December 18, 2017

New Clinical Decision Points in Drug Therapy

Healthesystems

Decision points and intervention opportunities regarding a patient’s drug therapy can vary over the lifetime of a claim and per individual patient. Up front, basic interventions such as having a drug formulary in place can put a claim on the right path from the start, while well-established and more complex claims might require more strategic clinical…[Continue Reading]

Using a Multifaceted Approach to Break the Sleep-Pain Cycle

Helios

We’ve all experienced those times when much-needed sleep was elusive or have been woken up in the middle of the night only to find you just can’t get back to sleep. Whether caused by stresses from social obligations, work, or home responsibilities, an occasional bout of insomnia, while frustrating, is relatively harmless. However, for those…[Continue Reading]

The Differing Effects of Opioid Analgesics

Helios

While many are concerned about the potential for misuse and abuse that comes with the utilization of opioid analgesics, an additional challenge is the side effects opioid analgesics can cause. You may have met Anne, a 45-year-old woman who injured her back at work. Helios shared her story in July to demonstrate how opioid analgesics have the potential…[Continue Reading]

Can 3D Printing Lend a Hand to the Workers’ Compensation Industry?

Helios

Over the past 10 years, 3D printing has become a more accepted and better-understood manufacturing process. Many herald the new technology as revolutionary, if not transformative to a variety of industries, ranging from industrial design to manufacturing. Use of 3D printing technology is recognized as particularly impactful to the medical…[Continue Reading]

Drug Utilization Management: Have You Tapped Its Full Potential?

Healthesystems

Managing appropriate utilization of prescription medications is a critical component of balancing quality and cost of care in workers’ compensation. The concept seems intuitive: by delivering the most appropriate care to a patient, you’ll also come out ahead from a cost perspective – with better outcomes, shorter claim durations, a lower likelihood…[Continue Reading]

The Formulary Journey

Helios

In what seemed at times to be a herculean effort by Assembly Member Henry Perea and his staff, the California Legislature passed AB1124 in the waning minutes of the 2015 legislative session, helping smooth the way for the development of a drug formulary to guide the treatment of injured workers in California. The journey for AB1124 began earlier…[Continue Reading]

Shining a Light on Formularies: Can PBM and State-Specific Formularies Work Together? We Say Yes.

Helios

A formulary is an approved medication list often based on clinical review of evidence-based medicine and both nationally and regionally approved medical guidelines. Both group health and workers’ compensation pharmacy benefit managers (PBMs) have been using formularies for decades to control prescription utilization and costs…[Continue Reading]

Physical Therapy in Workers’ Comp – Are You Considering These Cost Drivers?

Healthesystems

Lower back pain (LBP) due to injury remains one of the most common and costly conditions in workers’ compensation claims, and the majority of costs are associated with a fraction of the population. Ten to 15 percent of LBP patients drive approximately 75 percent of associated medical costs and lost productivity.1 This indicates…[Continue Reading]

Factors Influencing Claim Outcomes

Helios

Managing claims requires navigation and coordination of a variety of influences, each with an affect on a claim as unique as the claim itself. In particular, comorbidities and chronic pain and its treatment can profoundly impact claim outcomes. Comorbidities are health conditions that co-exist with the workers’ compensation injury or illness and as such…[Continue Reading]

MED as Part of a Medication Management Program

Helios

In the workers’ compensation industry, 60.2% of claimants utilize opioid analgesics for the treatment of pain caused by a workplace injury (Helios, 2015). But with the use of opioids also comes inherent risks, such as addiction, tolerance, dependence, misuse, abuse, and even death. Because of this, it is important to understand the potency of…[Continue Reading]

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