The California Division of Workers’ Compensation’s (DWC) Pharmacy & Therapeutics Committee meeting took place on July 15th, and Healthesystems attended this meeting to monitor emerging formulary, utilization, and drug-spend trends....
...comp industry is still emerging, early indicators point to limited utilization with disproportionate financial impact. The Workers Compensation Research Institute (WCRI) reports that GLP-1s are appearing in a small number...
The Tennessee Workers’ Compensation Medical Advisory Committee held a public meeting on October 6th to assist the administrator in the development of the treatment guidelines and advise the administrator on...
...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...
...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...
...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...
...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....
...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...
...control licenses for commercial cultivators, manufacturers, testing facilities, and more. A 15% sales tax on marijuana sales will be imposed. It is no secret that support for medical marijuana is...
...as well as enforce meaningful oversight and enforcement of state and federal mental health and substance use disorder parity laws, including requiring health insurance companies to demonstrate parity compliance at...
...height of the Ebola outbreak when scientists explored which antivirals could help patients. Due to its status as an antiviral, initial tests were conducted to gauge remdesivir’s potential to treat...
...facing such increased risks can cause significantly higher stress levels. A study recently published by the Annals of Internal Medicine, COVID-19-Related Stress Symptoms Among Emergency Department Personnel, explores this in more detail....
...patches $240 cap for compounded topical preparations Non-topical compounds would require documented medical necessity, FDA-approved ingredient combinations, ingredient-level billing, and reimbursement based on the lowest available generic NDC. Pharmacy
...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...
...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,...
