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Specialty Drugs in Workers' Compensation: A Guide for Claims Managers

Twenty years ago there were only 10 specialty drugs on the market and they were rarely seen in workers’ compensation. Today there are over 300, and drugs such as anticoagulants and antivirals are making their way into claims.

Bill Review Silos Cost Payers Over $2 Billion

The failure of workers’ compensation claims payers to properly audit medical bills for prior approval of treatment is costing upwards of $2 billion or more annually, in unwarranted medical payments.

Alternative Return To Work Programs: Taking an Innovative Approach to Improve Traditional Solutions

When the nature of the injury or the work itself do not lend themselves to traditional modified duty assignments, York’s Alternative Return to Work program places employees in nonprofits to help them transition back to their regular position.

The 2013 Workers' Compensation Benchmarking Study

Claims Leaders participated in a nationwide survey about their pressing daily operational challenges. The survey results provide a look into how claims peers are addressing current industry priorities and hurdles in a robust, data-rich Study Report.

Case Study - SaxonMG

Case Study - SaxonMG

Published: 11/19/2013 in Claims Management

SaxonMG strives to be the number one choice for auto insurance in the Cayman Islands. To help achieve this objective, SaxonMG chose to implement SIMS Claims to process auto claims with a high level of efficiency, cost savings, and customer service.

Outcomes-based Network Florida Program -- 2 Year Outcomes Metrics Report

In late 2009, Coventry launched its Outcomes-based Network in Florida aimed at identifying workers’ compensation providers who have been statistically shown to be associated with quality patient outcomes and controlled claims costs.

Focus on Pharmacy: Physician Dispensing

CorVel’s Focus on Pharmacy Management whitepapers aim to provide readers with tools and approaches to to mitigate exposure in their risk program.

Intelligent Medical Management: Transforming Big Data into Applied Analytics

Over the past few years, Big Data has captured the interest of the nation’s top business leaders. However, there is still much work to be done for this opportunity to achieve its potential.

Opioids in the Treatment of Injured Workers: When and How to Maximize Effectiveness

Use of prescription painkillers has increased in staggering proportions compared with other medication classes, in terms of the number of prescriptions written, costs and incidence of overuse and abuse.

Waste Adds $2.1 Billion to Workers' Compensation Pharmacy Costs, Express Scripts Reports

Unnecessary Use of Higher-Priced Medications Leading Cause of Waste; Lower-Cost, Clinically Equivalent Alternatives Would Save Billions for Workers' Compensation Payers

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