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622 posts found

New Mexico Workers’ Compensation Administration Publishes Annual Report

The New Mexico Workers’ Compensation Administration published their 2024 Annual Report, highlighting system performance and claim trends. According to the report, medical-only claims have fluctuated significantly since 2018, starting at...
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Tracking Sub-Regulatory Changes in Workers’ Comp

Risk and Insurance magazine recently published an article on the challenges of tracking and managing the various regulatory developments that affect workers’ comp across the country. While many workers’ comp...
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When Demand Exceeds Supply: Older Patients and Fewer Physicians in Workers' Comp

The looming physician shortage and how to meet the challenge in workers' comp...
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The Patient Experience in Perspective: Applying Empathy to the Work Comp Claims Process

Understanding patients’ pain points with comp can lead to insights that improve program outcomes...
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Live Better, Heal Better: Employee Wellness in Workers' Comp

Workers’ comp continues to grow more complex as the scope of care expands to a greater, more holistic view of patient wellness. Health concerns outside of a claim can significantly...
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Tennessee: Formulary and UR Updates from the Medical Advisory Committee Meeting

On September 23rd, Healthesystems attended the Tennessee Medical Advisory Committee (MAC) meeting to hear key updates impacting the state’s workers’ comp system. The Bureau of Workers’ Compensation (BWC) Medical Director...
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California P&T Committee to Discuss Pharmacy Fee Schedule

...tool Drug list utilization rates. Meeting materials are available on the P&T Committee webpage, and the DWC encourages public comments on the formulary drug list to be sent to Formulary@dir.ca.gov....
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NCCI Explores Economic Impacts of COVID-19 on Workers’ Comp

The National Council on Compensation Insurance (NCCI) published a new report on the economic impact of Coronavirus on workers’ comp, exploring employment, business closure and furloughs, injury frequency, injury severity,...
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Specialty Drugs to Watch in Workers’ Comp: Infusibles and Injectables

Specialty drugs continue to comprise a growing portion of costs in workers’ comp – anywhere from 5-8% of total pharmacy spend, according to recent industry data. In fact, individual therapies...
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Claims Adjusters Are the Future Leaders of Workers’ Comp: How Can We Nurture Their Success?

...workers’ comp medical management, and thus brings a unique perspective on how to attract and retain workers’ compensation talent. This article examines how the skills and experience gained in the...
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4 Drug Classes Driving Pharmacy Costs

By Healthesystems With opioid utilization down, there is no longer a consolidated driver of pharmacy costs in workers’ comp. Instead, the industry faces a growing diversity of smaller, niche trends...
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In Harm’s Way: The Impact of Violence in Workers’ Comp

Types of violence that can impact workers’ comp...
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NCCI Reports on Adverse Weather and 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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New York and New Hampshire Rule in Favor of Marijuana Reimbursement

...ruled that medical marijuana is reimbursable in workers’ comp, while three states – Florida, North Dakota, and Michigan – explicitly exempt medical marijuana from workers’ comp reimbursement. Marijuana continues to...
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