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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.

Trust & Belief: Critical Elements in Recovery from Injuries and Disability

What is it about the employee-employer relationship that makes trust such a critical variable? How does trust translate into recovery and return-to-work? And what can employers do to earn employees’ trust?

Safe and Appropriate Use of Opioids Begins at the Moment of Injury

With increasing emergency room visits due to the misuse or abuse of opioid analgesics, a medication largely used in the workers’ comp industry, payers are seeking tools to reduce their misuse or abuse. Learn about the success of such a tool.

Psych: The "Four"-Letter Word in Workers' Compensation

“Psych.” To many in the workers’ compensation field, it sounds like one of “those” words—although it actually has five letters. Find the answers to some fundamental questions about the relationship between mental disorders and work comp injuries.

Must-Have UR Software Features: Data is a Driver

As costs continue to rise, participants are looking for methods to identify costs that can be controlled and ways to handle claims more efficiently. With this shift, it’s important to look for system features that help you make effective UR decisions and

Moving Forward from Dubon I: In Dubon II the WCAB Returns Medical Decisions to Doctors, Not Judges

The WCAB found that the utilization review (UR) in the Dubon case was defective. Rather than calling for an independent medical review (IMR) as required by SB863, the WCAB made the treatment decision itself.

Physician Dispensing: Dialogue, Data, and Collaboration Drive Positive Change

In 2013, key stakeholders in the workers’ compensation industry gathered to discuss physician dispensing. The consensus was that dialogue, data, and collaboration could drive positive change. Now a year later, this paper discusses what’s happened.

Physician Dispensing Inflates Price of OTC Drugs

A recent study by the Workers’ Compensation Research Institute found that easily available, over-the-counter drugs were sold at significantly higher prices when dispensed through physician offices.

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

Opioid Drug Treatment Case Study

This study looks inside a catastrophic work comp case that included multiple opioids totaling over $27,000 a month. The case was brought to myMatrixx for review and the outcome delivered a savings of over $250,000 per year for the claim.

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