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735 posts found

Illinois Enacts New UR and IME Requirements

...diligence in obtaining records needed to complete the review Noncompliance may create rebuttable presumptions supporting delay penalties and attorney fee awards. Employers, payers, and utilization review organizations must comply with...
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Utilization of Opioid Use Disorder Medications

...cannabis use disorder. The numbers reported by JAMA are liable to change in the coming years, as access to medications for OUD, such as buprenorphine, could increase. Efforts from a...
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FDA Approves New Opioid, Dsuvia

...to address use-related errors. In fact, the head of the FDA’s advisory committee on painkillers argued the drug would likely worsen the opioid crisis. According to the FDA-approved label, Dsuvia...
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Pennsylvania Proposes Cannabis Reimbursement Bill

...be required to reimburse qualifying payments up to $250 per month for medical marijuana obtained for certified medical use. Insurers would be required to establish a system to reimburse qualifying...
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Marijuana Reimbursement Initiatives See Signs of Life

...bill now sits with the Labor and Workforce Development Committee, Meanwhile, the Pennsylvania Commonwealth Court recently overturned two previous decisions made by the Pennsylvania Workers’ Compensation Appel Board which denied...
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California Vetoes UR Doctor Licensing Bill

Doctors performing utilization review for private employers will not have to be board certified....
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New York Restricts Mental Health Presumption to First Responders

...technicians, paramedics, emergency dispatchers, and other certified emergency medical personnel. The law also redefines qualifying conditions, covering only mental injuries resulting from a “work-related emergency” rather than general workplace stress....
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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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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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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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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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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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