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Workers’ Comprehensive

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Clinical Insights
California Publishes One-Year Report on Workers’ Comp Formulary

The utilization of opioids, compounds, and physician-dispensed medications have significantly decreased.

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Legislation & Policy
DEA to Improve Access to Marijuana Research

Proposed changes to who can grow and research marijuana will soon be available for public commentary.

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Opioid Developments
Johnson & Johnson to Pay $572 Million in Opioid Trial

An Oklahoma judge found the drug maker to be partially responsible for the harm of the opioid epidemic.

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Healthe Developments
Three Insights from WOHC 2019

Healthesystems’ Chief Medical Officer explores trends impacting workers’ comp, including patient engagement, population health, and more.

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Medmonitor
FDA Approves First Lyrica Generics

Nine generic versions of Lyrica (pregabalin) have been approved for the treatment of five different medical conditions.

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Spotlight
Healthesystems AVP of Advocacy & Compliance Named Finalist for Comp Laude Award

Sandy Shtab has been recognized for making significant contributions to the workers’ comp industry.

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Clinical Insights
FAIR Health Publishes Telemedicine Report

Looking at over 29 billion private health claims, this study found that claim lines related to telehealth rose 624% from 2014-2018.

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Opioid Developments
WCRI Reports on Interstate Variation in Dispensing Opioids

While many states report fewer opioid prescriptions, MME levels vary more significantly by state.

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Innovation
Will Autonomous Vehicles Impact Workers’ Comp?

NCCI estimates that a 25-75% reduction in motor vehicle accidents in workers’ comp could save $1-4 billion, creating interest in self-driving cars.

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Medmonitor
First-Time Generics Approved for Two Pain Medications

Generic versions of Ultram (tramadol hydrochloride) tablets and Dyloject (diclofenac sodium) injections have been approved by the FDA.

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Clinical Insights
NCCI Examines Impact of the ODG Formulary in Arizona and Tennessee

While the utilization of opioids and other problematic drugs decreased, similar drops were seen in states without closed formularies.

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Spotlight
Healthesystems Product Owner Receives IAIABC NextGen Award

Stephanie Arkelian has been recognized as a talented young professional making a positive impact on the workers’ comp industry.

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Legislation & Policy
New York City and Nevada Prohibit Hiring Discrimination for Positive Marijuana Tests

Beyond exceptions for safety or federal positions, employers cannot refuse employment for testing positive for marijuana in pre-employment drug screenings.

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Marijuana Updates
Marijuana Laws No Longer Thought to Reduce Opioid Overdose Deaths

A new study builds upon earlier research with a larger, more up-to-date dataset, finding a reversal in trends.

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Healthe Developments
Healthesystems at WCI Orlando 2019

Visit Healthesystems in booth #909 and learn how we’re making waves in workers’ comp, and how we hope to benefit coastal cleanups for the “Coast to Coast” theme.

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Medmonitor
FDA Reexamines Discontinued Drug for New Pain Applications

Orphengesic Forte has received a decision date of August 14, 2019.

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This Month's Must Read
Shifting Gears in Patient Transportation with Rideshare

How services like Lyft and Uber can amplify injured worker transportation programs to improve claims outcomes.

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Clinical Insights
The Growing Utilization and Costs of Anticancer Medications

Though they’re only needed for special cases in workers’ comp, anticancer medications can easily exceed $10,000 per monthly fill.

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Opioid Developments
FDA Proposes Fixed-Quantity Blister Packaging for Certain Opioids

In a call for public comment, the FDA believes that reducing excess opioid supplies can lower opioid misuse, abuse, and overdose.

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Medmonitor
FDA Approves First Generic Naloxone Nasal Spray for Opioid Overdose

The life saving antidote for opioid overdose will soon be available in a consumer-friendly, generic nasal spray.

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This Month's Must Read
2019 Workers’ Comp Industry Insights Survey

Healthesystems partnered with Risk & Insurance magazine to survey 500+ work comp professionals on their top challenges, trends, successes, and more.

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Clinical Insights
Negative Impacts of Combining Antidepressants with Opioids and Benzodiazepines

Combining all three drugs can reduce claim closure rates to 58.3%, with average claim costs of $94,000.

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Legislation & Policy
Growing Trend: Expanding Cancer Coverage for Firefighters

Florida enacted a law to cover 21 different cancers, while other states like Montana, Maryland, and Virginia have recently passed similar laws.

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Opioid Developments
National Institute of Health to Launch $350 Million Opioid Intervention Study

Four research sites will test proven opioid prevention and treatment interventions, hoping to reduce overdose deaths by 40% over three years.

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Medmonitor
FDA Tightens Restrictions for Transmucosal Fentanyl Products

New changes to REMS safety programs will require stronger treatment documentation and oversight.

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This Month's Must Read
Patient Engagement is Personal: How to Help Injured Workers Help Themselves

Patient engagement can lead to better health outcomes, but not all engagement strategies are equally effective.

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Clinical Insights
The Impact of the Changing Workforce

The workforce is aging, getting younger, and gaining more women, all at once. What does that mean for claims management?

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Legislation & Policy
Marijuana Continues to Take Major Steps Forward

Congress may soon clear federal restrictions to processing marijuana transactions, while the FDA asks for feedback on handling marijuana products.

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Opioid Developments
Oklahoma Reaches $270 Million Settlement with Opioid Manufacturer

Various state and local governments have sued drug developers for the harms of the opioid epidemic, and this could be the first of many settlements.

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Medmonitor
Tanezumab Trials Yield Positive Results for Pain Management

Phase 3 clinical trials for this non-opioid drug demonstrate significant reductions in pain for osteoarthritis and chronic low-back pain.

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This Month's Must Read
Opioid Imbalance: Risk Disparities Among Diverse Patient Populations

Demographic factors such as gender, ethnicity, socioeconomic status, age, and location can impact opioid risks.

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Clinical Insights
Tackling Topicals: Clinicians Takes Notice

Despite having little clinical impact, topical creams continue to be utilized widely in workers’ comp.

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Legislation & Policy
The Drug Price Debate

Federal lawmakers and administrative agencies continue to investigate how to best lower ever-increasing drug prices.

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Innovation
FDA Establishes Guidance for Brain-Computer Interface Technologies

Can special implants in the brain override paralysis? The FDA believes one day they could.

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Medmonitor
FDA Nudges Developers to Create Over-the-Counter Naloxone

The FDA created special drug labels to clear a development hurdle and encourage manufacturers.

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This Month's Must Read
Marijuana – What to Expect in 2019 and Beyond

Dr. Robert Goldberg and Sandy Shtab talk with Risk & Insurance about changing attitudes and policies around medical marijuana, its potential role in reducing reliance on opioids, and what this can mean for payers, employers, patients and PBMs.

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Clinical Insights
Troubling Trends for Benzodiazepines

Prescribing has doubled since 2003, overdose deaths quadrupled since 1996, and misuse accounts for 20% of benzodiazepine use.

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Legislation & Policy
PTSD Coverage: More States Draft Legislation

Kentucky, Connecticut, Idaho, and West Virginia proposed bills to make PTSD compensable for first responders.

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Medmonitor
FDA Approves Two New Strengths of Apadaz

The opioid prodrug for acute pain will soon be available in both a stronger and weaker dose.

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This Month's Must Read
What’s Ahead for 2019 Workers’ Comp Regulations

As 2018’s legislative trends continue to spill into 2019, what big initiatives might impact workers’ comp this year?

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Clinical Insights
JAMA Examines Association of Early Physical Therapy with Long-Term Opioid Use

An analysis of 90,000 private claims explores the relationship between early PT and reduced long-term opioid use in musculoskeletal pain.

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Legislation & Policy
The Legality of Self-Referrals

Can doctors in certain states refer patients to pharmacies which they partially own?

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Innovation
The Buzz Behind Digital Therapeutics

Will doctors one day prescribe apps meant to drive behavior changes instead of drugs?

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Medmonitor
FDA Approves First Prescription App for Opioid Use Disorder

The reSET-O app uses cognitive behavioral therapy techniques to assist patients engaged in medication-assisted therapy for opioid dependence.

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This Month's Must Read
Hero’s Welcome: Growing PTSD Coverage for First Responders

Formulary and claims management considerations for populations at risk for “mental-only” cases of PTSD.

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Clinical Insights
New Guidelines for Opioid-Induced Constipation

The American Gastroenterological Association released guidance on properly prescribing medications for OIC.

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Marijuana Updates
Marijuana Use Rising Among Older Populations

Marijuana use among adults aged 50-64 tripled from 2002-2014.

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NWCDC
In Case You Missed It: 5 Takeaways on Value-Based Models in Work Comp

Dr. Silvia Sacalis of Healthesystems teamed up with Dr. Adam Seidner of The Hartford for a session at NWCDC – here are 5 key takeaways.

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Medmonitor
FDA Approves New Opioid, Dsuvia

Five-to-ten times stronger than fentanyl, this drug is not for consumer use, and many claim it could worsen the opioid crisis.

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This Month's Must Read
The Opioid Crisis: Our Defining Moment

Healthesystems’ clinical leaders comment on the collective responsibility of healthcare entities, providers, and legislators to increase efforts that will help stem opioid overprescribing, misuse and overdose.

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Marijuana Updates
Midterm Marijuana Updates

More states allow for the legalization of recreational and medical marijuana, while others consider insurance reimbursement.

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Clinical Insights
JAMA Examines Persistent Opioid Use in Workers’ Comp Patients

A study of 9,596 claimants who filled an opioid prescription found that 30% were still taking opioids 90 days later.

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Healthe Developments
Healthesystems at NWCDC 2018

Join our VP of Clinical Services on December 6th in Las Vegas for a presentation on value-based care in workers’ comp.

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Medmonitor
DEA Reschedules Epidiolex

The marijuana-derived seizure drug now sits at schedule V, facing far fewer prescribing and dispensing restrictions.

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This Month's Must Read
Dr. Silvia Sacalis Discusses Medication Red Flags with Risk & Insurance

Healthesystems’ VP of Clinical Services offers insight into prescriptions in workers’ comp claims that should raise concerns.

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Legislation & Policy
New Jersey Bill Pushes for Medical Marijuana Reimbursement

Assembly No. 4505 may solidify precedence recently made by a judge from the Division of Workers’ Compensation.

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Industry Trends
National Safety Council Issues Report on Workplace Fatigue

Common risk factors can increase worker fatigue, leading to more frequent workplace injuries and a loss of productivity.

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Opioid Developments
Federal Opioid Reform Bill Signed into Law

With an enormous range of initiatives to prevent and treat opioid use disorder, the bill has officially been signed by the President.

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Medmonitor
FDA Approves New Dosage for Opioid Dependence Therapy

Cassipa (buprenorphine and naloxone) sublingual film delivers a new dosage for the treatment of opioid dependence.

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This Month's Must Read
Dr. Silvia Sacalis Discusses Polypharmacy with WC Magazine

Healthesystems’ VP of Clinical Services explains how too many drugs in a claim can cause health concerns, and what can be done to prevent them.

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Workers’ Comprehensive

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