Featured Articles

Kimberly Di Scala, Pharm.D., Product Development Senior Advisor, MyMatrixx by Evernorth Sarah Randolph, Pharm.D., Product Development Senior Advisor, MyMatrixx by Evernorth For decades, the workers’ compensation industry has focused on the injury. The broken leg. The strained back. The concussion. Common injury types that often have a common treatment plan. Except, we now know that… [Read more]

Based on an interview with Shawn Deane, general counsel for Ametros In 2010, Ametros was founded with a clear mission in mind: Support injured individuals through one of the hardest chapters of workers’ compensation – post-settlement – and do it with a level of empathy unmatched by any other organization in the industry. At the… [Read more]

Len is one year away from his 30-year anniversary with a regional manufacturing company. At 63 years old, he’s a respected warehouse supervisor known for his strong work ethic and his habit of jumping in to lend a hand whenever a co-worker needs it. The atmosphere in the warehouse was bleak when workers learned that… [Read more]

Ancillary services play an important role in an injured worker’s recovery journey. They each serve different purposes for the patient – from physical therapy to durable medical equipment to diagnostics – and by virtue of these differences, they each bring their own reimbursement approaches, performance considerations, and opportunities for optimization. Together, these areas of specialization… [Read more]

Artificial intelligence (AI) is quickly becoming one of healthcare’s most powerful tools, helping clinicians uncover insights buried within vast amounts of data, make better-informed decisions, and identify risks before they become serious problems. AI in Healthcare: Enhancing Documentation, Diagnosis, and Treatment One way healthcare organizations are rapidly embracing AI is by using it to assist… [Read more]

From risk analysis to clinical intervention to better outcomes. “The more you know…” and “Knowledge is power” are taglines we’ve all heard and said hundreds of times. They stick with us because they are simple, but also because they ring true. With most things in life, the more information you have, the better equipped you… [Read more]

A purpose-built implementation strategy that simplifies implementation and accelerates time to value. As a workers’ compensation payer, you know when your bill review program no longer meets your needs. Service issues begin to add up and technology limitations create more manual work. As a result, your claims teams end up spending more time managing processes… [Read more]

This article is the second in a two-part series. Read Part 1 here. GLP-1 receptor agonists (commonly referred to as GLP-1 medications) have rapidly emerged as a powerful tool in the treatment of obesity and metabolic disease. These medications, originally developed for type 2 diabetes, work by mimicking a naturally occurring hormone that helps regulate… [Read more]

By Gal Zhovnirovsky, Chief Operating Officer, Ametros Sometimes doing the right thing does not always seem like the smart business choice.  At Ametros, we specialize in post-settlement professional administration for injured individuals who have suffered a complex or catastrophic injury. Once their claim is settled, they are often at a loss as to how to… [Read more]

When hospital care is needed for a workers’ compensation claim, network participation often becomes the dividing line between managed medical costs and inflated facility spend. Hospital services introduce a level of pricing complexity, utilization variability, and administrative exposure that few other components of workers’ compensation medical care carry. Without a structured framework to guide access,… [Read more]