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622 posts found

Illinois Bill Aims to Limit Custom Compound Reimbursements

Illinois House Bill 1256 was introduced, written to restrict reimbursement for custom compound medications to a one-time, seven-day supply, payable only if no commercial equivalent exists and all active ingredients...
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Purdue, OxyContin Manufacturer, Loses Federal Case and Will Shut Down

...is that the company would cease to operate in its current form and would instead emerge from bankruptcy as a public benefit company (PBC) owned by a trust or similar...
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The Growing Utilization and Costs of Anticancer Medications

...in per-fill price increased 40.4% overall. While cancer is not the most common condition found in workers’ comp claims, it is prevalent enough that drug trends impacting cancer can make...
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California P&T Committee to Meet on April 16th

The California Pharmacy and Therapeutic (P&T) Committee will hold a hybrid meeting on April 16th at 12:30 PM PST to discuss key issues related to the workers' compensation drug formulary....
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Five Things to Know About Workers’ Compensation Pharmacy Services

...the differences between workers’ comp and group health PBMs and the specific value that workers’ comp PBMs bring to the table. Sandy Shtab was one of three panelists, joining Sean...
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Texas Department of Insurance to Host Compliance Webinar

The Texas Department of Insurance will host a CompCourses webinar on December 11th at 1:00 PM CST, focusing on compliance within the Texas workers' comp system. The webinar will provide...
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Growing Trend: Expanding Cancer Coverage for Firefighters

...the most recent addition to a growing number of states expanding cancer coverage for firefighters in workers’ comp. In April, Montana Senate Bill 160 was signed into law, expanding workers’ comp...
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New York Adopts PBM Regulations, with Exemption for Workers' Comp

...argued that additional regulations would place unnecessary burdens on stakeholders in the workers' compensation sector, given the existing oversight by the New York Workers' Compensation Board. These new regulations are...
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Driving a More Personalized Claim Experience in a Digital World

WorkCompWire, an online news service focused on workers’ comp, featured a Partner Post from Healthesystems, which examines how the growth of complex claims requires workers’ comp programs to detect early...
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Nevada Enacts Workers’ Comp Formulary

Nevada Senate Bill 317 – which introduces major changes to the state’s workers’ compensation system – has been signed into law by Governor Joe Lombardo. Originally aimed at expanding provider choice,...
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The Long Haul: Chronic Health Complications of COVID-19

...healthy.” Robin Martin, RN, BSN Ancillary Services Manager, Johns Eastern Company, Inc Long-Term Health Complications of COVID-19 Though many individuals who are infected by COVID-19 recover completely within a few...
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The Long Haul: Chronic Health Complications of COVID-19

Those previously infected by coronavirus may face long-term health complications, potentially complicating workers' comp claims...
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WCRI Publishes CompScope Benchmarks

The Workers’ Compensation Research Institute (WCRI) released their 25th CompScope™ Benchmarks report, analyzing workers’ comp performance in 18 states from 2018 to 2023, with data through March 2024. The annual...
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PTSD Coverage: More States Draft Legislation

...would recognize PTSD as a compensable injury for first responders under workers’ compensation. These bills do not explicitly clarify whether a physical injury is necessary for compensation, but they state...
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