Filters
clear all
Filters
Topics
Industry
Type
Auto Casualty Article

In-Network and Out-of-Network Trends

4 MIN READ

This analysis provides a comprehensive examination of prescription utilization across both in-network and out-of-network channels including retail pharmacies, mail-order services, and paper-based medical bill submissions. This dual-lens approach captures the full prescription landscape that extends beyond traditional pharmacy benefit management reporting, revealing critical cost and utilization patterns across all jurisdictions. While in-network channels demonstrate the real-time effectiveness of integrated clinical controls and cost management strategies, out-of-network data, often representing acute treatment episodes captured through medical bill review, exposes significant cost management opportunities and pricing anomalies. Together, these perspectives illuminate where pharmacy dollars are spent, how prescriptions are managed, and where targeted interventions can drive the greatest impact on both clinical outcomes and costs.

Workers' Comp Article

Case Management: Can Any Nurse Do it?

Amidst an ongoing nursing shortage, workers' comp recruiters are tasked with finding nurses who can make the transition from clinic to case management. As Debbi Bromley, Genex Senior VP of Human Resources, explains, it’s a unique role for those who have the skills to manage cases and are looking for a little more flexibility.
Workers' Comp Case Study

Through the Fire

Field Case ManagementMeet Deana Schilk, RN, CCMDeana Schilk, RN, CCM, utilizes her 15-plus years in health care, including experiences in coronary car
Workers' Comp Article

Who Will Fill the Void? Recruiting Younger Workers’ Comp Professionals

As a mature industry, workers’ comp will have significant employment holes to fill as more professionals begin to retire. How do we make the workers’ comp industry more appealing to millennials? Debbi Bromley, Senior Vice President, Human Resources, gives her insight.
Workers' Comp Article

StateWatch Summer 2017

16 MIN READ

Keep current with new legislation and its potential effect on your organization.
Workers' Comp Article

StateWatch Summer 2017

Keep current with new legislation and its potential effect on your organization.
Mitchell Conference

Workers’ Compensation Educational Conference (WCI 360)

The 72nd Annual Workers' Compensation Educational Conference and 29th Annual Safety & Health Conference (WCI 360)

Workers' Comp Blog

3 Important Factors in Handling a Catastrophic Case

Case handling for the most severe worker injuries demands swift and precise decision-making.

Stay Ahead in P&C

Get monthly insights from Enlyte experts to tackle your toughest claims challenges.