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Published: 08/13/2013 in Workers’ Comp & Disability
Redesigning the workers’ compensation claims process to be more patient focused and supportive of injured employees can have a positive effect on employee health outcomes and employer spending. A well-trained, multidisciplinary team offering immediat
Published: 04/29/2015 in Workers’ Comp & Disability
Electronic Waveform Lab, Inc. sued EK Health. A the heart of the issue is whether Utilization Review constitutes "official proceedings protected by law." This article explores this question its implications for future litigation in California.
Published: 03/24/2011 in Workers’ Comp & Disability
Opioid abuse causes great concern in the workers' compensation industry. Communication with physicians and pain management guidelines can improve outcomes.
Legalized use of medical and/or recreational marijuana in some states raises questions about what workplace safety, drug testing, and other risk management policies employers may want to adopt or modify and the possible consequences of the policies.
Published: 07/16/2015 in Claims Management
Undeniably, overuse of physical therapy is a contributor to elevated costs in workers’ comp.
However, programs that focus solely on overutilization are limited in their effectiveness. To achieve optimal results, a physical medicine program must manag
Published: 03/18/2015 in Workers’ Comp & Disability
In states where medical and/or recreational marijuana use is allowed, state laws are in conflict with federal laws causing confusion. This paper addresses the confusion and the management of chronic pain claims.
Published: 10/27/2014 in Workers’ Comp & Disability
PRP injections are costly and with little to no support from evidence-based guidelines, are widely scrutinized in the medical industry.
This article focuses on exactly what data analytics is and how it can help claims and utilization review professionals do their jobs better.
Published: 11/01/2010 in Captives / Self-Insurance
Berkshire Hathaway Homestate Companies (BHHC) is a group of six regional insurance carriers. In this case study, Terry McKelvey, vice president of IT in the workers’ comp division of BHHC, discusses the benefits her company experienced after implemen
Published: 04/17/2015 in Workers’ Comp & Disability
On July 11, 2011 while on the job, a women in her late 40’s was hit by a valve, which knocked out her two front teeth. With clinical oversight and guidance from One Call Care Dental + Doctor the payer saved more than $8,000.