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Clinical Services

...56% of industry stakeholders are concerned about increasingly complex claims Care Complexities Treating workers’ comp patients has become more complex. Comorbidities and psychosocial concerns are impacting worker health. A...
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Ohio BWC to Refile Outpatient Medication Rules

On September 3, the Ohio Bureau of Workers’ Compensation (BWC) withdrew its proposed outpatient medication reimbursement rules for self-insured employer claims due to a technical error. While the nature of...
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Then and Now: 8 Reflections from 15 Years of RxInformer

...1, 2022. InsuranceNewsNet. https://insurancenewsnet.com/innarticle/insurance-industry-facing-massive-talent-shortage Thumula V, Liu TC, Wang D. Interstate variation and trends in workers’ compensation drug payments, 5th edition – a WCRI FlashReport. WCRI. June 20, 2024. https://www.wcrinet.org/reports/interstate-variation-and-trends-in-workers-compensation-drug-payments-5th-editiona-wcri-flashreport...
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WCRI Reports on Changes in the Medical Workforce and the Impact on Claims

...The average county-level number of nurse practitioners per capita nearly tripled from 2010-2023. The average county-level number of physician assistants per capita increased roughly 50% from 2010 to 2022. These...
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5 Tips to Help Workers’ Comp Payers Optimize IT Resources

...cultural fit. For a more in-depth look at how the IT talent shortage is affecting workers’ comp, see the Rxinformer article, Coming Up Short: IT Talent Woes in Workers’ Comp....
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State of the Nation: Summer 2026

...was designed to protect. State of the States Looking for state-specific policy updates? Visit our webpage for real-time state updates and more insight from our Advocacy & Compliance team. www.healthesystems.com/advocacy-compliance...
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Fifth Annual Industry Insights Survey Reveals Evolving Needs in Workers’ Comp

...to claim complexity. #2. Comorbidities a Chronic Condition for Workers’ Comp Comorbidities continues to be a growing priority for workers’ comp healthcare. This is likely due to the aging...
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More than Skin-Deep: Untangling Topical Drug Classes and Costs

A breakdown of the diverse subcategories comprising dermatologicals prescribing and spend...
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In Case You Missed It: 5 Takeaways on Value-Based Models in Work Comp

...the session, here are 5 key takeaways: Workers’ comp is lagging, but learning Value-based care and reimbursement models have gained traction in commercial healthcare over the last few years, but...
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Claims Q&A: RX Drugs of Abuse: Which Non-Opioid Drugs Present Concern?

Our clinicians answer common questions from claims professionals...
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Dr. Silvia Sacalis to Speak at National Rx Drug Abuse & Heroin Summit

...risks inherent to opioid use in workers' comp populations, exploring how data aggregation, combined with systematically applied clinical logic, can reduce drug therapy risks and expose gaps in care. Dr....
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White House Issues Executive Order on Psychedelics

...response, the FDA announced that they will soon issue national priority vouchers to three companies; one to a company studying psilocybin for treatment-resistant depression, one to a company studying psilocybin...
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States Move to Make COVID-19 Compensable

...more comprehensive approach, the Illinois Workers’ Compensation Commission issued an emergency ruling that offers coverage to first responders, healthcare workers, and other front-line workers, assuming COVID-19 arises out of the...
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