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Pharmacy Benefits Management


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AWP Settlement: Market Impact and Payor Considerations

The Settlement of Average Wholesale Price (AWP) has caused confusion in the workers' compensation industry.

Morphine Equivalency Dosing: A Tool for Opioid Management

Morphine Equivalency Dosing can be used to compare the relative opioid potency when treating a patient with different narcotic pain relievers.

A Combined Focus on Unit Cost and Utilization Control for More Effective Cost Containment with DME

Durable medical equipment (DME) and supplies, although a smaller percentage of spend, contribute significantly to overall spend and it is here that payors are now taking a closer look at these costs and seeing opportunities for cost savings.

Specialty Drugs in Workers' Compensation

Twenty years ago there were only ten 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.

Care management solutions: Narcotic management

How can employers help injured workers while ensuring appropriate use of narcotics and reducing unnecessary costs? Take a look into Sedgwick’s clinically based process, which aligns resources to impact safety, return to work and better outcomes.

Express Scripts Unveils Comprehensive Fraud, Waste and Abuse Program for Workers' Comp Clients

New suite of Express Scripts workers' compensation services will detect and deter fraud in workers’ compensation prescriptions saving tens of millions of dollars annually.

A Tsunami or a Ripple? Examining the Impact of the Expected Wave of Age-Related Claims

Many Boomers are now choosing to stay at work past traditional retirement age. That will create a number of ripples, one of which will reach the world of workers’ compensation.

Resolving Out of Network Pharmacy Spend

For those who pay workers' compensation pharmacy bills, the phrase "out-of-network" is not only an unpleasant thing to hear, but can be a costly one as well.

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

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.

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