Delivering The Most-Favored Nation Prescription Drug Pricing to American Patients
2 MIN READ
Why are U.S. prescription drug prices so much higher than in other developed nations—and what is the government doing about it? A new executive order from the White House could shake up how brand-name drugs are priced and reimbursed, with potential ripple effects across auto and workers’ comp. But is it really a game-changer, or just another attempt at reducing drug costs? Brian Allen, VP of Government Affairs breaks down the executive order and what it could mean for work comp and auto.
Ask The Pharmacist: The Role of Topical Medications in Workers’ Compensation
3 MIN READ
Topical analgesics—medications applied directly to the skin—are commonly used to manage pain in workers’ compensation claims involving injuries like sprains, strains or muscle aches. While these medications offer targeted relief and are often seen as safer alternatives to opioids, they also present rising cost concerns.
Turn Complexity into Progress: Four Steps to Mastering Specialty Services
1 MIN READ
In this quick-read guide, you’ll discover how top-performing teams are simplifying fragmented processes to deliver faster, more cost-effective care.
Automate the Chaos: AI, Dashboards, and the Future of Claims
9 MIN READ
See how data, connected systems, and analytics can help you close claims faster, cut errors, and prevent costly delays.
How One Carrier Saved $2M by Automating Utilization Review Decisions
9 MIN READ
At a large insurance carrier, adjusters were manually tracking utilization review (UR) determinations and cross-referencing them with incoming medical bills, often across multiple claims. Their traditional manual approach to UR was time-consuming, prone to human error and made it difficult to catch when providers billed for services that had previously been denied or exceeded the authorized limits. As a result, they paid for non-authorized treatments and lost productivity as their adjusters had to spend valuable time on administrative tasks instead of higher-priority responsibilities.
Tame the Chaos: How to Use Data to Bring Structure to Claims
8 MIN READ
Data visualization, real-time analytics, AI, and system integrations transform overwhelming claims data into clear, actionable insights. Discover how having the right data at the right time can help you strengthen decision-making, reduce errors, simplify processes, and streamline claims workflows for greater efficiency.
Reclaiming Control: How a Commercial Auto Payer Cut Settlements by 63%
8 MIN READ
Is increasing claim complexity and volatility driving up your settlement costs and eroding your margins? Every excessive settlement isn’t just a line item, it’s a signal that your teams are under-resourced, and you are exposed to unnecessary risk.