May 15, 2018

WorkCompRecap: Freaky Friday!

Today’s Halloween issue of WorkCompRecap features Mitchell’s recent announcement of the launch of version 7.0 of its bill review and repricing solution, SmartAdvisor. New features include a central location to order referrals for ancillary services and products such as DME, PT, and imaging from the adjuster’s desktop, ICD-10 transition…[Continue Reading]

CompLines: 10/31/14

CompLines is a daily set of pertinent links that we believe will be of interest to our readers. CorVel’s quarterly revenues up, profits down Managed Care Matters Change, non-change important to Medicare compliance regulations Sedgwick Connection Soccer league red cards ref over comp fraud charge Pharmacy Times Editor’s Note: These links lead to outside news… [Continue Reading]

Mitchell Adds New Medical Bill Review Tools with SmartAdvisor 7.0


San Diego, CA – Mitchell International’s Workers’ Compensation Solutions division has released a new version of its bill review and repricing solution, SmartAdvisor 7.0. With the updated solution, P&C insurance customers receive updated features to help contain costs, drive business intelligence and enhance workflows in the bill review…[Continue Reading]

Macy’s Selects EK Health for UR, Bill Review and MPN Solutions in CA

EK Health

San Jose, CA – EK Health Services, Inc., a national workers’ compensation managed care company, recently announced that it has been selected by Macy’s, Inc. (NYSE: M), a national premium retail company, to provide services to Macy’s in California beginning October 1, 2014. The workers’ compensation managed care services…[Continue Reading]

TDI Fraud Prosecutor Named for Dallas County

Texas Dept of Insurance (TDI)

Austin, TX – The Texas Department of Insurance (TDI) recently announced Amy Allen as a fraud prosecutor who will work exclusively with criminal prosecutors in the Dallas County District Attorney’s Office to combat insurance fraud. Texas consumers pay an estimated $200 to $300 in additional insurance premiums each year to offset the costs…[Continue Reading]

Aetna Reports Q3 2014 Results


Hartford, CT – Aetna (NYSE: AET) announced third-quarter 2014 operating earnings of $638.6 million, or $1.79 per share, a per-share increase of 11 percent over the third quarter of 2013. Net income for the third quarter of 2014 was $594.5 million, or $1.67 per share. “Aetna reported solid third-quarter results, including our 10th consecutive…[Continue Reading]

WorkCompRecap: First Fill!

Today’s issue of WorkCompRecap features the Ohio BWC’s recent announcement that it has approved a “first fill” rule which aims to ensure that injured workers receive necessary medications while the future of their claim is being determined. BWC noted the importance of the rule, especially in situations where workers do not have…[Continue Reading]

CompLines: 10/30/14

CompLines is a daily set of pertinent links that we believe will be of interest to our readers. Fed. Agencies Have Disparities in How They Handle WC- Costs Reflect That WC Insights Work Comp Adjuster Best Practice: Trust But Verify ReduceYourWorkersComp Despite DEA Accommodation, Many Pharmacies Prohibit Hydrocodone Refills Pharmacy Times Editor’s Note: These links… [Continue Reading]

Ohio BWC Approves “First Fill” Rule

Ohio BWC

Columbus, OH – A new rule approved Friday by the Ohio Bureau of Workers’ Compensation (BWC) Board of Directors allows BWC to provide care to injured workers more quickly following an injury. The first fill rule will ensure that injured workers receive necessary medications while the future of their claims is being determined. “This new rule is significant…[Continue Reading]

Express Scripts Announces 3rd Quarter 2014 Results

Express Scripts

St. Louis, MO – Express Scripts Holding Company (Nasdaq: ESRX) has announced 2014 third quarter net income attributable to Express Scripts stockholders of $582.3 million, or $0.78 per diluted share. Adjusted earnings per diluted share, as detailed in Table 4, was $1.29 for the third quarter. “We have continually improved the pharmacy benefit…[Continue Reading]

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