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357 posts found

Claims Q&A: Hyaluronic Acid Injections: What is Their Place in Work Comp Claims?

Our clinicians answer common questions from claims professionals...
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Inflation’s Impact on Workers’ Comp

...could attract workers to industries with labor shortages. This can bring compounded risk, as these low-wage positions are linked to injury frequency, compounded by the injection of newer, less-experienced workers...
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PBMs Explained: What Roles Can Pharmacy Benefit Managers Play in Workers’ Comp?

...to care, mitigate therapeutic risk, and create workflows that make it as easy as possible for injured workers to recover – guiding pharmacists, physicians, and claims professionals through a complex...
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State of the Nation

...around a lot in the health care space, and for good reason. This term encompasses various aspects aimed at reducing the complexity and administrative burden of government systems, such as...
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California P&T Committee Meeting Recap

...ACOEM cannabis treatment guideline is progressing through rulemaking and will be adopted. The committee also finalized a statement endorsing the use of biosimilars when interchangeable and more cost-effective than branded...
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Department of Labor Audit: COVID-19’s Impact on Comp

...and adjudicate claims. According to the report, OWCP programs are experiencing delays and resource management issues as a result of increasing claims and social distancing mandates. The report covers the...
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A Weighty Matter: Obesity and Workers’ Compensation

...as polycystic ovary syndrome (PCOS) or hypothyroidism Medications such as antidepressants, steroids, and blood pressure and diabetes drugs Systems and environment such as access to healthy food and safe places...
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Untangling Topical Drug Classes and Costs

...and Private Label Topicals Topical analgesics are also available as compounds, which are specifically mixed for the patient, and private label topicals (PLTs), which are independently manufactured – both of...
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A Splitting Headache: Trends in Migraine Therapy

...the acute treatment of migraines, including: Triptans such as sumatriptan, eletriptan, frovatriptan, rizatriptan Ergot derivatives such as ergotamine, dihydroergotamine, and methysergide Acetaminophen (Tylenol®) NSAIDs such as ibuprofen, naproxen, diclofenac, and...
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A Moment of Clarity: Alcohol’s Impact Across Workers and Medical Management

How problematic alcohol use can impact the workplace, claims, and medication management...
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Creeping Costs: The Rise of Mega Claims in Workers’ Compensation

...between $3 million and $5 million, 15% were between $5 million and $10 million, and 4% were in excess of $10 million. Data from workers’...
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3 Ways the Digital Experience Can Drive Meaningful Engagement for Injured Workers

...a positive claims experience is strongly associated with a successful, expedient recovery and return to work. Conversely, a negative experience can lengthen claim duration and increase complexity, as well as...
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7 Potential Applications for Artificial Intelligence in Workers’ Comp Medical Programs

...expected cost range and send alerts as soon as a deviation from anticipated trajectory occurs to allow early intervention and prevent further escalation. Improve fraud detection: AI can scrutinize claims...
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Wear and Tear: A Breakdown of Degenerative Comorbid Conditions

...Additionally, among claims involving back and shoulder injuries, those with a degenerative comorbid condition are 58% more likely to become a high-cost claim – with medical payments in excess of...
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Connect with Healthe at the 2021 National Comp Conference

...to answer questions and engage in discussion with Risk & Insurance editors. Upon completion of the analysis and results, Healthe will publish our annual industry insights survey in early 2022....
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