December 15, 2017

Nikki Wilson: Opioid Use Disorders – Treatment Options, Tools, and More

Nikki Wilson

In last week’s installment, we shared some insights on the need to understand when opioids are (or are not) indicated for the treatment of specific types of pain commonly seen in workers’ comp. We also highlighted the need for being familiar with prescribing guidelines should opioids be warranted and the warning signs that an individual may be exhibiting signs of…[Continue Reading]

Nikki Wilson: Understanding the Risks and Benefits of Opioid Use

Nikki Wilson

The rampant opioid misuse battering the nation represents one of the most virulent threats to employee welfare in the more than 100-year history of workers’ compensation protections. Equipping key players with an understanding of when opioids are necessary and how to identify opioid use disorder will lead to better chances of deterring the abuse of opioid analgesics that has…[Continue Reading]

Dr. Silvia Sacalis: The Specialty Drug Decision – Weighing Outcomes and Cost

Silvia Sacalis

Pharmaceutical research & development has become laser-focused on the development of specialized drugs, producing some significant drug innovations over the last several years. The crop of new hepatitis C (HCV) antivirals that first hit the market in 2015 presented hope for converting a chronic disease into one that is instead curable. The same year brought the approval of…[Continue Reading]

Dax Craig: Four Aspects of the Claims Lifecycle Data Analytics Can Improve

Dax Craig

For a work comp claim, the multi-step journey from injury to payout, and even proper medical attention, varies across insurers. Yet, the process generally contains similar steps that should be optimized. On one hand, insurers must be diligent in understanding the nature of each claim, including variables such as subrogation potential and length of time an employee…[Continue Reading]

Dax Craig: Mitigating Claim Severity in Work Comp

Dax Craig 2017

It wasn’t long ago that workers’ compensation was recognized for being an unprofitable line of insurance. However, the wide adoption of underwriting analytics helped turn the line around, and the industry has seen profitability for six consecutive years. But underwriting is only one component of the insurance equation, and the gains in profitability are at risk due to…[Continue Reading]

Bryon Bass: ADA Compliance, RTW, and Workers’ Comp: Let the Interactive Process Be Your Guide

Bryon Bass

Workers’ compensation programs are subject to both federal and state statues. Moreover, they can be further complicated by internal structures and administrative complexities. As an example, an organization’s workers’ compensation program is subject to the statues of the state in which the employee works. These state statues can determine such issues as…[Continue Reading]

Kimberly Webb: Is Your Return to Work Program ADA-Compliant?

Kimberly Webb

Establishing an effective return to work program is a proven business strategy that enables an organization to retain valuable talent and improve the overall productivity of its workforce when injuries occur. The ultimate goal of such a program is to enable injured employees to recover and return to a full duty position. It’s important to remember that return to work programs should…[Continue Reading]

Marty Cassavoy: The Only Constant is Change: What New Contractors Mean to Medicare Compliance

Marty Cassavoy

Workers’ compensation practitioners with long memories can cite dates the way sports announcers remember games: Autumn of 2007, Summer of 2012, January of 2016. No, these are not dates tied to epic comebacks or long losing streaks. These are dates and times when the Centers’ for Medicare & Medicaid Services (CMS) employed new Medicare Secondary Payer (MSP) contractors…[Continue Reading]

Marty Cassavoy: Light at the End of the Tunnel: Medicare’s Amended Review Program

Marty Cassavoy

The Workers’ Compensation Medicare Set-Aside (MSA) program has been a thorn in the side of claims payers for the last fifteen years. MSAs evolved from a compliance vehicle that few understood to what is now a necessary evil in resolving workers’ compensation claims involving Medicare beneficiaries (as well as those soon-to-be on Medicare). Along the way…[Continue Reading]

Dr. Steven Moskowitz: Concussion Discussion: From Controversial Diagnosis to Claims Management Strategy

Dr Steven Moskowitz

Recent discussions in the news about concussions in athletes focus on a topic that has challenged healthcare providers for decades, if not centuries. Although press reports raise awareness of important issues, the headlines can over-hype the topic and cause fear or misunderstanding. The medical community now commonly agrees that a concussion is a mild brain injury…[Continue Reading]

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