Leaders Speak

By Del Doherty, PhD, PharmD, MBA, MPH, ProdigyRx Part 1: The Gilded Age of PBMs As a pharmacist, clinician, consultant, and PBM executive, I have participated in this profession with great pride and enjoyed the privilege of making a difference in patients’ lives. But I have also seen this PBM industry’s low moments as I’ve… [Read more]

By Edwina Murphy, OTR, ATP, CAPS, Senior Director of Rehab Technology, ATF Medical Imagine being seriously injured on the job and then developing a painful pressure injury that keeps you in bed–an injury you would not have had if not for the work-related injury. That feels like insult on top of injury, doesn’t it? Pressure… [Read more]

By Rick Wyche, Executive Director of Sales, Marketing and Business Development, ATF Medical According to the Christopher and Dana Reeve Foundation, the average cost of a spinal cord injury (SCI) for a 25-year-old will be almost $5 million in health care and living expenses over the individual’s lifetime. This doesn’t even include the loss of… [Read more]

By Raja Sundaram, CEO, Plethy If a patient is engaged in their recovery, all is well. If not, recovery is delayed, difficult and costly. Too often that central fact gets lost, attention diverted by cool new technology that promises to educate, measure, report, and hasten recovery using artificial intelligence, wearables, wifi, smartphones, and algorithms. A… [Read more]

By Raja Sundaram, CEO, Plethy Physical therapy is critical for recovery. Studies show that PT is seen as a potential pain management approach in addition to its traditional role in physical recovery. Nonetheless, payers are scrutinizing PT more than ever, seeking ways to maximize the impact. Perhaps the most important component of physical therapy is… [Read more]

By Tate Rice, PT, DPT, MBA, Director of Product Management, Healthesystems For claims organizations, it’s a perfect storm of factors: an aging claims workforce, a shortage of incoming new claims talent, and pandemic pressures that include disrupted recruitment and training opportunities, impacts on employee mental and physical wellness, and, for some organizations, the nuances of… [Read more]

By Silvia Sacalis, PharmD, VP of Clinical Services, Healthesystems Pharmacy is an incredibly dynamic space. It’s one of the reasons I personally was drawn to the practice, and why I continue to have a fulfilling career in it after 17 years. It’s also one of the reasons that continuous analysis, consultation and strategic refinement of… [Read more]

By Linda Colsen, Senior VP of Product Management, One Call When we think about providing much-needed transportation to an injured worker during their recovery, the obvious choices come to mind – vans, sedans, and even ridesharing. But how often do we consider air ambulance? Perhaps the first thought that comes to mind is, “That’ll be… [Read more]

By Linda Colsen, Senior VP of Product Management, One Call Picture this – a well-laid-out recovery plan, a first-class physical therapy (PT) clinic, experienced therapists, and state-of-the-art equipment. The perfect start to an injured worker’s recovery journey, right? Yes, but only if the most important element – the injured worker himself – is present. Missed… [Read more]

By Nikki Wilson, PharmD/MBA, Director, Clinical Products, Mitchell Pharmacy Solutions In last week’s column we discussed fentanyl misuse leading to overdose and death, often occurring through illicit channels. However, there are legitimate, therapeutic uses for fentanyl, specifically for pain management, which can appear in workers’ compensation claims. That said, fentanyl products make up only about… [Read more]