Featured Articles

In workers’ compensation, the medical bill review process should be designed to optimally and strategically capture savings and impact outcomes. However, what you may not realize, especially if you’ve used the same vendor for a number of years, is your process may have lost its edge and, consequently, dull your ability to compete in the marketplace. In today’s climate…[Continue Reading]

Prescription drug management is a complex area marked by constant change, requiring continuous evaluation, development and implementation of strategies to stay ahead of current and future trends. The following topics represent just a few of the ongoing and upcoming drug trends that impact workers’ comp pharmacy management. With treatment guidelines and public opinion pushing back on opioids, current research is exploring…[Continue Reading]

If we look back just 20 years in our history, it is easy to see how far the field of managed physical medicine has come. In years past, carriers and TPAs had no way to effectively manage the utilization of physical therapy, occupational therapy or chiropractic services. Without managed care specialists or clinical treatment guidelines in place, claims professionals often lacked the clinical expertise or the administrative resources to effectively…[Continue Reading]

Josh is the newest employee to join your team as a general laborer and so far, has been a great new hire. He works efficiently and gets tasks done in a timely manner. One day, Josh comes into work, starts his daily routine and pulls a muscle in his back while moving a load of boxes. He is now unable to work and starts down the path of filing a workers’ compensation claim. Sound familiar? [Continue Reading]

Cultural competency has gained a stronger foothold in health care over the past decade. Still, while strategies to provide care without bias have helped reduce disparities among minority populations, the same can’t be said for those in the LGBTQ (lesbian, gay, bisexual, transgender, queer) community. Lack of trust between patient and provider can have a significant impact in workers’ comp. Statistics from the Institute of Medicine…[Continue Reading]

In workers’ compensation, the independent medical examination (IME) serves as a powerful tool to help claims professionals make difficult determinations, regarding the cause of an injury, appropriate treatment, impairment and disability, as well as return-to-work issues. To make these determinations accurately, the industry needs a quality IME process that preserves the original intent of these exams – which is to obtain…[Continue Reading]

What trends should employers watch to stay ahead of the curve in 2018? Issues and strategies to navigate include: compounding global risks, shifting tide of policy, bridging the gaps, leveraging interdisciplinary care, and improving experience through technology. At Sedgwick, taking care of our clients and their employees and customers is very important to us. We recognize that 2018 will be a year of change in…[Continue Reading]

As patient-centric technology becomes more mainstream, providing flexible, on-demand access to healthcare remains a top priority at One Call. Injured workers demand real-time connections to care, improved patient engagement and quicker outcomes. One Call is taking the driver’s seat in the workers’ compensation industry, changing the landscape…[Continue Reading]

What if you had the ability to schedule non-emergent, on demand transportation for your patients? What if you could have more transparency, and provide increased safety with better wait times to and from appointments? Relay Transportation, a web-based application augmented by One Call’s propriety network and customer contact center…[Continue Reading]

By the latest CDC tally, the year 2015 saw more than 33,000 opioid overdose deaths, two-thirds of which were attributed to prescription opioids. More than ever these statistics crystalize the need to explore and develop alternative chronic pain therapies. However pharmaceutical companies continue to invest in the development of new opioid products…[Continue Reading]