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748 posts found

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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Legalization and Decriminalization: Marijuana and More

...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...
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American Medical Association Publishes Opioid Task Force Report

...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...
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Remdesivir a Potential Treatment for COVID-19?

...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...
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COVID-19-Related Stress Among Emergency Department Workers

...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....
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Alaska Proposes Significant Pharmacy Reimbursement Changes

...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
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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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