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697 posts found

Burden of Proof: Unpacking Presumptions in Workers’ Comp

To listen to a discussion of this topic via podcast, head on over to The Comp Pod with Andy and Ivy. Under most state workers’ compensation laws, “ordinary diseases of...
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NCCI Publishes 2025 Regulatory and Legislative Trends Report

...violence through the adoption of workplace programs and plans. For ongoing coverage of the latest legislation and policy updates impacting workers' comp, visit the Healthesystems Advocacy & Compliance page for...
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Department of Justice Reaches $21.5 Million Settlement Over Inflated AWP for Compound Ingredients

...two ingredients used in compound prescriptions. According to the DOJ, Medisca acquired resveratrol from manufacturers for approximately $0.37 per gram, then repackaged and sold it for under $2.00 per gram....
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California P&T Committee Outlines Pharmacy Topics for Review

...these medications being intended for short-term therapy. Committee members raised concerns that prolonged PPI use could contribute to preventable comorbidities and increase downstream medical costs if not appropriately managed. Although...
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4 Ways to Manage Medical Supply Chain Disruption in Workers’ Comp

With the healthcare supply chain experiencing a multitude of disruptions, delays, shortages, and other concerns, an undeniable impact has been made on the delivery of workers’ comp products and services,...
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The Impact of Adverse Weather on Workers’ Comp Claims

The National Council on Compensation Insurance (NCCI) published a new report on Adverse Weather and Workers’ Compensation Claims, analyzing NCCI data from 35 states from 2001-2022 to examine the link...
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FDA Approves New Formulation of Combogesic

...adjunct to opioid analgesics. Combogesic should be limited to five days of use or less. Combogesic features similar warnings that respectively come with acetaminophen and ibuprofen products. Acetaminophen can be...
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In the Long Run: How Long COVID Impacts Workers’ Comp

...chronic symptoms resurface. Low Prevalence, High Impact in Workers’ Comp Among COVID claims in workers’ comp, Long COVID made up: 6% of COVID-19 claims across the nation, according to WCRI...
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California P&T Committee Meeting Recap

...as a valuable platform to gain insight into the clinical rationale behind the committee’s recommended formulary changes. These meetings offer the opportunity to engage with committee members and stay informed...
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Department of Labor Audit: COVID-19’s Impact on Comp

...following federal workers’ comp programs: The Division of Federal Employees Compensation (DFEC) The Division of Coal Mine Workers’ Compensation (DCMWC) The Division of Energy Employees Occupational Illness Compensation (DEEOIC) The...
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Untangling Topical Drug Classes and Costs

...in workers’ comp present concerns for both their therapeutic appropriateness and cost. Let’s look at the different types of topical medications and their cost and efficacy considerations in workers’ comp....
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Wear and Tear: A Breakdown of Degenerative Comorbid Conditions

...Comp The Workers’ Compensation Research Institute (WCRI) found that degenerative comorbid conditions are present in 18.7% of workers’ comp claims. This includes: Osteoarthritis, found in 9.7% of claims Spondylosis (with...
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Our Brand

A Simple Brand. For a Simple Mission. We are committed to partnering with our customers to overcome their greatest healthcare challenges and we continuously innovate to provide the best technology and the...
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Florida Advances AI Oversight in Insurance and Work Comp Claims

...or insufficiently individualized decisions, particularly in health and workers’ compensation cases. Committee amendments removed the term “algorithm” to clarify that the bill targets claim decision-making rather than underwriting or general...
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The Injured Worker: An Essential, Sometimes Overlooked Partner in Improving Pharmacy Network Utilization

...in these states even market aggressively to specific occupation types, like first responders. The Injured Worker’s Role in Their Care Patients as a stakeholder hold the greatest individual level of...
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