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632 posts found

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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California Opens Public Comments on Proposed Updates to Traumatic Brain Injury Guidelines

The California Division of Workers’ Compensation (DWC) issued a 15-day notice of public comment period beginning on October 13, 2025, for modifying the text of proposed amendments to the Medical...
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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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Maryland Provides Update on Prescription Fee Guide

On October 23rd, Healthesystems attended the Maryland Workers’ Compensation Commission’s Medical Fee Guide Committee meeting. Maryland has long considered implementing a Pharmacy Fee Guide, but the failure of Senate Bill...
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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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Alabama Proposes Workers’ Comp Coverage for Teachers

...for care and request reimbursement later from the Board of Adjustment. To help administer a workers’ comp program for teachers, this bill would create the Public Education Employee Injury Compensation...
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Florida Proposes Employer-Run Comp Alternative

...comp system. This bill would allow employers to become a "qualified compensation alternative employer." Employers opting for this alternative would be required to adopt written plans that provide no-fault benefits...
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California Publishes One-Year Report on Workers’ Comp Formulary

In late August, the Workers’ Compensation Insurance Rating Bureau of California (WCIRB) published a One-Year Checkup on the California Formulary, an early assessment of the California workers’ comp formulary’s impact on actual...
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Unpredictable Costs: How Will Healthcare Price Inflation Impact Workers’ Comp?

...general inflation rate increased by a modest 6% over 2021. Year Over Year: Dec 2021 – Dec 2022 6.25% - General inflation rate 81.8% - Healthcare inflation rate Historically, healthcare...
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Positive Marijuana Screenings Increase – What More to Expect with Rescheduling?

...to figure out in the coming months and years, there is now a stronger likelihood that marijuana will make its way more into workers’ comp on some level or another....
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