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738 posts found

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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Dr. Robert Goldberg Discusses Congressional Marijuana Vote with WorkersCompensation.com

...has created a host of problems in regulating medical marijuana use, which impacts workers’ compensation as some states require workers’ comp payers to reimburse medical marijuana on certain claims. WorkersCompensation.com...
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A Better Way to Manage Workers’ Comp Claim Decisions: 6 Steps to More Effective Pharmacy Workflows

...that straightforward decisions don’t compete with more complex ones for attention. In effective pharmacy workflows, automated rules are applied to check for claim validity, state rules, payer policy, formulary alignment,...
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Utah Proposes Reduced Benefits for Positive Marijuana Tests

...THC or a THC analog, with a THC blood level in excess of 20 nanogram/ml. Furthermore, the bill notes that when testing for marijuana use, a blood test shall be...
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What’s Ahead for 2019 Workers’ Comp Regulations

...changing from Independent to Republican (AK). At the federal level, Democrats now control the U.S. House of Representatives. Click here to learn what other regulatory trends could impact workers’ comp....
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Empowering the Patient as a Mitigator of Claims Complexity

...challenges, there is one asset that can perhaps be leveraged more optimally as a mitigator of claim complexity – the injured worker patient. Even as workers’ compensation programs have been...
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JAMA Examines Persistent Opioid Use in Workers’ Comp Patients

...this population, along with patient-level factors associated with persistent opioid use. The study examined 9,596 workers’ comp claimants in the Chesapeake Employers Insurance Company in Maryland who initially filled at...
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Wacky Weather: How Climate Change Is Impacting Workers’ Comp

...sweating mechanism fails. In workers’ compensation, heat-related illnesses are prevalent. A study by the UCLA Luskin School of Public Affairs compared records from more than 11 million California workers’ comp...
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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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New York Bill Seeks to Limit Recently Enacted Mental Injury Presumption

...has been introduced, which would limit the presumptions only to first responders, including police officers, firefighters, emergency medical technicians, paramedics, emergency dispatchers, and other persons certified to provide medical care...
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New York Introduces Psilocybin Therapy Bill

New York has pre-filed Senate Bill 495, which proposes legalizing medical psilocybin use under strict conditions. Administration would occur in clinical settings or at home under certified facilitators, who must...
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