current issue

Winter 2025/2026

This special edition of RxInformer focuses on claims complexity in its many forms, exploring various low-volume high-cost topics, such as mega claims, occupational cancer, degenerative conditions, Long COVID, and more.
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RxI Category: Claim Complexities

Wear and Tear: A Breakdown of Degenerative Comorbid Conditions

With the workforce growing older, degenerative conditions may have a growing impact on claims.

Creeping Costs: The Rise of Mega Claims in Workers’ Compensation

A small percentage of claims are driving the majority of costs in workers’ comp. What are these “mega claims” and how can we mitigate them?

INFOGRAPHIC: Current State of Complex Claims in Workers’ Comp

Statistics from recent studies across the industry shed light on complex claims in workers' compensation.

Common Exceptions: The Rising Incidence of Complex Claims in Workers’ Compensation

More complex and costly claims have become a persistent issue in workers’ compensation. See what drives longer claim duration and higher costs and how to mitigate risk factors.

The Cost of Exposure: How Occupational Cancer Impacts Workers’ Compensation

While the global cancer burden continues to rise, the risk and impact of occupational cancers can vary significantly depending on the nature of the exposure and the affected workforce. For payers who are impacted, the costs can be substantial.

In the Long Run: How Long COVID Impacts Workers’ Comp

While severe cases are less common, they greatly impact costs, recovery, and return to work.

Then and Now: 8 Reflections from 15 Years of RxInformer

The editorial staff looked back at past issues to understand what has changed – and what hasn’t

From A-to-Z: 5 Population Considerations for Gen Z

Health trends in Gen Z to consider in this growing portion of the workforce.

Removing Barriers to Recovery: A Primer on Psychosocial Treatments for Injured Workers

Psychosocial factors impacting injured workers’ mental and behavioral health can be a barrier to recovery. But addressing any concerns early with the appropriate psychosocial treatments can positively affect a claim and health outcomes.

The Mind-Body Connection: Exploring the Relationship Between Injury and Mental Health

Physical injuries are often accompanied by mental health disorders such as depression, increasing workers’ comp claim costs and delaying recovery

Beyond Opioids: Drugs of Concern in Workers’ Compensation

As opioid utilization decreases, other pharmacy trends bear watching

Ask a Clinician: What Do I Need to Know About DME Trends?

Healthesystems clinicians tackle questions about Durable Medical Equipment (DME) trends

A Moment of Clarity: Alcohol’s Impact Across Workers and Medical Management

How problematic alcohol use can impact the workplace, claims, and medication management

The Triple Threat of Tobacco Use on Employer, Clinical, and Medication Complexity

Tobacco use as a complicating factor in workplace injury and recovery

Hard Times: How Economic Stability Can Impact Injured Worker Outcomes

How employment status, poverty, housing, and food security can impact patient health

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RxInformer

Since 2010, the semi-annual RxInformer clinical journal has been a trusted source of timely information and guidance for workers’ comp payers on how best to manage the care of injured worker claimants and plan for the challenges that lay ahead. The publication is an important part of Healthesystems’ proactive approach to advocating for quality care of injured workers while managing the costs associated with treatment.