicated. DME referrals are mainly requested from treating physicians who may be unaware of the wide variety of equipment available. Physicians may inadvertently write a prescription for … is available. You often don’t have the time or bandwidth to research different products amid an injured employee being discharged or in the middle of managing a claim. Instead of trying to …
Article

Is Digital Connectivity Changing The Way We Interact In The Insurance Industry?

… and that, in turn, is transforming entire industries. Just take a look at how the availability of on-demand content has changed consumers’ television viewing habits in the last decade. It was … that same year. In 2013, the term ‘binge-watching’ was coined. Today, more than 50 percent of T.V.-viewing households in the U.S. are tuning in when and where they want via streaming … changing the insurance industry as well. In this Accenture study , a whopping 90 percent of insurance customers rated the ability to contact their provider at any time to get real-time …
Article

The Implications of Trump's Health Care Executive Order for Workers' Compensation and Auto Insurers

… auto insurers.  As the first in a two-part series, this article examines the immediate impacts of President Trump's health care executive order on these insurers. The second piece, available … molecule drugs from nine years to thirteen years, aligning the negotiation period with that of biologic drugs. Eliminates the "pill penalty" established under the Inflation Reduction Act, … payers can consider several strategies.  Enhancing risk assessment and pricing models to account for potential increases in drug costs and supply chain disruptions will be crucial. …
Article

The Compliance Corner: What Lies Ahead for Medical Marijuana Insurance Coverage?

… monthly due to new studies promoting use and regulatory bodies that allow the prescription of medical marijuana in their states. Medical marijuana, sometimes referred to as “Medical Jane,” … for medical purposes since 1550 BC in ancient Egypt to treat inflammation. It took thousands of years to actually be able to prescribe medical marijuana legally in the United States for the … Egypt to treat inflammation. In November 1991, the very first proposition called on the state of California and the California Medical Association to “restore hemp medical preparations to the …
Article

What’s Behind the Increase in Total Loss Market Values?

… Auto insurance carriers are not only facing increasing cost of repairs due to the rise in vehicle complexity but also are seeing increased costs when it … settling total losses. Average total loss market values have increased 6.55% in the first half of 2019 compared to the same time period last year, and the frequency of total loss outcomes has … 2 https://www.coxautoinc.com/market-insights/trucks-suvs-account-for-bulk-of-vehicles-registered-in-first-half-of-2019/ …
Article

Getting Into Insurance? The Insurance Industry Outlook is Brighter than Ever

… the insurance industry has undergone dramatic changes that have catapulted it to the forefront of the American consciousness, driven by advancements in technology, shifts in consumer demand and … of the American workforce as it compares to how our industry is positioned to attract the top tech and service-driven talent in the country. While the toll of COVID-19 has been tremendous … the workforce “are seeking workplaces where they can intertwine their beliefs with those of the company, and work together on a common vision of purpose and success.” Recent research …
Virtual Event

Changing Consumer Expectations: What Workers' Compensation Can Learn from the Healthcare Industry

… What can workers’ compensation stakeholders learn from other industries in the age of automation and technology? In this article, we will explore how advances in the general … the technology, driven in large part by the consumer. Many industries are seeing the effects of technology on their practices and working to adapt to these changes, implementing more … their recovery, but the changing technological landscape still affects their perception of products, services and experiences. …
Article

Changing Consumer Expectations: What Workers' Compensation Can Learn from the Healthcare Industry

… What can workers’ compensation stakeholders learn from other industries in the age of automation and technology? In this article, we will explore how advances in the general … the technology, driven in large part by the consumer. Many industries are seeing the effects of technology on their practices and working to adapt to these changes, implementing more … their recovery, but the changing technological landscape still affects their perception of products, services and experiences. …
Article

How Intelligent Automation Is Changing the Nature of Work in Insurance, Collision Repair, and Beyond

… more than thirty years ago, it was difficult to imagine that they would become the hubs of Internet access, information and activity—even health tracking—that we know them to be today. … appears to be the direction things are headed. This has significant implications for companies of all types, including those in the Property and Casualty (P&C) and collision repair industries, especially when AI is part of overall automation of business processes. As artificial intelligence and other advanced …
Article

MSA Self- Administration Toolkit

… impact the Medicare Set-Aside services Genex provides. Last week CMS issued a revised version of the Self-Administration Toolkit for Workers’ Compensation MSA Arrangements. The Toolkit was … the WCMSA portal via the MyMedicare.gov website. The most notable revisions in Version 1.3 of the Self-Administration Toolkit include the following: … website. Revision also includes information on how the representative or other identified account administrator can submit the beneficiary annual attestation online.   …
Article

MSA Self- Administration Toolkit

… impact the Medicare Set-Aside services Genex provides. Last week CMS issued a revised version of the Self-Administration Toolkit for Workers’ Compensation MSA Arrangements. The Toolkit was … the WCMSA portal via the MyMedicare.gov website. The most notable revisions in Version 1.3 of the Self-Administration Toolkit include the following: … website. Revision also includes information on how the representative or other identified account administrator can submit the beneficiary annual attestation online. …
Article

Aging Workforce: The Next Frontier In Workers Comp

… yet subtle, changes within the past 20 years, particularly the changing demographics of the workforce. According to the Pew Research Center, nearly 62 percent of American adults aged 55-64 years were working in 2002. A decade later, that percentage rose to … such as diabetes, hypertension, arthritis and heart disease (Tidwell, 2014) can also impact an older worker's performance. As we age, stomach lining changes increase the risk of developing …
Article

Aging Workforce: The Next Frontier In Workers’ Comp

… yet subtle, changes within the past 20 years, particularly the changing demographics of the workforce. According to the Pew Research Center, nearly 62 percent of American adults aged 55-64 years were working in 2002. A decade later, that percentage rose to … such as diabetes, hypertension, arthritis and heart disease (Tidwell, 2014) can also impact an older worker’s performance. As we age, stomach lining changes increase the risk of …