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662 posts found

The Drug Price Debate

...impacts healthcare professionals across the board, including those in the workers’ compensation industry. Earlier in March, the United States Senate Special Committee on Aging held a hearing on the complex web...
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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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Drug Recalls Impacting Comp

...recall included several compounded opioid products, including various lots of fentanyl, morphine, and hydromorphone compounds, along with certain lots of benzodiazepine compounds that included midazolam. The expanded recall now includes...
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An Opioid Snapshot for 2020

...Compensation Research Institute (WCRI) examined 575,000 claims across 27 states, which represented 37-72% of workers’ comp claims in each state, and found that opioid prescribing dropped significantly in comp claims. In...
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More States Embrace Closed Drug Formularies

...of an evidence-based drug formulary for workers’ compensation claims. The bill prohibits workers’ compensation and occupational disease compensation reimbursements for drugs specified as “not recommended” in the Official Disability Guidelines...
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Washington Advisory Committee Meeting Highlights

On June 24th, Healthesystems attended the Washington’s Workers' Compensation Advisory Committee’s (WCAC) quarterly meeting, which focused on the rise in long-term disability claims. Factors contributing to long-term disability claims include...
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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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