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357 posts found

Live Better, Heal Better: Employee Wellness in Workers' Comp

...impact a patient’s recovery from a workplace injury, and addressing these concerns has the potential to lead to greater claims outcomes and cost savings. Among many insights pulled from a...
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Tennessee: Formulary and UR Updates from the Medical Advisory Committee Meeting

...appeals were resolved with an average resolution time of 9.46 days. Among those URs received: 42% were upheld 45% were overturned 12% were administratively closed (e.g., late filings, premature appeals,...
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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

...premiums, and more. Key findings of the report include: Coronavirus layoffs are happening with unprecedented rapidity but not uniformly across economic sectors and types of businesses Temporary business shutdowns and...
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Triple Threat: Healthcare Fraud, Waste and Abuse in Workers’ Comp

Fraud, waste, and abuse (FWA) is an unfortunate fact of life for workers’ compensation payers who must contend with a variety of issues that drive up costs, compromise care for...
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Washington Increases Penalties for Violations of Workers’ Comp Laws

...or compliance violations. This applies to violations such as: Failure to register a workers’ comp account prior to operating with covered workers Delayed or denied required benefits by self-insurers Violation...
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Ohio Resubmits Outpatient Medication Rules: Comments Accepted Until October 9th

...giving stakeholders additional time to prepare. CSI is accepting public comments through October 9th. After that, BWC will file the rules for formal rulemaking, which includes an additional public hearing....
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2020 Workers’ Comp Industry Insights Survey & Infographic

Results, insights, and various stakeholder perspectives on important industry issues...
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Interstate Variation and Trends in Workers’ Comp Drug Payments

...varied greatly across states, as low as $22 per claim in states such as Massachusetts, Minnesota, and Wisconsin, to as high as $200 per claim in Florida and Louisiana. Dermatological...
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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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Think Globally, Act Locally: Advocating for Administrative Simplification

...reason. This term encompasses various aspects aimed at reducing the complexity and administrative burden of government systems, such as workers’ compensation. The Burden of Heavy Regulation The workers’
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FDA Considers Policy Changes for GLP-1 Compounds

...in shortage and compounders can still formulate these medications, including semaglutide, liraglutide, and dulaglutide. For ongoing coverage of the latest drug approvals and alerts impacting workers’ comp, visit Med Monitor online....
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COVID-19 Telehealth Updates

...California Colorado Connecticut Florida Georgia Idaho Kentucky Louisiana Michigan Mississippi Montana New Mexico New York Ohio Tennessee Texas + Update Vermont Washington Wyoming April 20, 2020: Wyoming Joins; Arizona and...
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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

...are not completely interchangeable, both dermatological agents and topical agents can be described as pain medications applied directly on the skin at the area to be treated. Such products can...
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